- CVS Health (Richmond, VA)
- …solver with a passion for healthcare economics? Join our team as a ** Manager , Medical Economics** and play a pivotal role in shaping cost-effective healthcare ... priorities. + **Deliver high-value reporting** -both standard and ad-hoc-for risk assessment, budgeting, and forecasting, including hospital chargemaster analysis. +… more
- Meta (Richmond, VA)
- …project performance, resolve disputes, and propose solutions. **Required Skills:** Energy Manager (Clean Energy Contracts) Responsibilities: 1. Serve as the ongoing ... 4. Respond to counterparty inquires and manage contract amendments, collateral, force majeure claims , and other issues as needed 5. Surface and resolve issues in… more
- US Tech Solutions (Richmond, VA)
- …+ Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- The Cigna Group (Richmond, VA)
- …groups? If so, read on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member of the Provider Contracting Team ... of communication with matrix partners, including but not limited to Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales… more
- Family Dollar (Chesapeake, VA)
- …other claims related vendors. + Assist with litigation by coordinating with Claims Manager , outside counsel, and claims adjusters. + Provide consistent ... the company. In this role, you will partner with Risk Management and Human Resources to develop and implement...and frequent status updates to Claims Manager throughout the… more
- GE Aerospace (Charlottesville, VA)
- …terms and conditions and transmit information to Procurement. + Manage claims . + Includes commercial sourcing management such as data analysis, negotiations ... + May lead functional teams or projects with minimal resource requirements, risk , and/or complexity. + Communicates difficult concepts and may influence others'… more
- Newell Brands (Winchester, VA)
- …injuries. + Maintains good relationships with Workers' compensation TPA's and manages claims , including return to work practices. + Maintains OSHA log, written ... safety and health hazards, including identification of opportunities to reduce risk and support the development of engineering solutions, controls, and… more
- CVS Health (Richmond, VA)
- …large provider groups/health systems to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative ... are met by driving resolutions for escalated issues related to claims payment, policies, accuracy of provider demographic information and contract interpretation.… more
- Travelers Insurance Company (Chantilly, VA)
- …internal and/or external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse consultants, and ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Aston Carter (Norfolk, VA)
- …high-volume workflow environment with varying levels of administrative needs. + Collaborate with Claims Manager , Claims Administrator, and Claims Analyst ... to support our team in managing records related to compliance, insurance claims , and incident reports. This role involves ensuring accurate documentation, addressing… more