- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Network Operations Coordinator 4 maintains provider relations to support customer service ... and judgment. The Network Operations Coordinator 4 manages provider data for health plans including but not limited to demographics, rates, and contract… more
- Serco (Arlington, VA)
- …ensure vessels are designed for optimal performance, efficiency, and regulatory compliance. This senior-level position works on high-visibility or mission-critical ... of design documentation, calculations, and reports to ensure compliance with regulatory requirements and industry standards. + Interface directly with Navy and… more
- Service Source (Oakton, VA)
- …support to assigned participants. Ensure compliance with all State and Federal regulatory guidelines, including Medicaid, Licensure, and CARF as well as other ... funding sources and company policy and procedure. Primary Duties Reasonable accommodations may be...services to the participants receiving services in conjunction with contract specifications and supervisory instructions. + Maintain knowledge of… more
- Somatus (Falls Church, VA)
- …and local regulatory environments (CMS, ESRD Conditions for Coverage, state health departments) to ensure full program compliance and readiness for audits. + ... Showing Up for You We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates...and ensure all programs meet the highest standards of regulatory compliance and patient care. The ideal candidate combines… more
- Cushman & Wakefield (Richmond, VA)
- …safety, vendor management, and tenant support-while aligning with client goals, regulatory standards, and workplace experience objectives. The manager leads a team ... delivered in alignment with client expectations, C&W policies, and applicable regulatory requirements. + Supervise and develop a cohesive technical and… more
- Travelers Insurance Company (Richmond, VA)
- …Do?** + Conduct investigations, including, but not limited to assessing policy coverage, contacting insureds, injured workers, medical providers, and other parties ... reach a fair agreement through discussion and compromise. + General Insurance Contract Knowledge: Interprets policies and contracts, applies loss facts to policy… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work ... records to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and provider issues. Coordinates the… more
- TekSynap (VA)
- …and Storage Architect/ SMEto join our team supportingthe Nuclear Regulatory CommissioninRockville, MD. The Nuclear Regulatory Commission ... We offer our full-time employees a competitive benefits package to include health , dental, vision, 401K, life insurance, short-term and long-term disability plans,… more
- ICF (Reston, VA)
- …for legacy systems + Collaborate with IT Security to ensure compliance with regulatory policies + Perform proofs-of-concept as needed to determine technology + Lead ... or Permanent Lawful Resident (Green Card Holder) per federal contract requirements. + MUST RESIDE IN THE United States...here:** + Generous vacation and retirement plans + Comprehensive health benefits + Flexible work location + Ongoing training… more
- Air National Guard Units (Langley AFB, VA)
- …team building, and implement quality improvements in response to concerns with regulatory compliance. Plans work for accomplishment by subordinates, sets and adjust ... subordinate employees and determines required action. Manages, reviews and develops maintenance policy , advising supervisors and employees on both general policy … more