- VA Department of Transportation (Richmond, VA)
- …with emphasis on Worker's Compensation, third party sick leave and Family Medical Leave benefits. Ability to analyze claim submissions, determine eligibility, ... Title: Human Resources Benefits Specialist State Role Title: Human Resource Analyst I Hiring Range: $51,242 - $83,269 Pay Band: 4 Agency:… more
- Elevance Health (Richmond, VA)
- …locations. The **Extended Value Analytics and Optimization team** is looking for a senior analyst who will lead medical cost trend deep dives to uncover ... **Provider Contract/Cost of Care Analyst Senior-Analytics** **Location:** This position will work a...Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Elevance Health (Richmond, VA)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one ... Mason, OH; St. Louis, MO, Grand Prairie, TX, Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Elevance Health (Richmond, VA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... **Title: Grievance/Appeals Analyst I** **Location:** This position will work a...Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's… more
- Elevance Health (Richmond, VA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... **Title: Grievance/Appeals Analyst II** **Location:** This position will work a hybrid...nursing and/or medical staff for review. + The grievance and appeal work… more
- Bank of America (Richmond, VA)
- Consumer Product Strategy Analyst III- Digital Fraud Strategies Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Newark, Delaware; Fort ... 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
- Norstella (Richmond, VA)
- …by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data. ... Data Analyst , Healthcare & Life Sciences Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
- Norstella (Richmond, VA)
- Senior Analyst - Health Informatics Company: Norstella Location: Remote, United States Date Posted: Sep 11, 2024 Employment Type: Full Time Job ID: R-541 ... and India. **Job Description** We are seeking a Senior Analyst to join our team and support our data-driven...industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties and… more
- Bank of America (Richmond, VA)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... LOB Job Description: As a Client Protection Fraud Strategy Analyst , you will capitalize on your technical abilities and...▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪… more
- Prime Therapeutics (Richmond, VA)
- …and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's ... drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and roll out… more
- Evolent Health (Richmond, VA)
- …as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal (Evolent Account ... + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience using Microsoft… more
- Bank of America (Richmond, VA)
- Consumer Product Strategy Analyst III - Change Management Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Newark, Delaware; Lincoln, ... Leaders/Executive Presentations. **Required Qualifications:** + 2 years experience in Fraud/ Claims , Support, or Leadership role + Intermediate working knowledge of… more
- Elevance Health (Richmond, VA)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr** is responsible for providing technical and consultative support relative… more
- Bank of America (Richmond, VA)
- Consumer Product Strategic Analyst IV-Client Protection Newark, Delaware;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... including Risk and Product teams. Fraud Forecasting & Reporting Analyst The Loss Forecasting candidate will lead efforts to...▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪… more
- The Cigna Group (Richmond, VA)
- …internal and external individuals to accomplish your goals, including your Manager, Claims Operations, Medical Management, Legal, Medical Economics, ... **The Cigna Group Sales and Contracting Development Program** **Network Contracting Analyst ** **Start Date July 14, 2025** It's fun to work in a company where people… more
- Bank of America (Richmond, VA)
- Fraud Forecasting & Reporting Analyst IV Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Newark, Delaware; New York, New York; Boston, ... + Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) +...company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that… 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
- Evolent Health (Richmond, VA)
- …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... as we solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role will be serving as a strategic advisor to key internal… more
