- Elevance Health (Norfolk, VA)
- …in performing research study design and analysis. + Conducts review of administrative claims , electronic medical records, and survey and clinical data and ... health, health economics, clinical effectiveness (drug, procedures, vaccine, and medical device), and implementation sciences. This role will conduct research… more
- Elevance Health (Norfolk, VA)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... would provide an equivalent background. **Preferred Skills, Capabilities and Experiences** + Medical terminology training and experience in medical or insurance… more
- Conduent (Chesapeake, VA)
- …may be required._ Growth opportunities! Health benefits for you and your family, including medical , dental, and vision, starting on day 1! **About the Role** As a ... multiple systems and may also assist with back-office tasks like claims processing and general administrative work. Your strong communication skills, reliability,… more
- Intermountain Health (Richmond, VA)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... coding in an inpatient hospital setting. AND Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology. AND Demonstrated… more
- Elevance Health (Richmond, VA)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Elevance Health (Norfolk, VA)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Conduent (Chesapeake, VA)
- …may be required. Growth opportunities! Health benefits for you and your family, including medical , dental, and vision, starting on day 1! **About the Role** As a ... multiple systems and may also assist with back-office tasks like claims processing and general administrative work. Your strong communication skills, reliability,… more
- United Therapeutics (Richmond, VA)
- …Demonstrated knowledge of regulatory/compliance requirements including the Anti-Kickback Statute, False Claims Act, FCPA, Sunshine Act, HIPAA and other regulations + ... urgency, with high motivation and ability to take initiative, follow through and complete projects in a professional and...enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our… more
- Elevance Health (Roanoke, VA)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a… more
- Elevance Health (Falls Church, VA)
- …or through extra-contractual arrangements, as permissible. + Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development ... care management treatment plans. + May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the work of any LPN/LVN,… more