- Cardinal Health (Richmond, VA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... + Provide world-class service and receive inbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution. +… more
- Elevance Health (Norfolk, VA)
- …Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines ... appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an...the following: AA/AS or minimum of 15 years of experience in claims auditing, quality assurance, or recovery auditing.… more
- Nestle (Arlington, VA)
- …standards, procedures, and artifacts for reference and compliance. + Create, publish, and audit the master version of data models in the system of record to ... Mathematics, Statistics, Business or a similar field or equivalent experience + 6+ years of experience in...rewards package, which includes a 401k with company match, healthcare coverage and a broad range of other benefits.… more
- DoorDash (Arlington, VA)
- …process improvement projects to drive operational efficiencies and employee experience . Support Growth Initiatives. Contribute to market expansion and scaling ... Work cross-functionally with central teams to ensure your site offers customers the best experience on each and every order and provide your team with the tools,… more
- Elevance Health (Norfolk, VA)
- …improvement, and quality oversight background. + Public accounting (eg, Big Four) audit experience . + Understanding of insurance company operations and ... with team leadership, business management and external auditors on audit planning, testing and evaluation procedures, which includes working...related field and a minimum of 3 years related experience ; or 2 years in public accounting (eg, Big… more
- Elevance Health (Richmond, VA)
- …and quality oversight background. + Public accounting (eg, Big Four) audit experience . Understanding of insurance company operations and regulations. ... with team leadership, business management and external auditors on audit planning, testing and evaluation procedures, which includes working...related field and a minimum of 3 years related experience ; or 2 years in public accounting (eg, Big… more
- V2X (Reston, VA)
- …+ CISA, CIA, or similar, preferred. + Experience : + 2+ years of experience in SOX compliance, IT audit , financial audit , or related fields. ... and remediation efforts, and provide clear and actionable reports for management and audit committees. + Work with control owners and stakeholders to develop and… more
- Elevance Health (Richmond, VA)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Highmark Health (Richmond, VA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Walgreens (Winchester, VA)
- …customer needs and proactively offering services. Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient ... interpersonal. + Participates and assists in community events as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager… more