- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. Position Summary The Medical Claim Analyst role is responsible for analyzing submitted ... claims payment issuesRequired Qualifications - 2 plus years experience as a medical assistant, office assistant, or claim processor - Benefits Management -… more
- Prime Therapeutics (Richmond, VA)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medical Pharmacy Analyst - Remote **Job Description Summary** Responsible for leading ... solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of CPT and… more
- Public Consulting Group (Richmond, VA)
- …and regulations and applicable government agencies **Required Experience:** + 2+ years of Medical Claims experience + Possesses a background as an insurance ... visit www.publicconsultinggroup.com . **Responsibilities** . Analyzes the development of claims assigned at each level of the adjudication process....develop a Theory of the Case for each individual claim . . Writes case summaries to be sent with… more
- Bank of America (Richmond, VA)
- Consumer Product Strategy Analyst III Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... + Research LOB Specific Information: The Client Protection data analyst will provide analytical and data support for Consumer...adhoc report and analytical requests to support fraud and claims LOBs. The candidate will coordinate the production of… more
- Bank of America (Richmond, VA)
- Consumer Product Strategy Analyst III- Digital Fraud Strategies Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New ... analysis + Deliver accurate metrics related to fraud and claim activity + Validate the integrity and quality of...of data required for performing analysis + Partner with claims , policy, strategy, and product teams to deliver data… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- Quality Technology Services, LLC (Richmond, VA)
- …why QTS is Powered by People! **The impact you will have:** As a Cost Control Analyst , you'll be at the heart of our mission to optimize project budgets, drive cost ... **The perks (and these are only a few):** + Medical , dental, vision and all the other standard benefits...participate in the investigation of any complaint or discrimination claim . The "Know Your Rights" Poster is included here:… more
- Bank of America (Richmond, VA)
- Cons Prod Strategic Analyst IV Phoenix, Arizona;Belfast, Maine; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... * 2+ years of work working in Fraud and/or Claims ; need to understand the end-to-end processes and how...company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that… more
- Intermountain Health (Richmond, VA)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... coding in an inpatient hospital setting. AND Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology. AND Demonstrated… more
- CVS Health (Richmond, VA)
- …* Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that ... our colleagues and our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll in the Company's 401(k)… more
- Truist (Richmond, VA)
- …Analyze, research, and support in a timely manner electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to resolve. ... by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred… more
- Highmark Health (Richmond, VA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... participation percentage, type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered and to set… more