- CVS Health (Richmond, VA)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Richmond, VA)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Richmond, VA)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- Elevance Health (Richmond, VA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Consult Senior ...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Elevance Health (Richmond, VA)
- ** Provider Contract/Cost of Care Consultant Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract/Cost of Care Consultant Senior ** provides...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Humana (Richmond, VA)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Elevance Health (Richmond, VA)
- …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How ... **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit**...fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing + Correlates review… more
- Bank of America (Richmond, VA)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Fraud Analytics and Innovation Senior Leader - Emerging Fraud Technology Richmond, Virginia;Plano,...Business, Statistics or quantitative related field + Fraud and/or Claims background with focus on Authentication + Functional knowledge… more
- Elevance Health (Richmond, VA)
- ** Senior Healthcare Economics Analyst** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... position is not eligible for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst** (Advanced Analytics Analyst Senior ) creates… more
- The Cigna Group (Richmond, VA)
- …as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting. This role assists in ... to contracting strategy in the market. + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the… more
- Bank of America (Richmond, VA)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Device and Non-Monetary Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Sun...SAS, SQL, Tableau, and other relational data bases, to provide analytical support on strategies, ensure goals are met,… more
- Elevance Health (Richmond, VA)
- **Application Architect Senior - Payment Integrity** The **Application Architect Senior ** creates architectural solutions that articulate the business context, ... disciplines; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** +… more
- Cardinal Health (Richmond, VA)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- UIC Government Services and the Bowhead Family of Companies (Petersburg, VA)
- …Combat Support System (MEDCOM GCSS) located in Petersburg, VA. The Program Manager will provide management, administrative, financial, technical, and business ... **Overview** PROGRAM MANAGER (GCSS): Bowhead seeks a Program Manager...program meetings, reviews, and coordinate briefings with customers and senior management. + Interview, hire and on-board personnel, providing… more
- Fujifilm (Richmond, VA)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Richmond, VA)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Traylor Bros., Inc. (Richmond, VA)
- …we hold each other accountable from our newest interns and engineers to our most senior leaders. You will always go to work knowing that everyone you are working ... be right for us! Job Summary: The Sr Project Manager supports the private client book of business with...terms and conditions. . Experienced with proven results in claims management and dispute resolution. . Experience with Design-Build,… more
- Citizens (Glen Allen, VA)
- …and Home Equity products. Working closely with Loss Mitigation strategies, senior management, Product Owners and support teams, you will drive industry-leading ... experience and deliver a sound operational environment. The Loss Mitigation Back End Manager is responsible for the day to day operation of the department and… more
- M. C. Dean (Richmond, VA)
- Overview **Your Future at MC Dean** A Project Manager is a key figure responsible for overseeing and managing internal construction and capital projects from start ... regulations. + Administer contracts, including processing payments, change orders, and claims . **Safety and Compliance** : + Ensure and enforce safety protocols… more
- Walgreens (Richmond, VA)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more