- Elevance Health (Norfolk, VA)
- …Analyst I** is responsible for auditing and facilitating the recovery of claims overpayments as identified by our business partners. Responsible for research, ... overpayments. **How you will make an Impact:** + Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting… more
- Elevance Health (Arlington, VA)
- …Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- CDM Smith (Richmond, VA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... in regular FEMA meetings by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether the claim is eligible. Assists… more
- Elevance Health (Richmond, VA)
- …- Monday. The **Transplant Nurse II** will be responsible for providing case and/or medical management for members receiving transplant services. Continue to learn ... preparation for advancement to the senior level. Within the case management role will within the scope of licensure...treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Baker Construction (Colonial Heights, VA)
- …field activities and spends a majority of time working with the Project Manager supporting project administration on multiple small projects, or one medium to ... job cost summaries, and other reports + Alerts the Superintendent and Project Manager of project impact relating to resource management, crew make-up/size, etc. +… more
- Deloitte (Richmond, VA)
- …as general health and group benefits skills. Key Responsibilities + Lead project manager for specific projects or key workstream lead on larger projects. + Evaluate ... Pharmacy Benefit Manager (PBM) contracts, deal terms, and financial proposals. +...Manage RFP processes for medical, dental, pharmacy, life, and disability programs, including development, administration, proposal evaluation, vendor selection,… more
- Bank of America (Richmond, VA)
- …processes related to initiative management, including impact assessments, business case development, and capability roadmap development **Required Qualification:** + ... in Computer Science, Data Science, Statistics, or related field + Fraud or Claims background with focus on Online Banking, Account Takeover, and/or authentication +… more
- CDM Smith (Fairfax, VA)
- …structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. * ... gender identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any other… more
- CDM Smith (Chesapeake, VA)
- …projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates ... gender identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any other… more
- Walmart (Virginia Beach, VA)
- …existing assets in assigned facilities for example landscaping snow related events case cleaning shopping carts Identifies other issues related to regular service ... price comparisons of parts equipment and travelrelated expenditures Submits warranty claims Completes and submits forms for example expense vouchers weekly summaries… more