- Elevance Health (Culpeper, 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
- Elevance Health (Norfolk, VA)
- …You Will Make an Impact:** + Collects, researches, and validates bills and claims data against relevant guidelines + Assists in preparation of statistical and ... financial analysis reports + Requests medical records and additional documentation required for investigation +...you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance… more
- Elevance Health (Richmond, VA)
- …background. **Preferred Skills, Capabilities, and Experiences:** + Healthcare experience preferred; medical claims experience a plus. + Extensive hands-on ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Elevance Health (Norfolk, VA)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... Loss underwriting experience preferred + Demonstrated knowledge, and proficiency in Medical Stop Loss Underwriting. For candidates working in person or virtually… more
- Nuclear Fuel Services (Lynchburg, VA)
- …of Energy and NASA facilities. BWXT's technology is driving advances in medical radioisotope production in North America and microreactors for various defense and ... space applications. For more information, visit www.bwxt.com. Follow us on LinkedIn (https://www.linkedin.com/company/bwx-technologies/mycompany/?viewAsMember=true) , X (https://twitter.com/BWXT) ,… more
- USAA (Richmond, VA)
- …**North Carolina and South Carolina** + **Florida** ** Regional Executive Directors will follow a hybrid or a fully remote work schedule ** **Job Profile Summary:** ... organizations. + Collaborate with key stakeholders such as Pricing, Underwriting, Claims , P&C Counsel, Military Affairs, Affinity, Experience and Marketing to… more
- Fluor (Warrenton, VA)
- …Overages, Shortages, and Damages (OSD) and Material and Equipment Deficiency Notification (MEDN) claims * Assist the development of logistics plans for best mode of ... * Ability to recognize and diagnose inconsistencies in data * Persistent follow up through problem resolution * Detail oriented * Knowledge and understanding… more
- Graybar (Harrisonburg, VA)
- …and outgoing customer calls and written correspondence in a professional, timely manner, ensuring follow up on all customer issues + Take an active role in selling ... requests including order entry, pricing, expediting, billing, order maintenance, credit and claims **What you bring to the table:** + Strong communication skills +… more
- Intermountain Health (Richmond, VA)
- …the cost-effective and clinically appropriate use of pharmaceuticals. Analyzes pharmacy claims to identify areas of utilization aberrations and opportunities for ... + Demonstrated research, writing and presentation skills. + Knowledge of medical expense management. + Experience managing a pharmaceutical formulary and initiating… more
- Parsons Corporation (Centreville, VA)
- …on audit findings, inspection findings, incident reports, and workers' compensation claims . Creates and submits regular analysis reports. + Represents Parsons during ... their overall wellbeing, which is why we offer best-in-class benefits such as medical , dental, vision, paid time off, Employee Stock Ownership Plan (ESOP), 401(k),… more
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