- CVS Health (Richmond, VA)
- …to a specific self-funded plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse ... (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare...for clinical and legal review. + Document all appropriate case activity in case tracking system. +… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …roles includes following the standardized care coordination model, incorporating case management principles if applicable, knowledge of processes related to ... Appraised Value Offer (AVO): Not Authorized Preferred Experience: Preferred Case Management/ Care Coordination experience. with five (5) or...practice in providing care to clients with basic or complex . An ADN or Diploma in Nursing AND 1… more
- General Dynamics Information Technology (Fairfax, VA)
- …opportunity to turn data into measurable outcomes for our customers' most complex challenges. As an **Artificial Intelligence and Machine Learning (AI/ML) Subject ... opportunity to make a personal impact as an **AI/ML SME** supporting the ** Case Management Modernization (CMM) Program.** The **CMM Program** is an initiative to… more
- Travelers Insurance Company (Chantilly, VA)
- …a Senior Counsel with Travelers you will be responsible for high quality, proactive case handling and will have the opportunity to use your legal expertise and ... to independently handle a caseload of higher exposure cases and more complex litigation matters and deliver optimal results for Travelers' insured customers and… more
- Datavant (Richmond, VA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... hands-on opportunity to bring analytical rigor and creativity to complex problems at the intersection of technology, strategy, and...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Richmond, VA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... **Leverage cutting-edge AI technology** to design innovative solutions in complex , data-rich environments. + Act as a **thought leader...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- National Reconnaissance Office (NRO) (Chantilly, VA)
- …You Will Work Are you a negotiator? Do you enjoy managing or overseeing complex legal agreements or contracts? Are you a finance, accounting, business or economics ... and operations support. + Manage cost, schedule, and performance of complex contracts to develop, deliver, and sustain overhead reconnaissance systems, including… more
- Datavant (Richmond, VA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working, exemptions… more
- NANA Regional Corporation (Herndon, VA)
- …This includes managing employee relations cases, ethics cases, managing the case management system, continuous process improvement, auditing cases to ensure proper ... the business. The successful candidate will also be responsible for handling complex and sensitive employee relations cases and tracking employee union grievances… more
- USAA (Chesapeake, VA)
- …Litigation Manager- Section II** , you will be responsible for managing moderately complex litigation arising out of the property contract in compliance with state ... is **not** available for this position. **What you'll do:** + Manages moderately complex litigation to include serious injury or property damage arising from Section… more