• Appeals and Grievances Clinical Specialist - RN,…

    Healthfirst (VA)
    This position is 100% Remote . We are hiring for the following schedules listed below:** **EST Schedule** **Wednesday through Saturday, 10-hour shift, 7am-5:30pm** ... of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Termination, and Suspension of… more
    Healthfirst (09/09/25)
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  • Business Intelligence Lead

    Humana (Richmond, VA)
    …Analytics + Experience with Power BI report builder + Experience analyzing medical claims or health care provider contracting **Additional Information** + As part ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (09/09/25)
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  • Agnostic Telesales Agent - IFG

    Humana (Richmond, VA)
    …sales performance metrics and KPIs. **Humana Perks:** Full time associates enjoy: + Medical , Dental, Vision and a variety of other supplemental insurances + Paid ... this virtual pre-screen to take about 10-15 minutes. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (09/09/25)
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  • HCPR Reimbursement Claims Processing…

    Humana (Richmond, VA)
    …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medical or pharmacy benefit claim processing experience is ideal + ... your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (09/09/25)
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  • Data Systems Engineer

    TEKsystems (Roanoke, VA)
    …regardless of being emote: Flu and MMR vaccine- can file for religious or medical exemption 1. 5+ years of systems engineer experience - Doing upgrades and ... Funded Pension Plan, vested after five years (Voluntary 403B)Comprehensive Medical , Dental, & Vision BenefitsFlexible Work Arrangements/SchedulesRemote Work OptionsPaid… more
    TEKsystems (09/09/25)
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  • Appeals Specialist

    TEKsystems (Richmond, VA)
    …insurance follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance follow ... for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
    TEKsystems (09/09/25)
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  • Interoperability Lead Product Owner

    Humana (Richmond, VA)
    …/ read data sets. + Experience with Healthcare Interoperability, Electronic Medical Records, and/or Electronic Notifications. + Familiarity with CMS Risk Adjustment ... + Data Governance and/or Data Stewardship experience. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (09/09/25)
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  • Damascus Direct Support Professional

    BrightSpring Health Services (Damascus, VA)
    …Living + Great Company Culture + Competitive Pay + Employee Benefits; including Medical , Dental and Vision insurance + 401K + DailyPay Option Available + Job ... for: + Performing personal care tasks, including feeding, ambulation, and medical monitoring + Assist with fostering positive relationships between individuals… more
    BrightSpring Health Services (09/08/25)
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  • Associate Director Sales Channel/Affiliates…

    Wolters Kluwer (VA)
    …professional development, an engaging small team environment, the ability to work a remote schedule, and amazing benefits. **What You'll be Doing:** As an Associate ... meet your needs and balance your work and personal life, including ** Medical , Dental, & Vision Plans, 401(k), FSA/HSA, Commuter Benefits, Tuition Assistance Plan,… more
    Wolters Kluwer (09/08/25)
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  • Project Manager - Ports & Maritime

    Jacobs (Virginia Beach, VA)
    …projects or facilities * Ability to work with a team of local and remote multi-disciplinary engineers and subject matter experts to deliver projects and proposals * ... national origin, ancestry, sex (including pregnancy, childbirth, breastfeeding, or medical conditions related to pregnancy, childbirth, or breastfeeding), age, … more
    Jacobs (09/06/25)
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