- CVS Health (Richmond, VA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...each and every day. **Position Summary** The Senior Practice Manager 's role is a full time position working at… more
- Elevance Health (Norfolk, VA)
- …alternate development centers. **Minimum Requirements:** + Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a ... AI adoption in testing is a plus. + Experience coding with Java, Python, and/or SQL. + Knowledge of...Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. + Quality… more
- Elevance Health (Norfolk, VA)
- …and medical necessity. + Contacts others to obtain any necessary information . + Completes and maintains detailed documentation of audit which includes ... identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. + Refers overpayment opportunities to… more
- Elevance Health (Norfolk, VA)
- …or medical management review activities which require the interpretation of clinical information . **Minimum Requirements:** + Requires a High School Diploma and a ... which would provide an equivalent background. + Experience with medical coding and medical terminology required. **Preferred Skills, Capabilities and Experiences:**… more
- Oracle (Richmond, VA)
- …advanced degrees or partial medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance standards (eg ... required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this… more
- Elevance Health (Norfolk, VA)
- …by law._ **Carelon Payment** Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... + Comprehensive understanding of healthcare payer systems, claims processes, and coding practices preferred. + Demonstrated proficiency in analyzing complex data and… more
- Elevance Health (Norfolk, VA)
- …program evaluation and effectiveness methodologies, and statistical sampling for health plan functions. Performs substantive statistical analyses and reporting to ... a large claims database to conduct studies which focus on improving health outcomes. + Leads data management activities by developing programming requirement… more
- Public Consulting Group (Richmond, VA)
- …either AAPC (American Academy of Professional Coders) and/or AHIMA (American Health Information Management Association). + Understands federal, state, and ... public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in… more
- General Dynamics Information Technology (Fairfax, VA)
- …to work on the Salesforce platform and provide IT development in support of Health Marketplace initiatives. In this role, a typical day will include: + **75% of ... solution in production environments. + Collaborate with Solutions Architects, Development Manager , Development Team, Business Analysts, CMS, and other Agile team… more
- HCA Healthcare (Reston, VA)
- …**Benefits** Reston Hospital Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.… more