- 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
- Elevance Health (Norfolk, VA)
- …combination of education and experience which would provide an equivalent background. + ** Claims Auditor Senior :** Requires a HS diploma or GED and a ... ** Claims Auditor I, II and Senior **...or any combination of education and experience which would provide an equivalent background. + ** Claims Auditor… more
- USAA (Chesapeake, VA)
- …you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims Operations experience. + Guidewire ClaimCenter experience. + Familiar with ... Opportunity** We are seeking a dedicated Business Process Owner Senior - Claims User Experience - ...new and modifications to existing applications and processes to provide new or improved capabilities, products, and/or services. +… more
- Family Dollar (Chesapeake, VA)
- …will directly reduce costs and improve claim outcomes. In this role, you will provide essential oversight and support to third-party claims adjusters, internal ... inform and enhance strategic decision-making. Additionally, you'll collaborate closely with senior leadership on high-exposure claims and contribute to various… 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 (Norfolk, VA)
- ** Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Analyst Senior **...providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR COMSEC MANAGER (NAUT): Bowhead seeks a Senior COMSEC Manager to support our customer on the Nautical contract in the Arlington, VA ... and personnel. + Prepare comprehensive reports, briefings, and documentation for senior leadership and government customers. + Manage COMSEC budgets, resources, and… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …Policy Outreach & Digital Enterprise Services (MODES) located in Arlington, VA. The Senior Technical Program Manager will provide day-to-day oversight of ... **Overview** SENIOR TECHNICAL PROGRAM MANAGER (MODES): Bowhead...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR SYSTEMS MANAGER - CLOUD ARCHITECTURE (NAUT): Bowhead seeks a Senior Systems Manager - Cloud Architecture to support our customer on ... IT assets through ITEC Team oversight. + Personnel Supervision: Provide daily control and supervision of assigned personnel, ...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- RxBenefits (Virginia Beach, VA)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- KBR (Fairfax, VA)
- …and cutting-edge technologies. KBR is seeking a highly skilled and results-driven Senior Accounting Manager to provide strategic financial oversight ... Title: Senior Accounting Manager KBR - Delivering...cost reserves, incurred cost proposal accruals, legal reserves, and claims , ensuring proper documentation and review with the Segment… more
- Mass Markets (VA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer ... across multiple business lines, ensuring alignment with organizational objectives. + Provide strategic guidance and insight to executives on solution shaping,… 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
- USAA (Chesapeake, VA)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... There are 2 positions available. As a dedicated, **Business Process Owner Senior ** you will plan, direct, and coordinate activities for complex processes, including… more
- Walgreens (Warrenton, VA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Ashburn, VA)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** SENIOR LINUX ADMINISTRATOR (RDTE) Bowhead seeks a Senior Linux Administrator (NetServ) to join our team in Dahlgren, VA. The Senior Linux ... + Utilize Red Hat Enterprise Linux system administration experience to provide technical problem solving and in-depth consulting relative to system operations… 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