- 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 (Richmond, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale… more
- Elevance Health (Richmond, VA)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... satisfaction. + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Leads large scale initiatives… more
- Elevance Health (Richmond, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... will make an impact:** + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on large scale… more
- Elevance Health (Richmond, VA)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. **Minimum Requirements:** Requires a BA/BS...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Parsons Corporation (Centreville, VA)
- …commodities or subcontracts as needed. Assists in the development of subcontract insurance , bonding and risk requirements based on subcontractor scope of work. + ... the needs to document and defend change order and claims . + Assists in analyzing the Prime Contract to...which is why we offer best-in-class benefits such as medical , dental, vision, paid time off, Employee Stock Ownership… more
- UNUM (Richmond, VA)
- …preferred, with a strong preference that the experience be in the insurance /healthcare/ medical /financial field or equivalent area. + Highschool diploma or GED ... Life. It is critical to provide accurate information on benefits, claims , and or policy administration with minimal operational oversight. Incumbents in… 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
- 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