- Elevance Health (Norfolk, VA)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer… more
- NTT DATA North America (Mclean, VA)
- …an overall sourcing strategy. NTT DATA Services currently seeks a ** Medical Claims Processors** to join our team in **remotely.** **Role Responsibilities** ... At NTT DATA , we know that with the right people...right people on board, anything is possible. The quality, integrity , and commitment of our employees have been key...To serve as a ** Medical Claims Processor within the Xcelys environment**… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager- Auto, you will be responsible for managing moderately complex… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... makes us special and impactful. **The Opportunity** As a dedicated Senior Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented… more
- Cognizant (Richmond, VA)
- …established quality assurance instruments and standards + Verifying if the processed claims have all data updated accordance with accepted coverage guidelines, ... ** Claims Auditor** (remote) This is a remote position...+ High Attention to detail + High Level of Integrity and Ethical Behavior **Salary and Other Compensation:** Applications… more
- Elevance Health (Richmond, VA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Elevance Health (Richmond, VA)
- …background. **Preferred Skills, Capabilities, and Experiences:** + Healthcare experience preferred; medical claims experience a plus. + Extensive hands-on ... **Application Architect Senior - Payment Integrity ** The **Application Architect Senior** creates architectural solutions that articulate the business context,… more
- Insight Global (Norfolk, VA)
- …research in support of an investigation. -Collect and evaluate potential suspicious patterns in claims data , provider enrollment data , and other sources to ... Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements -2+ years in medical coding, insurance billing, internal/ external audit, claims… more
- Humana (Richmond, VA)
- …and reporting. Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to communicate key ... trends to stakeholders. The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data , Specialty pharma, omnichannel data , SalesForce/Veeva ... **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for… more
- UIC Government Services and the Bowhead Family of Companies (Fort Belvoir, VA)
- …and enforce data governance policies, standards, and procedures to ensure data quality, integrity , and security. + Develop and manage System Interface ... **Overview** LEAD DATA ARCHITECT (ARDAP): Bowhead is seeking a Lead...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Microsoft Corporation (Manassas, VA)
- As a Data Center Inventory & Asset Technician (DIAT), you will perform cycle audits, e xecute incoming/outgoing deliveries, coordinate security escorts for ... and outbound deliveries as instructed by management. You will initiate warranty claims and process returns on failed equipment. This opportunity will allow you… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... is all about learning and growing.** Our Associate Auto Claims Adjuster role may be a new career for...**Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive.… more
- Elevance Health (Norfolk, VA)
- … medical guidance across multiple enterprise transformation initiatives, including: + ** Medical Cost Management** + **HealthOS and enterprise data platforms** ... payer, managed care, or healthcare leadership preferred. + Experience advising medical cost management, utilization management, payment integrity , or provider… more
- Walmart (Virginia Beach, VA)
- …variances to inventory reportsConducts operational and preinventory reviews Gathers data audits results and monitors deficiency trends Identifies improvement ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Harbor Group Management (Norfolk, VA)
- …of the RMIS platform, including initial implementation, system configuration, user access, data integrity , and system updates. + Create and maintain dashboards, ... managing and maintaining the organization's Origami Risk System. This role ensures integrity , accuracy, and analysis of risk-related data , to support internal… more
- Norstella (Richmond, VA)
- …querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data ... Norstella's newest service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab,...data into structured formats suitable for analysis, ensuring data quality and integrity throughout the process… more
- Norstella (Richmond, VA)
- …the demand for Norstella's newest service offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and ... databases, ensuring data accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data , to… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity . The leader will be responsible for providing a compelling ... authorities, facilitating Clinical and PV inspections and addressing any findings. + ** Data Integrity :** Ensure the accuracy, consistency, and reliability of… more
- Elevance Health (Roanoke, VA)
- **Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon… more