- Baylor Scott & White Health (Richmond, VA)
- **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest ... more + Immediate access to time off benefits + At Baylor Scott & White Health , your well-being is our top priority. Note: Benefits may vary based on position type… more
- Elevance Health (Norfolk, VA)
- …of current predictive modeling algorithms. + Determines how decision support systems will provide the data required to make effective business decisions. ... California, Colorado, Nevada, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- Elevance Health (Norfolk, VA)
- …+ Audits paid claims for overpayments, using various techniques, including systems -based queries, specialized reporting, or other research. + Interacts with staff ... experience in a claims processing environment preferred Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Elevance Health (Richmond, VA)
- …IT/IS environment. + Experience with Governance, Risk and Compliance (GRC) systems (eg, Workiva WDesk, Highbond, Audit Board, ServiceNow, etc.) For candidates ... $74,328.00 to $129,096.00 Locations: Minnesota In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
- Elevance Health (Roanoke, VA)
- …by law.** **National Government Services** is a proud member of Elevance Health 's family of brands. We administer government contracts for Medicare and partner ... with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit & Reimbursement III** is responsible for completing limited and… more
- Elevance Health (Norfolk, VA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Richmond, VA)
- …ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of ... companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based...Capabilities, and Experience:** + Experience working with encounter data systems within a healthcare payer or RCM organization and… more
- Elevance Health (Roanoke, VA)
- …analysis of claims and medical records prior to payment and uses required systems /tools to accurately document determinations and continue to next step in the claims ... preferred. + Claims auditing/editing experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a… more
- Elevance Health (Richmond, 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 ... 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 (Norfolk, VA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more