- Intermountain Health (Richmond, VA)
- …Benefits Management (PBM) + Medical Prescriptions + Pharmacy Claims + Customer Service + Problem Resolution + Phone Calls (Inbound/Outbound) + Oral Communication + ... + Five years of pharmacy practice experience in a managed care or hospital environment. + Five years of...management or healthcare administration. + Pharmacy experience in a managed care setting including an ASHP accredited managed… more
- Humana (Richmond, VA)
- …the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports ... the Autism Service Navigator (ASN) by verifying eligibility for the ACD...for 180 to assist with any barriers to accessing services ; education and initial registration into ECHO registration portal… more
- NCR Atleos (VA)
- …and Communications, Enterprise Data Warehousing, Call Centers, Internet Banking, CRM, Managed services , Branch solutions, Mobile Banking \#LI-CB1 \#LI-remote ... employees optimize the branch, improve operational efficiency and maximize self- service availability for financial institutions and retailers across the globe.… more
- Elevance Health (Norfolk, VA)
- …of a member's clinical presentation to determine whether to approve requested service (s) as medically necessary. Works with healthcare providers to understand and ... appropriate type, level, or quality of care, eg, if services are not in line with diagnosis. + Provide...a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and… more
- Capital One (Richmond, VA)
- …the nation's top 10 banks, offers a broad spectrum of financial products and services to consumers, small businesses and commercial clients. Our goal is to create ... priority datasets and critical business processes to mitigate risk and drive well managed results. You will collaborate with teams across the Enterprise, Retail Bank… more
- Ricoh Americas Corporation (Arlington, VA)
- …responsible for performing contracted office services including, but not limited to: + Copy Services + Courier Services + Managed Print Services + ... multifunction devices, imaging, and mail equipment + May handle courier services , reception, switchboard operations, shipping & receiving, and mail processing +… more
- Prime Therapeutics (Richmond, VA)
- …with sales and operations. **Responsibilities** + Performs customer centric pharmacy services . + Owns overall account satisfaction for all assigned accounts. + ... designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the achievement of customer … more
- Guidehouse (Arlington, VA)
- …Transformation teams to shape the growth of our Life Science data services offerings. Candidates should be market-facing self-starters who take ownership of their ... medical and pharmacy claims (open and closed), formulary and managed care data, and EMR data. + Utilize datasets...+ Help design and lead the development of new solutions/ services firmwide. + Apply strong analytical and problem-solving skills… more
- Deloitte (Arlington, VA)
- …Managers and business leaders for complex information technology (IT) operate and managed services contracts by executing careful review of contractual documents ... Management as follows: + Review and analyze IT operations and managed services contracts to identify and document business-relevant contractual obligations and… more
- Erickson Living (Springfield, VA)
- …in Springfield, Virginia. We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's largest and most respected ... to care. + Experience with seniors, health care, and/or service delivery. + Breadth of leadership activities while in...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more