- Elevance Health (Norfolk, VA)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II** **Virtual:** This role enables associates to...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Elevance Health (Roanoke, VA)
- …Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing ... **Title: Utilization Management Representative I** **Virtual:** This role enables associates to...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- Elevance Health (Richmond, VA)
- … Representative III** is responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + ... **Title: Utilization Management Representative III** **Virtual:** This role enables associates to...contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services… more
- Enterprise Mobility (Charlottesville, VA)
- …Enterprise Mobility has an exciting opportunity for a Customer Experience Representative (CXR). The Customer Service Representative provides superior, friendly, ... **$16.38 / hour - $18.31 / hour (depending on prior commission-based sales experience) with the opportunity to earn...work in the United States and not require work authorization sponsorship by our company for this position now… more
- Intermountain Health (Richmond, VA)
- …appropriate accounts to determine insurance coordination of benefits, may include pre-certification/ prior authorization . + Assists patients in completing ... **Job Description:** The Patient Service Representative (PSR) serves as the first connection between...necessary forms to meet regulatory and billing needs prior to receiving clinical care. Scans necessary paperwork and… more
- General Dynamics Information Technology (Fairfax, VA)
- …Cyber and IT Risk Management **Skills:** Assessment & Authorization (A&A),Information Security Operations,Information System Security **Certifications:** ITIL 4 ... 5 to 8 security staff across two critical teams: the Assessment & Authorization (A&A) team and the Security Operations team. **Responsibilities** + Supervise and… more
- Highmark Health (Richmond, VA)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- TekSynap (Dahlgren, VA)
- …change reviews. + Support system security testing and evaluation (ST&E) activities prior to authorization . + Ensure information system security controls are ... guidelines. + Extensive understanding of DoD cybersecurity policies, system authorization processes, and Navy cybersecurity compliance frameworks. + Security… more
- RTX Corporation (Sterling, VA)
- …and/or principles + Experience with configuring and/or auditing operating systems. + Prior experience with Assessment and Authorization (A&A) activities leading ... Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens… more
- Emerson (Richmond, VA)
- …Participation in select professional meetings, trade shows, and conferences as a representative of Emerson **WHO YOU ARE:** You adjust communication content and ... annually within the United States and Canada + Legal authorization to work in the United States without the...work visas **Preferred Qualifications that Set You Apart:** + Prior experience and relationships w/ Hyper Scale customers (Oracle,… more