• Investigator II

    Elevance Health (Norfolk, VA)
    …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... more than one company health plan, line of business and/or state + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and… more
    Elevance Health (09/30/25)
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  • Performance Quality Analyst II

    Elevance Health (Norfolk, VA)
    …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment &… more
    Elevance Health (10/07/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Norfolk, VA)
    …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
    Elevance Health (09/12/25)
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  • Staff VP - Engineering, Medical Cost Mgmt…

    Elevance Health (Norfolk, VA)
    …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable… more
    Elevance Health (10/02/25)
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  • Senior Coordinator, Collections

    Cardinal Health (Richmond, VA)
    …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life ... trust with customers and internal business partners. The Insurance Follow -up Collector generates revenue by monitoring and pursuing payment...cycle of primary and secondary claims + Maintains front office support relationship + Takes… more
    Cardinal Health (09/15/25)
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  • Import Account Specialist

    Dollar Tree (Chesapeake, VA)
    …Responsible for daily management of assigned department accounts, ensuring timely follow -up and optimal customer service for all vendors. Facilitate timely ... FOB point, lead time, and ship window. Advise and follow up on all letter of credit amendments to...are met before authorizing shipment which includes Lab Tests, Medical Device Listings, UL Listings, MSDS, FDA Facility Registration… more
    Dollar Tree (09/20/25)
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  • Medical Insurance Collector

    HCA Healthcare (Reston, VA)
    …The Medical Insurance Collector is responsible for performing account follow -up and resolution of insurance and patient receivables. We are an amazing ... over 156,000 hours volunteering in our communities. As a Medical Insurance Collector with Parallon you can be a...Work insurance pools and contact insurance companies to resolve claims that are notpaidin a timely manner. + Review… more
    HCA Healthcare (10/04/25)
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  • Advanced Analytics Analyst Senior - Medical…

    Elevance Health (Norfolk, VA)
    …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This… more
    Elevance Health (09/10/25)
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  • Director Patient Safety

    HCA Healthcare (Hopewell, VA)
    …consulting with HCI, the Division Vice President of Quality, Division Chief Medical Officer, Division Claims Administrator, HCA Patient Safety Organization and ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (10/05/25)
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  • ACA/Medicare Risk Adjustment Analyst Sr.

    Baylor Scott & White Health (Richmond, VA)
    …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
    Baylor Scott & White Health (10/03/25)
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