- Elevance Health (Roanoke, 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 ... 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… more
- Elevance Health (Norfolk, VA)
- …+ Audits paid claims for overpayments using various techniques including systems -based queries, specialized reporting or other research. + Performs collection ... Ensures high customer satisfaction when acting as a liaison between cost containment, health plans and providers in an effort to resolve overpayment recoveries. +… more
- Elevance Health (Norfolk, VA)
- **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 settings to maximize their health , independence, and quality of life through home-care and community based services.… more
- Elevance Health (Richmond, 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 and Reimbursement Senior** will support our Medicare… more
- Elevance Health (Norfolk, VA)
- …and predict future trends related to patient care, healthcare costs, and public health . + Statistical Analysis and forecasting of trends in medical costs to provide ... analytic support for finance, pricing, and actuarial functions. + Analyzing health data to understand past trends, predict future trends, and make informed decisions… more
- Elevance Health (Roanoke, VA)
- …complex IT/IS environment. + Experience with Governance, Risk and Compliance (GRC) systems (eg, Workiva WDesk, Highbond, Audit Board, ServiceNow, etc.) Please be ... advised that Elevance Health only accepts resumes for compensation from agencies that...to age, citizenship status, color, creed, disability, ethnicity, genetic information , gender (including gender identity and gender expression), marital… more
- Cardinal Health (Richmond, VA)
- …entire workflow, from ordering, delivery, collection, cleaning, and consolidated billing, empowering health systems , digital health companies, and telehealth ... to share and leverage commercial technology resources. Velocare is Cardinal Health 's distributed supply‑chain, and last‑mile fulfillment solution designed to support… more
- Cardinal Health (Richmond, VA)
- …pertaining to the Environmental Protection Agency (EPA), OSHA (Occupational Safety and Health Administration), and similar agencies at the federal, state and local ... on regulatory agency inquires and alleged violations and may represent Cardinal Health in such matters before regulatory bodies. **_Responsibilities_** * Analyze and… more
- Elevance Health (Norfolk, VA)
- …and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication ... 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
- General Dynamics Information Technology (Herndon, VA)
- …CI Poly (must be adjudicated and in scope). + Bachelor's degree in Systems Engineering, Computer Science, Information Technology, or related field (or equivalent ... a mission critical program. This role requires a seasoned systems engineering expert with a deep understanding of complex...YOUR PLACE:** * 401K with company match * Comprehensive health and wellness packages * Internal mobility team dedicated… more