- FM (Reston, VA)
- …than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain continuity in ... FM is a leading property insurer of the world's largest businesses, providing...our three core business functions - underwriting, engineering, and claims . This position is accountable for developing basic underwriting… more
- Elevance Health (Norfolk, VA)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Norfolk, VA)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... those who have experience in healthcare data, particularly in claims , case management, or HEDIS data. + A strong...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- 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 ... and specialty care procedures. + Recommends policy changes and claims system changes to pursue cost savings. + Reviews...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Norfolk, VA)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL,...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Richmond, VA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Parsons Corporation (Fairfax, VA)
- …procedures and practices. + Supports and prepares Requests for Equitable Adjustments and Claims as needed on programs supported. + Works with proposal teams in the ... obtain and transmit business information necessary for the Project Manager to more effectively monitor the status of the...time off, Employee Stock Ownership Plan (ESOP), 401(k), life insurance , flexible work schedules, and holidays to fit your… more
- Elevance Health (Richmond, VA)
- …care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... BA/BS or higher in a health related field or certification as a care manager preferred. + Knowledge of medical management process and ability to interpret and apply… more
- Elevance Health (Norfolk, VA)
- …law. The **Group Underwriter Senior** is responsible for determining acceptability of insurance risks and appropriate premium rates for large, complex renewal and ... or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan… more
- Elevance Health (Norfolk, VA)
- …and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes ... submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more