- Elevance Health (Richmond, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to… more
- CARMAX (Sterling, VA)
- …♦ Obtain accurate estimates and approvals for Extended Service Policy (ESP) claims . ♦ Consult with customers regarding needed repairs. ♦ Review repair orders ... for work performed and accuracy of all labor, parts and sublet documentation for billing. . ♦ Close and invoice repair orders. ♦ Clearly explain and communicate all recommendations/repairs/service/maintenance performed to ensure customer understanding. ♦… more
- US Tech Solutions (Chesapeake, VA)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality. + Consults with supervisor and others in… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …and emphasis, quality control of design documents, review of consultant qualifications, leadership in implementation of sustainability and energy conservation ... that includes budgeting, planning, scheduling, and coordination; Responsible to resolve claims and disputes that arise out of the administration design and… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …productivity for customer issues on Azure/AWS cloud environments. + Act as a consultant and subject matter expert for internal stakeholders in Engineering, IT, and ... to include on cloud environments. + Act as a consultant and subject matter expert for internal stakeholders in...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- BrightSpring Health Services (Forest, VA)
- …budget, eg household expenses and repairs, vehicle expenses, personnel costs, consultant services* Monitors worker's compensation and unemployment claims for ... assigned service site(s). Is proactive in efforts to reduce claims and minimize risk/exposure of agency in these areas.* Other duties as assigned * Coaches and… more
- Guidehouse (Mclean, VA)
- …**What You Will Do** **:** We are seeking a highly skilled and motivated Senior Consultant to join our Health Data Science team. This role will focus on claims ... with health data standards and commercial datasets, such as ICD-10, DRG, CPT, claims , encounters, risk scoring, and HEDIS measures + Minimum THREE (3) years… more
- BrightSpring Health Services (Wytheville, VA)
- …budget; eg household expenses and repairs, vehicle expenses, personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims ... for assigned service site(s) + Is proactive in efforts to reduce claims and minimize risk/exposure of agency in these areas + Other duties as assigned… more
- Deloitte (Mclean, VA)
- …have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte ... do and the clients and industries/sectors you serve Preferred + Epic Claims certification + Analytical/ Decision Making Responsibilities + Analytical ability to… more
- Amentum (Arlington, VA)
- …will be responsible for all phases of purchase order and Independent Consultant Agreement (ICA) administration, cradle to grave, to include acquisition planning, ... or team member. + Negotiates and settles with suppliers regarding damage claims , rejections, losses, return of materials, over shipments and cancellations. +… more