- Humana (Richmond, VA)
- …part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve ... customer contact, investigation, and resolution of claims or claims -related financial issues. The position...skills with the ability to work across multiple software systems + Self-reliance with the ability to resolve issues… more
- Elevance Health (Norfolk, VA)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering collaboration ... within a commutable distance from an office._ The **Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes strategies… more
- Bechtel Corporation (Reston, VA)
- …\#LI-JL1 # Major Responsibilities: + Serve as paralegal on insured litigation and claims , specifically including latent claims and exposure-related claims . + ... company personnel, external law firms, and vendors to investigate and research claims and to compile information and documents potentially responsive to subpoenas… more
- Cognizant (Richmond, VA)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a Product ... impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a...ensure seamless integration, configuration, and performance of payer domain systems . **In this role, you will:** + Lead the… more
- Deloitte (Mclean, VA)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate on ... tickets. + Conduct and document root cause analysis and complete any assigned system maintenance. + Assist in low level design, operational discussions, build, test,… more
- Capital One (Richmond, VA)
- Work From Home-Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of working virtually at home? ... service package from the associate. Requirements are subject to change, as new systems and technology is delivered. Capital One reserves the right to modify internet… more
- Deloitte (Richmond, VA)
- …Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic Hospital Billing application build, ... of requirements and support of less experienced client analysts + Develop system design, including functional specifications and strategies, based upon the analysis… more
- Humana (Richmond, VA)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more
- Naval Sea Systems Command (Dahlgren, VA)
- …Model Base System Engineering (MBSE) tools, (3) knowledge of conventional systems engineering tools, and other available tools to execute assigned tasking. FOR ... to this flyer. Responsibilities You will serve as COOPERATIVE ENGAGEMENT CAPABILITY SYSTEMS ENGINEER in the Integrated Combat Systems Department, Warfare… more
- UIC Government Services and the Bowhead Family of Companies (Quantico, VA)
- **Overview** Bowhead seeks a System Administrator to join our team supporting NIWC Atlantic. The System Administrator will work directly with the client ... cloud). * Oversee Active Directory, Group Policy, identity management, and authentication systems . * Manage Active Directory, Group Policy, DNS, DHCP, and user… more