• Data and Reporting Professional 2

    Humana (Richmond, VA)
    …generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and ... managed care or health care sector + Prior experience working in a system analytics and/or data warehousing environment + Proficiency in verbal and written… more
    Humana (05/03/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Richmond, VA)
    …Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. ... pricers including: + Reviewing pricing software vendor specifications; + Identifying system changes needed to accommodate state-specific logic; + Assisting with… more
    Humana (04/30/25)
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  • Strategy Advancement Principal - Complex Care

    CenterWell (Richmond, VA)
    …EQ; integrator, can connect the dots and understand how to optimize system -level processes + Excellent relationship-building skills and proven ability to work ... spreadsheets, and report writing. + Proficiency in tracking and evaluating process/ system outcomes and performing and monitoring rapid cycle process improvement. +… more
    CenterWell (04/29/25)
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  • Senior Category Manager - Software

    Humana (Richmond, VA)
    …experience. + 8 or more years of experience in Procurement of IT systems and/or software. + Indirect Procurement experience identifying potential 'best fit' vendors ... Professional (CPP). + Experience with e-procurement and contract lifecycle management systems such as Coupa Sourcing, Icertis, SFDC Lightning CRM. + Experience… more
    Humana (05/03/25)
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  • Senior Integrated Clinical Pharmacist

    CenterWell (Richmond, VA)
    …all activity within clinic EMR and other required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality measures for successful clinic ... pharmacy or pharmacotherapy + Familiarity with electronic medical record (EMR) systems + Demonstrated ability to identify and implement solutions for improved… more
    CenterWell (05/02/25)
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  • Senior Process Improvement Professional

    CenterWell (Richmond, VA)
    …quality improvements + Be a champion of the process of implementing Lean Systems in order to deliver significant Process Improvement and Cost Reduction for products ... documentation that would allow the user to fully understand both a technical/ systems and business process as well demonstrated ability to develop presentations… more
    CenterWell (05/02/25)
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  • Pre-Authorization Registered Nurse

    Humana (Arlington, VA)
    …processes. + Enters and maintains pertinent clinical information in the medical management systems . + Work is managed and often guided by precedent and/or document ... Teams in a Windows based environment and an ability to quickly learn new systems and ability to troubleshoot and resolve basic technical difficulties in a remote… more
    Humana (04/30/25)
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  • Bilingual FL Medicaid Call Center Representative

    Humana (Richmond, VA)
    …Strong technical skills with the ability to work across multiple software systems including email, chats, efficient typing skills, and toggling across multiple ... and nesting periods. + This position requires learning many systems , policies, and tools, and it takes time to...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
    Humana (04/29/25)
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  • Case Manager Registered Nurse (Field - Must reside…

    CVS Health (Bristol, VA)
    …case management processes follow organization and regulatory requirements. - Implements systems to maximize member engagement, discern health status and needs, and ... 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams,… more
    CVS Health (04/27/25)
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  • Inbound Contacts Representative - Remote

    CenterWell (Richmond, VA)
    …customer experience. + Experience in E-Clinical Works or other electronic medical records system such as Epic, Athena Health, NextGen. + Experience with use of ... orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options… more
    CenterWell (05/04/25)
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