• Manager , Long Term Disability…

    Lincoln Financial (Richmond, VA)
    …#:** 74616 **The Role at a Glance** We are excited to bring on a highly motivated Claims Manager to our Long Term Disability Claims Organization! As a ... Manager , you will provide leadership and direction to a team of claims specialists, technical claim specialists, and lead claim specialists. You will be… more
    Lincoln Financial (05/20/25)
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  • Pharmacy Claims Representative

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with ... under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services) Manager * Assist pharmacies with claims adjudication *… more
    Humana (05/23/25)
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  • Claims Data Reporting Specialist Senior

    Elevance Health (Richmond, VA)
    ** Claims Data Reporting Specialist Senior** **Location:** Middletown, NY; Columbus, GA; Indianapolis, IN; Richmond, VA; Grand Prairie, TX (preferred). This role ... helpful. + Strong communication, problem-solving, and PC skills strongly preferred. + Claims operations experience (ie claims testing, systems, and processes)… more
    Elevance Health (05/16/25)
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  • Manager , SIU Data Analysis (SQL/Python)

    CVS Health (Richmond, VA)
    …detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal for a data professional ... investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate...in data analytics or data science, preferably in healthcare, health insurance , or Medicaid programs + Ability… more
    CVS Health (05/16/25)
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  • Risk Manager

    Western Digital (Richmond, VA)
    …and recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review ... is exposed) through supervision and coordination of loss prevention, asset protection, insurance , and claims control. Domestic and/or international travel may be… more
    Western Digital (04/24/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Norfolk, VA)
    **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope… more
    Elevance Health (05/22/25)
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  • Telephonic Nurse Case Manager I

    Elevance Health (Norfolk, VA)
    **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within the scope… more
    Elevance Health (05/22/25)
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  • RN Nurse Case Manager l (Medicaid)

    Elevance Health (Chantilly, VA)
    …of Federally Qualified Health Center preferred. + Certification as a Case Manager is preferred. For candidates working in person or virtually in the below ... RN Nurse Case Manager l - Medicaid (JR152160) **Location** : This...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically… more
    Elevance Health (05/20/25)
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  • Manager I - Customer Care - FEP

    Elevance Health (Roanoke, VA)
    ** Manager I - Customer Care - FEP** **Location** :...FEP** , is a proud member of the Elevance Health , Inc. family of companies, it is a powerful combination, ... our members, greater value for our customers, and greater health for our communities. Join us and together we...together we will drive the future of healthcare. The ** Manager I - Customer Care** is responsible for providing… more
    Elevance Health (05/16/25)
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  • Business Change Manager

    Elevance Health (Norfolk, VA)
    **Business Change Manager ** **Location:** Ideal candidates will live in or be willing to relocate to the Norfolk, VA area and report to our Pulse Point location at ... **Work Hours:** Monday to Friday, 8:00 am to 5:00 pm The **Business Change Manager ** manages the day-to-day Provider Data Quality operations. **How you will make an… more
    Elevance Health (04/29/25)
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