- CVS Health (Richmond, VA)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Prime Therapeutics (Richmond, VA)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs, may lead some initiatives within their designated areas, and partners with key internal… more
- Evolent (Richmond, VA)
- …audiences. + Synthesize complex analyses into succinct presentations. + Lead customer interactions fostering trust, expertise and cooperation. + Extract, ... manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required… more
- UIC Government Services and the Bowhead Family of Companies (Alexandria, VA)
- …Positions available include, but not limited to: + Ammunition Functional Analyst + ARDAP Financial Operations Management + Cloud Architecture ... Project Manager + Project/Program Manager + SAAS Functional Team Lead + Senior Plans and Ops System Analyst...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Aston Carter (Norfolk, VA)
- …with varying levels of administrative needs. + Collaborate with Claims Manager, Claims Administrator, and Claims Analyst to triage and prioritize ... to support our team in managing records related to compliance, insurance claims , and incident reports. This role involves ensuring accurate documentation, addressing… more
- Highmark Health (Richmond, VA)
- …and programs as necessary; may have budgetary responsibility and authority. + Lead daily Receivables Management operations . This is a "hands-on" position, ... claims or inquiry processing with Membership and Billing personnel. Lead or participate in higher level AR tasks and...Collection of Documents (COD). Oversee day to day department operations . Manage AI Business Analyst staff and… more
- Prime Therapeutics (Richmond, VA)
- …tools, such as self-service capabilities and standard report packages. May lead efforts to create curriculum to improve user adoption. + Ensures ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more
- The Cigna Group (Richmond, VA)
- …work in the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and ... reports to the Contracting Manager or Market Lead . This role assists and supports the day to...communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical… more