• Senior Actuarial Analyst - Pricing

    Ally (Richmond, VA)
    …well-being programs. * Supporting your Health & Well-being: flexible health and insurance options including dental and vision, pre-tax Health Savings Account ... developing and supporting a robust pricing framework at Ally Insurance . The Senior Actuarial Analyst will be expected to...technical skills. Programming and automation skills a must. R coding language preferred. Detroit office with a hybrid work… more
    Ally (03/28/25)
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  • Surgery Scheduler - St. Francis Medical Center

    Bon Secours Mercy Health (Midlothian, VA)
    …be responsible for verifying patient benefits and precertification from the insurance company when necessary. **ESSENTIAL JOB FUNCTIONS:** + Coordinate and schedule ... experience as a medical receptionist with strong knowledge of coding . + 6 months related experience and/or training, or...reward* your hard work with: + Comprehensive, affordable medical, dental and vision plans + Prescription drug coverage +… more
    Bon Secours Mercy Health (05/22/25)
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  • Sr. Injury Adjuster

    USAA (Chesapeake, VA)
    …physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance , parental ... + Ability to exercise sound financial judgment and discretion in handling insurance claims. + Proficient knowledge of coverage evaluation, loss assessment, and loss… more
    USAA (06/07/25)
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  • Medical Director-Payment Integrity

    Humana (Richmond, VA)
    …with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (06/06/25)
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  • Medical Director - Florida

    Humana (Richmond, VA)
    …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (06/05/25)
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  • Business Technical Support Professional

    Humana (Richmond, VA)
    …and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers to ensure we ... + SQL Server, including SSIS + Experience with Snowflake + Experience with Insurance data + Experience with Healthcare data + Experience working in multiple systems… more
    Humana (06/05/25)
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  • Senior Coordinator, Individualized Care

    Cardinal Health (Richmond, VA)
    …These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the ... insurance payers, specialty pharmacies, support organizations, and the patient/physician...creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding , preferred + Strong attention to detail is vital… more
    Cardinal Health (06/04/25)
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  • Primary Care Physician

    CenterWell (Norfolk, VA)
    …in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets ... + annual bonus + Excellent benefit package - _health insurance effective on your first day of employment_ +...outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time… more
    CenterWell (05/24/25)
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  • Case Manager

    Cardinal Health (Richmond, VA)
    …the patient and/or program + Conducts benefits investigations to identify patients' insurance plan coverage for medications, procedures, and travel and lodging + ... updates, or trends to management + Ability to search insurance options and explain various programs to the patient...the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred… more
    Cardinal Health (05/21/25)
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  • Director, Business Development

    EPAM Systems (Mclean, VA)
    …+ Proven networking skills + Strong negotiation skills **We offer** + Medical, Dental and Vision Insurance (Subsidized) + Health Savings Account + Flexible ... + Short-Term and Long-Term Disability (Company Provided) + Life and AD&D Insurance (Company Provided) + Employee Assistance Program + Unlimited access to LinkedIn… more
    EPAM Systems (05/19/25)
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