• Revenue Integrity Charge Review Analyst

    HCA Healthcare (Salem, VA)
    …three years. **Benefits** Parallon, 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
    HCA Healthcare (06/21/25)
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  • Billing Integrity Analyst Credentialed

    HCA Healthcare (Salem, VA)
    …three years. **Benefits** Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are… more
    HCA Healthcare (06/21/25)
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  • Investigator Senior

    Elevance Health (Richmond, VA)
    …development. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, … more
    Elevance Health (06/27/25)
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  • Investigator Senior

    Elevance Health (Norfolk, VA)
    …considered._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...and initiatives that may impact more than one company health plan, line of business and/or state. + May… more
    Elevance Health (06/27/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Norfolk, VA)
    …provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse strongly preferred + Law Enforcement ... dealing with Healthcare Fraud Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance … more
    Elevance Health (06/24/25)
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  • Case Manager

    Cardinal Health (Richmond, VA)
    Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... pharmacy services, patient access support, and financial programs, Sonexus Health , a subsidiary of Cardinal Health , helps...1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years experience with Prior… more
    Cardinal Health (06/20/25)
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  • Provider Reimbursement Adm-CPC

    Elevance Health (Richmond, VA)
    …claims adjudication for accuracy. + Prepares correspondence to providers regarding coding and fee schedule updates. **Minimum Requirements:** Requires a BA/BS degree ... Professional Coder (CPC) CEMC and CEDC encouraged. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
    Elevance Health (06/18/25)
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  • Medical Director - Commercial Appeals

    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 ...participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as well as directing case… more
    CVS Health (06/14/25)
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  • Biostatistician-Healthcare Research

    Elevance Health (Norfolk, VA)
    …design, program evaluation and effectiveness methodologies, and statistical sampling for health plan functions. Will leverage large, complex, and linked real world ... a large claims database to conduct studies which focus on improving health outcomes. + Leads data management activities by developing programming requirement… more
    Elevance Health (06/05/25)
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  • Senior Coordinator, Individualized Care

    Cardinal Health (Richmond, VA)
    Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... patients who need them-faster._** **What Individualized Care contributes to Cardinal Health ** Delivering an exclusive model that fully integrates direct drug… more
    Cardinal Health (06/04/25)
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