• Cust Care Rep I

    Elevance Health (Norfolk, VA)
    …and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes ... zone below:** 6:00am-8:00pm Pacific Time 8:00am-10pm Central Time 9:00am-11pm Eastern Time Elevance Health is a health company dedicated to improving lives and… more
    Elevance Health (07/29/25)
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  • Utilization Management Representative I

    Elevance Health (Norfolk, VA)
    …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... Experiences** + Medical terminology training and experience in medical or insurance field preferred. ​URAC accredited areas, the following professional competencies… more
    Elevance Health (07/29/25)
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  • Finance Director, Paragon Healthcare

    Elevance Health (Norfolk, VA)
    …Team** **Finance Director - Paragon Healthcare** _A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing ... + Data analytics and reporting experience with large data sets such as claims data, drug therapy data, profitability analysis, gross margin analysis, cost trend… more
    Elevance Health (07/30/25)
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  • Staff VP AI Technology

    Elevance Health (Richmond, VA)
    **Staff VP AI Technology** **Location:** May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, ... transactional based systems, prefer payer commercial systems experience in claims , product, provider, and/or membership required; large program leader experience… more
    Elevance Health (07/29/25)
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  • Provider Contract/Cost of Care Consultant (US)

    Elevance Health (Norfolk, VA)
    …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... an Impact:** + Uses analytic tools to track both health risks and compliance, as well as supporting the...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
    Elevance Health (07/29/25)
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  • Business Information Analyst Senior - Provider…

    Elevance Health (Norfolk, VA)
    …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... provider reimbursement methodologies highly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a… more
    Elevance Health (07/23/25)
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  • LTSS Service Coordinator - RN Clinician

    Elevance Health (Henrico, VA)
    …care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** + Responsible ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
    Elevance Health (06/10/25)
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  • GM Audit Services Dealer Warranty Auditor/Senior…

    General Motors (Richmond, VA)
    …Sales and Service Agreement. This review may include dealership practices relative to warranty claims and policy claims . These claims must comply with ... Specific responsibilities include: * Determining the compliance of these claims with the rules and policies * Constructing a...PREFERRED: * Wholesale field experience as a District Sales Manager , District Service Manager , Field Warranty … more
    General Motors (07/30/25)
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  • Dental Network Service Representative

    Highmark Health (Richmond, VA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by… more
    Highmark Health (07/31/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
    Highmark Health (05/09/25)
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