• Bus Info Consultant

    Elevance Health (Norfolk, VA)
    …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... with a preference for those who have experience in healthcare data, particularly in claims , case management, or HEDIS data. + A strong grasp of statistics, modeling,… more
    Elevance Health (05/09/25)
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  • Process Expert II - FEP

    Elevance Health (Roanoke, VA)
    …**Federal Employee Program - FEP** , is a proud member of the Elevance Health , Inc. family of companies, it is a powerful combination, and the foundation upon ... greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of … more
    Elevance Health (05/08/25)
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  • Lead Associate, Health & Benefits

    WTW (Arlington, VA)
    …experience in professional services, ideally gained in a benefit consulting/brokerage firm or health underwriting / actuarial function of an insurance company. + ... **Description** As a Health and Benefits Lead Associate you will contribute... and benefit programs. You will support the project manager on select projects, interface with vendors and key… more
    WTW (05/07/25)
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  • Utilization Management Representative I

    Elevance Health (Richmond, VA)
    …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... + Medical terminology training and experience in medical or insurance field preferred. For candidates working in person or...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
    Elevance Health (05/23/25)
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  • Customer Care Representative 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:** 4:50am-8pm Pacific Time 6:50am-10pm Central Time 7:50am-11pm Eastern Time Elevance Health is a health company dedicated to improving lives and… more
    Elevance Health (03/11/25)
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  • Investigator Assistant

    Elevance Health (Roanoke, VA)
    …be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... you will make an impact:** + Collects, researches, and validates bills and claims data against relevant guidelines. + Assists in preparation of statistical and… more
    Elevance Health (05/23/25)
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  • Product Management Director - Provider Workflow…

    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...with FHIR, HL7, or X12 standards for clinical and claims data preferred. + Experience working with provider groups,… more
    Elevance Health (05/22/25)
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  • Business Information Analyst Senior - Provider…

    Elevance Health (Richmond, 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 (05/20/25)
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  • Business Information Analyst Senior - Tableau

    Elevance Health (Richmond, VA)
    …you will make an impact:** + Works with diverse departments within Elevance Health to generate dashboard reports that identify cost of care opportunities, business ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
    Elevance Health (05/17/25)
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  • Business Information Consultant

    Elevance Health (Norfolk, VA)
    …**Business Information Consultant** develops specifications and requirements for the submission of health care medical encounter data files which meet ANSI X12 data ... + Develop and analyze business performance reports (eg for claims data, provider data, utilization data) and provide notations...any other similar query language; Defect tracking tools. + Health care data models. + Encounter reporting using the… more
    Elevance Health (04/29/25)
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