- Humana (Richmond, VA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions... Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional… more
- Evolent (Richmond, VA)
- …**Technical Requirements:** We require that all employees have the following technical capability at their home : High speed internet over 10 Mbps and, ... Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating...employees, the ability to plug in directly to the home internet router. These at - home … more
- Allied Universal (Charlottesville, VA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... a difference. Enjoy comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, retirement plans, employee… more
- Humana (Richmond, VA)
- …informaticists to define various clinical concepts and extract clinical information from medical , pharmacy, and lab claims for analytics and modeling purposes ... or managed care working experience + Experience working with medical , pharmacy, lab claims + Experience working...Home /Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
- Evolent (Richmond, VA)
- …biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related healthcare ... **Technical requirements:** We require that all employees have the following technical capability at their home : High speed internet over 10 Mbps and,… more
- Humana (Richmond, VA)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Humana (Richmond, VA)
- …continued education. **Use your skills to make an impact** **WORK STYLE:** Work at home /remote with 15-20% travel required **WORK HOURS:** Regular business hours ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...activities. This position may be subject to temporary work at home requirements for an indefinite period… more
- Cognizant (Richmond, VA)
- …a healthy work-life balance through our various wellbeing programs. **Location:** Remote (Work-from- Home ) **Shift** : Monday to Friday 8:00am to 4:30pm Easter Time ... team and work collaboratively with stakeholders to drive process improvements aimed at reducing future denials and enhancing overall efficiency. **In this role, you… more
- Evolent (Richmond, VA)
- …Technical Requirements: We require that all employees have the following technical capability at their home : High speed internet over 10 Mbps and, specifically ... Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost...employees, the ability to plug in directly to the home internet router. These at - home … more
- Humana (Richmond, VA)
- …Previous Medicare/Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote work at home **Location:** Must reside in a state that participates in ... relevant skills and experience at a time that is best for your schedule. **Work at Home Guidance** To ensure Home or Hybrid Home /Office employees'… more