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Remote DRG Clinical Validation Lead

Remote / Online - Candidates ideally in
St. Louis Park, Saint Louis Park, Hennepin County, Minnesota, USA
Listing for: Elevance Health
Remote/Work from Home position
Listed on 2026-10-09
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 90000 - 161000 USD Yearly USD 90000.00 161000.00 YEAR
Job Description & How to Apply Below
Location: St. Louis Park

Elevance Health is seeking a DRG Clinical Validation Lead to oversee medical necessity reviews for inpatient and outpatient services, ensuring quality and cost-effective care per policy and industry standards.

You will collaborate with medical directors, manage complex clinical questions, and participate in accreditation processes. Requires a current RN license and at least 7 years of acute care experience; preferred coding/documentation credentials may be beneficial.

Are you ready to take on the Remote DRG Clinical Validation Lead role at Elevance Health?

Join us at Elevance Health as our next Remote DRG Clinical Validation Lead in Virginia, MN, United States.

We are currently recruiting a Remote DRG Clinical Validation Lead for our team in Virginia, MN, United States.

This is a strong opportunity to take on the Remote DRG Clinical Validation Lead role at Elevance Health.

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