- Evolent (Richmond, VA)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process… more
- UIC Government Services and the Bowhead Family of Companies (Fort Belvoir, VA)
- …+ Responsible for leading the testing and evaluation of large-scale DoD systems , ensuring the successful implementation and integration of modifications and changes ... to the Distributed Learning System (DLS) Enterprise. + This role requires a deep...a deep understanding of testing methodologies, requirements analysis, and systems integration, with a focus on delivering high-quality solutions… more
- University of Virginia (Charlottesville, VA)
- …at all locations. Encounters may be within Epic, outside electronic medical record systems , or based on paper documentation. + Reviews and resolves charge sessions ... that fail charge review edits, claim edits and follow-up work queues, identifies areas of...for assignment of codes as necessary (eg, Diagnostic Imaging system , Lab system , Emergency, Epic, and coding… more
- Quality Technology Services, LLC (Manassas, VA)
- …for installing, repairing, and maintaining IT, electrical, mechanical, and plumbing/piping systems and controls throughout the facility. This role monitors building ... operations and performs routine assessments of system performance. Responsibilities include conducting tests, rounds, and data analysis to ensure equipment functions… more
- University of Virginia (Charlottesville, VA)
- …UVA Health System , UVA Health Surgical Care Riverside and other Health System locations policies and procedures. + Examines systems and processes in ... provider may also provide care at additional UVA health system locations as needed. + Works in conjunction with...review activities. + Prepare and attend to all reports, claims , and correspondence necessary or appropriate to the performance… more
- Highmark Health (Richmond, VA)
- …participate in and support project meetings related to underwriting system enhancements, financial modeling tool development, and overall operational efficiency ... rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the… more
- Elevance Health (Richmond, VA)
- …visits, referral practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings + Reviews results ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Elevance Health (Richmond, VA)
- …visits, referral practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network… more
- Elevance Health (Richmond, VA)
- …to create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Elevance Health (Norfolk, VA)
- …visits, referral practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more