• Medical Claims Analyst

    TEKsystems (Fairfax, VA)
    …available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long- term disability * Health Spending Account (HSA) * ... TEKsystems is hiring for a fully remote Medical Claims Analyst for a PBM to help analyze...race, sex, age, color, religion, national origin, veteran status, disability , sexual orientation, gender identity, genetic information or any… more
    TEKsystems (06/04/25)
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  • P&C Senior Director - Pricing, Product,…

    WTW (Arlington, VA)
    …Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short - Term Disability , Long- Term Disability , Other Leaves ... $250,000 USD -$330,000. USD. This role is also eligible for an annual short - term incentive bonus. **Company Benefits** WTW provides a competitive benefit package… more
    WTW (05/09/25)
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  • Claims Business Analyst - Remote

    Cognizant (Richmond, VA)
    …Insurance + Paid holidays plus Paid Time Off + 401(k) plan and contributions + Long- term / Short - term Disability + Paid Parental Leave + Employee Stock ... sex, gender identity, sexual orientation, race, color, religion, national origin, disability , protected Veteran status, age, or any other characteristic protected by… more
    Cognizant (05/20/25)
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  • Carelon Coordination of Benefits (COB)…

    Elevance Health (Norfolk, VA)
    …bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock ... business. This position mandates proficiency in multi-system data analysis, claims adjudication, and regulatory compliance, handling complex cases beyond automated… more
    Elevance Health (06/05/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    …bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock ... Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
    Elevance Health (06/05/25)
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  • (USA) Asset Protection Operations Coach

    Walmart (Chesterfield, VA)
    …leave, family care leave, bereavement, jury duty, and voting. Other benefits include short - term and long- term disability , company discounts, Military ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
    Walmart (05/30/25)
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  • Director, US Market Access Strategy and Innovation…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …medical, dental, vision and prescription drug coverage + Company provided Basic Life, AD&D, Short - term and Long- term Disability insurance + Tuition ... coverage, company provided basic life, accidental death & dismemberment, short - term and long- term disability...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (05/31/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Richmond, VA)
    …Access to wages before pay day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long- term disability coverage + Work-Life resources + Paid ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
    Cardinal Health (05/22/25)
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  • Middle Market Underwriter (Mid-Senior or Senior…

    Zurich NA (Richmond, VA)
    …Rewards, please clickhere (https://www.zurichna.com/careers/benefits) . Additional rewards may encompass short - term incentive bonuses and merit increases. We ... and 6 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified...range for the Mid-Senior is $94,000.00 - $139,000.00, with short - term incentive bonus eligibility set at 10%.… more
    Zurich NA (05/03/25)
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  • Risk Manager

    Western Digital (Richmond, VA)
    …in the future. + You will be eligible to participate in Western Digital's Short - Term Incentive (STI) Plan, which provides incentive awards based on Company and ... supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL… more
    Western Digital (04/24/25)
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  • Associate Director, Omnichannel Data Scientist

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short - term and long- term disability insurance, tuition ... those goals. **Job Expectations/Responsibilities:** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short - term and long- term disability insurance, tuition ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Associate Director, Brand & Sales Analytics

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short - term and long- term disability insurance, tuition ... datasets from IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength in one or… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • External Audit Facilitator

    Elevance Health (Richmond, VA)
    …bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock ... Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits,… more
    Elevance Health (05/23/25)
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  • Lead Representative, Accounts Receivable

    Cardinal Health (Richmond, VA)
    …Access to wages before pay day with myFlexPay + Flexible spending accounts (FSAs) + Short - and long- term disability coverage + Work-Life resources + Paid ... as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly… more
    Cardinal Health (05/21/25)
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  • Lead Director, Health Services

    CVS Health (Richmond, VA)
    …relevant factors. This position is eligible for a CVS Health bonus, commission or short - term incentive program in addition to the base pay range listed above. ... **This role is responsible for ensuring the accuracy and compliance of medical claims , which involves applying various editing rules and guidelines to ensure proper… more
    CVS Health (06/07/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Richmond, VA)
    …care of our insureds' injured employees. You will develop, recommend and execute short - and long- term strategies that enable utilization review and pharmacy to ... Rewards, please clickhere (https://www.zurichna.com/careers/benefits) . Additional rewards may encompass short - term incentive bonuses and merit increases. We… more
    Zurich NA (05/22/25)
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  • Director, Early Commercial Planning

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short - term and long- term disability insurance, tuition ... commercialization efforts, ensuring that Otsuka's pipeline assets are positioned for long- term success. This role will focus on market assessment, competitive… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Senior Manager, Decision Science Analyst, Rejoyn

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short - term and long- term disability insurance, tuition ... change. + Strategic Thinking & Problem Solving - Make decisions considering the long- term impact to customers, patients, employees, and the business. + Patient &… more
    Otsuka America Pharmaceutical Inc. (06/10/25)
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  • Associate Director, Channel Analytics, Nephrology

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    …vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short - term and long- term disability insurance, tuition ... insights. + Strategic Thinking - Connect analytics to business objectives and long- term strategy. + Communication & Influence - Effectively communicate findings to… more
    Otsuka America Pharmaceutical Inc. (06/10/25)
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