- Elevance Health (Norfolk, VA)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Black & Veatch (Richmond, VA)
- **Construction Project Representative - Water - Loudoun County** Date: Nov 21, 2025 Location: Gaithersburg, MD, US MD, US VA, US Company: Black & Veatch Family of ... Veatch Corporation **Req Id :** 111901 **Job Title :** Construction Project Representative - Water - Loudoun County **Location :** RGGAIT, VRTLMD, VRTLVA **Business… more
- Graybar (Norfolk, VA)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… more
- Highmark Health (Richmond, VA)
- …solve complex problems representative of a broad range of service and claim scenarios. + Other duties as assigned. Including, but not limited to additional ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the … more
- Highmark Health (Richmond, VA)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- Harbor Group Management (Norfolk, VA)
- …and system integrity through routine audits and process improvements. + Support claims management by maintaining up-to-date claim files, generating loss runs, ... data including schedule of values, property information, insurance policies/programs, claims , incidents, certificates of insurance, insurance premiums/accruals and exposure… more
- General Dynamics Information Technology (Fairfax, VA)
- …play a crucial role in performing the duties of a **Provider Outreach Regional Representative ** for the eMedNY Program in the NYC area. As a Training Specialist ... the company to external and/or internal customers, supporting Medicaid related claims and billing questions. You will provide assistance and problem resolution… more
- RxBenefits (Virginia Beach, VA)
- …PBM pricing. Additionally, this role's functions include client retention efforts with claim file requests, current account RFPs, and competing PBM comparisons. The ... Manager also assists with resolving client issues involving performance discrepancies and claims issues. This role will support the Director, Pharmacy Pricing &… more
- Sunrise Senior Living (Richmond, VA)
- …in a timely manner. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. **Quality Assurance, Safety and ... duty satisfactorily. The requirements listed throughout this job description are representative of the knowledge, skills, and abilities required. + Bachelor's degree… more
- Medtronic (VA)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... physical demands described within the responsibilities section of this job description are representative of those that must be met by an employee to successfully… more