- Robert Half Management Resources (Richmond, VA)
- …a Contract to permanent position, this opportunity offers the potential for long - term growth and leadership within the organization. Responsibilities: * Direct ... on resolving client revenue-related issues and making adjustments for uncollectable claims . * Analyze performance metrics related to payer payment methodologies and… more
- Elevance Health (Richmond, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for… more
- Elevance Health (Norfolk, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... experience with Cost of Care, provider network contracting, provider networks, claims , finance, and operations preferred. + Pharmacy actuarial experience strongly… more
- Elevance Health (Richmond, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... forecast business metrics. Measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to… more
- Elevance Health (Richmond, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... troubleshooting support strongly preferred. + Knowledge of payment integrity and claims systems is highly preferred. + Experience with Python, Angular/React and… more
- Bechtel Corporation (Reston, VA)
- …needs, the successful candidate will likely mobilize to project site for short term assignments. # Job Summary: In this position, you will lead the Commissioning ... (eg, Engineering, Construction, Change Management, Forecasting, Cost, Trends, and Claims ). # Education and Experience Requirements: Requires bachelor's degree (or… more
- Elevance Health (Norfolk, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... and actuarial software tools. + Experience working with large administrative claims datasets and healthcare cost/utilization metrics. + Ability to apply actuarial… more
- Elevance Health (Richmond, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... the market + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
- Elevance Health (Roanoke, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... with ICD-9/10CM, MS-DRG and APR-DRG. .Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing… more
- Saia, Inc (Chester, VA)
- …Insurance with Medical, Rx & Vision Dental Insurance Free Life Insurance Free Short- term Disability 401(k) with immediate vesting & company match Immediate ... over long distances to deliver freight in a safe, claims -free, and cost-efficient manner. **Major Tasks and Responsibilities** + Drives tractor trailers… more