The Licensed Utilization Review II at Elevance Health is responsible for working with healthcare providers to ensure appropriate and consistent administration of plan benefits through preauthorization services, assessing medical necessity, out-of-network services, and appropriateness of treatment setting. This role involves applying medical policies, clinical guidelines, and plan benefits within the scope of licensure to improve health outcomes for members. The position is remote, requiring the candidate to reside in Florida.

Licensed Utilization Review II (RN)

Licensed Utilization Review II

As a Licensing and Compliance Specialist at Alera Group, you will be responsible for managing company-wide agent/agency licensing items, including processing new and renewal licenses, changes of address, name changes, affiliations, tracking flood credits, and assisting with TPA licensing. This role also involves completing agency profiles in the licensing database, handling EB carrier appointments, assisting with surplus lines filings and taxes, and working on licensing projects. The position requires a high level of detail orientation, organization, and communication skills to ensure compliance with regulations and support department and organizational goals.

Licensing and Compliance Specialist

+bia1E/9Ura0W56PK0QRs1nb0fPaPw1LecFl73e1Zno=

0yryKyiv//5ZYlTDMV3LFPtHwym9DzfhaGKkhjLWumc=

1PbXZCkmjsWX/JPZ0zDz35M1CdhIEEhFhVTF9UZbsUw=

3eZiYdEf1GWONV+R64EHcPPvLb4v6J0JWgZreMFwQRo=

If QUICK_APPLY_SKIP_SUBMIT is set to true these providers will ignore the setting and still submit.

7UWw5juL5kSuktDEYRAJaZaaSr/dkptNWDM6YczaXvQ=

7veoecbDe4L73TGHP2ISin46xsmdddCOKtRpfQxjDN8=

8yxkMFFydubARRB/A0n8dt2+tN+s0Qba5Bm+ZhR6A74=

917BuR4psrYXtoUglgzOqK2gT6nHiFac0vaL7OlNrj4=

BTHovjnwfD7MxYTZVgYObuyOKROSVx/I0X5yo3nLGw8=

CLGiSKlyYhMQqU9L5I5y5Kcwm5S4f77Utdfa8ExP9Bw=

HRzePCbXb7ufZUWsFxKsWQyEIUrwU5VCFht/1iNmtTo=

Id0yBc3Lk10hOWDAGUFDOHeLqi73qkOki+HsqthrqY8=

MltczCjhmN0jRgow3UO+iDMtltW8AfF7hJYVp339Mbk=

NI/PueuALd9KIOo3aGPg/youiuzzXOlUegGuLsVspks=

PX9iho18hgd+if3tD3rS2RRXrbzlHq613z5WXlVZ7+k=

VUOVNO4gG3SQXJg1E5TYU50XsmIaCxqBNHZWw48U8/0=

Y1UD/mVBFR+4WXoXRwyYrTpXnLvnt4lZ1G/TbY1bWR4=

dCG5zdM4/wqhDoKFVboNOhuBLLEkQ95fHprPrsJVaxM=

fr9JCYJNVqBBC7QlJK+AFZY+8NEptSjJEpTFKNeRx4U=

h+e82EFLmuH1BOGKDTUyfliYoBDF4Tq54kkm9H1Q67M=

kF6veelbgshOJpV3Mn6vB3mb3LuydeEVDSOxtIHM8N8=

kbjXyyPP5adVqoaL7EYbdoyqDzFqF5a+VbOBN3j1bVg=

lWPMwjsh2VXkQjRFxWpjkQ/+Yx1eEx75EAWbIUFwV2Y=

mA5rgLX7i0lO6F1oJJxlP+y/1rvzscLgYBBk6pyKBWE=

p1flkibS2FOOSRZRb3dJqhHmZ8tmXXoyz3YXr0O9NUo=

pZVrGsKBFfWx3aTAH3sKk4BlHpV1jgUZyoszy851/n8=

u8Ak4aZwDDE5inqS+1aY1R2zXd+nIapHkAsGcAr3yzo=

Sharing EarnBetter with your community helps us offer our amazing service for free forever!

vxNjoMfC5uqnvyqDFMn4QxFWYVJL1/bchyrGeEbe61Y=

Love the experience? Gift EarnBetter to friends!

Keep EarnBetter 100% Free

wDPoPj7fOJzlOCVTJ3ASCyTM+Jv016ewscTK5A6Ydvk=

wfVOeGtWjhyID/nu7MbtKR27TOqs2Q/J/+G83fmUYgU=

wgNMRJ0ld/vilLrZT59fsTMLKNB+EqzP5bMOOP30x/0=

+mjArHAFxX0tBE706KhAgfO4EayyybdGnAgtTE4mNNQ=

79BC1tlL3VV9Z78H2bomqA7F+h1kjc04bwdWNCscy9Y=

9Lh47PjGsnV4TGushKhPJuBbKVWD/KP78n+iSeQU/PQ=

BOBFbuxOSoaqY0NgBbTim6hKM4/qrdr44nVwfv12ILo=

FjrsghG9g9tE6BP6ugZRPuSJTajP1rWMwx7LU5RCOZk=

Lve5kPGfxlUJgaNkynDWv2usa/+RdzQnObZI+ToZnn8=

O8ILsl6IPltJvfmG+bLl6tK+chqIThrLEmiMt0/yiZs=

Uked03XuHkCSocevP8EHRFm1G5OHwyI4ibrMRd+T+/Q=

XFr1pCq6NKzQWZJN/6rH/EkimYEGBxAhTK7SjBxtWjE=

Yu6LMkYbnGRv4Hwtf/1Z5S4yE1JDOM4BfunwrBH2zlM=

cBPT3tH6jzHmWwuq6SecYVOASP8n9VJBvNW/872A7bY=

cFYd6wxtqClN/uRssdgVuBtChjZvNVbSEuFm5qpr1BQ=

e93kzJkUs0KHeM78dO2oEcNGEjMxzyL1pR0Fxm0DyH0=

fBzkWMIrdAoW/eqK8GafA4dg4bYHRYqeGcmDCx2kY5c=

hTupu4O7VKMajWxYOVDNd28J6eCQrlyyzn6IeH1o8Ew=

l4aFyvmJh0BL9tosDetMtl/LEMoaZWXrEVj0IVtJ7Cg=

qJaohhBtEv0O724yGItRe7rnscgPMPdvAsLDClwlleA=

ty7/aWNfJannWs88CE8boBuux0EKYNNG/V03W9Ot42k=

wiG+zstbxTzazV5HGGtno3++imcfYzhdaHHwyNzlmvA=

Licensed Jobs in oxford, NC Hiring Now

Licensed Utilization Review II (RN)

Licensing and Compliance Specialist