- Highmark Health (Richmond, VA)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- HCA Healthcare (Richmond, VA)
- …**Introduction** Do you have the career opportunities as a Patient Safety Coordinator Registered Nurse RN you want with your current employer? We have ... a committed, caring group of colleagues. We are seeking a highly-skilled Patient Safety Coordinator Registered Nurse RN to join our quality team. In this role you… more
- Cabela's (Ashland, VA)
- **_POSITION SUMMARY:_** The Asset Protection Coordinator is an hourly position that directly reports to the Market Asset Protection Manager and will maintain and ... environment for our outfitters, customers, or vendors. + Conducts known loss investigations and exception report reviews. + Assists with investigations into… more
- The LEGO Group (Richmond, VA)
- EHS Coordinator + **Location** Richmond, Virginia, United States of America + **Job ID** 0000025860 + **Category** Hourly **Job Description** This EHS Coordinator ... Proactive Safety program + Assist production personnel and EHS Technicians with investigations of complex EHS events and with the implementation of corrective… more
- Cardinal Health (Richmond, VA)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Richmond, VA)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Richmond, VA)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Bon Secours Mercy Health (Richmond, VA)
- …records of proceedings which may be required in subsequent internal investigations and/or legal disputes. Participates in the preparation and on-site Joint ... Commission and State licensure accreditation surveys. + Maintain confidential filing system for all current and archived provider files. + Provide telephone coverage for the department, with other medical staff office employees, responding to a variety of… more
- Cardinal Health (Richmond, VA)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Optiv (Richmond, VA)
- …messaging security platforms, vulnerability scanners etc. + Act as a coordinator for security events that require urgent response, containment, and remediation. ... exploited in the wild + Actively work with junior analysts and perform investigations on escalations + Ability to discuss security posture with multiple clients and… more