• Medical Director - IP Claims Management

    Humana (Richmond, VA)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Richmond, VA)
    …with an external provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (12/11/25)
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  • Medical Director - Medicaid (remote)

    Humana (Richmond, VA)
    …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (12/07/25)
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  • Claims Examiner | General Liability BI | Captive…

    Sedgwick (Richmond, VA)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are you skilled in **coverage determination** ,… more
    Sedgwick (12/06/25)
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  • Senior ServiceNow Developer

    EPAM Systems (Mclean, VA)
    …automation, intelligence, and customer experience. + Ensure compliance with coding standards, performance optimization, and platform best practices. + Troubleshoot, ... features) and AgenticAI solutions **We offer** + Medical, Dental and Vision Insurance (Subsidized) + Health Savings Account + Flexible Spending Accounts (Healthcare,… more
    EPAM Systems (11/15/25)
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  • Patient Services Representative

    Bon Secours Mercy Health (Richmond, VA)
    …responsible for processing patient registration, verifying demographics, obtaining insurance cards, and patient identification. Responsibilities include scheduling ... patient issues immediately + Processes admission paperwork, including basic insurance verification. Secures, completes and verifies all pertinent patient demographic… more
    Bon Secours Mercy Health (11/04/25)
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  • Medical Director - Medicaid N. Central

    Humana (Richmond, VA)
    …duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
    Humana (10/25/25)
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  • Primary Care Physician

    CenterWell (Richmond, VA)
    …in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets ... + annual bonus + Excellent benefit package - _health insurance effective on your first day of employment_ +...of employment_ + CME Allowance/Time + Occurrence Based Malpractice Insurance + Relocation and sign-on bonus options + 401(k)… more
    CenterWell (10/09/25)
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  • Case Management Associate

    Sedgwick (Richmond, VA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Case Management Associate **PRIMARY PURPOSE** : To access and assign workers ... preferred. **Skills & Knowledge** + Knowledge of medical and insurance terms + Knowledge of ICD 9 and CPT... terms + Knowledge of ICD 9 and CPT coding systems + Excellent oral and written communication, including… more
    Sedgwick (12/17/25)
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  • Access Lead

    University of Virginia (Charlottesville, VA)
    …on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle ... points into the healthcare system, including scheduling, registration, and verifying insurance . Patient access staff ensure that patients can efficiently navigate… more
    University of Virginia (12/16/25)
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