• Senior Professional Liability…

    Zurich NA (Richmond, VA)
    …+ Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional : + Bachelor's Degree and 6 or more ... Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction … more
    Zurich NA (01/16/26)
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  • Director Claims

    Ryder System (Richmond, VA)
    …Director position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager, Claims ... liability, property, and cargo claim. This position reports to the Senior Director of Claims and requires little supervision and is considered a liability,… more
    Ryder System (11/22/25)
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  • Director, Utilization Management Claims

    Centene Corporation (Richmond, VA)
    …one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national ... claim authorization functions, ensuring seamless coordination between authorization processes, claims reconciliation, and provider case resolution. This role focuses… more
    Centene Corporation (01/06/26)
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  • Senior Provider Education…

    Humana (Richmond, VA)
    …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional for active markets who will serve ... teams. Additional responsibilities include managing and tracking provider documents. The Senior Medicaid Provider Education Professional must demonstrate strong… more
    Humana (01/16/26)
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  • Senior Financial Planning and Analysis…

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** TThe Senior Financial Planning and Analysis Professional collects, compiles and is responsible for ... Medicaid segment. Analyses will help define efforts to mitigate claims costs or optimize top line revenue, working in...areas such as clinical, provider development, and operations. The Senior Financial Planning and Analysis Professional work… more
    Humana (01/16/26)
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  • Senior PPI Professional - Inpatient…

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team ... **CCS/** **RHIT/ RHIA** + 5+ years' work experience reading and interpreting claims + 2+ years verifiable experience in MSDRG disputes/audits + Comprehensive… more
    Humana (01/21/26)
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  • Senior Manager, Digital Content and Social…

    Otsuka America Pharmaceutical Inc. (Richmond, VA)
    **Job Summary** ** Senior Manager, Digital Content and Social Strategy** Position Overview The Senior Manager, Digital Content & Social Strategy is responsible ... serve. Reporting to the Director of Corporate Brand and Reputation, the Senior Manager leads corporate website governance, social media strategy, analytics, digital… more
    Otsuka America Pharmaceutical Inc. (12/19/25)
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  • Nurse Auditor Senior - Payment Integrity…

    Elevance Health (Richmond, VA)
    **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception of ... eliminate and prevent unnecessary medical-expense spending. The **Nurse Audit Senior ** will be responsible for identifying, monitoring, and analyzing aberrant… more
    Elevance Health (01/14/26)
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  • Senior Decision Support Consultant

    Highmark Health (Richmond, VA)
    …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more
    Highmark Health (11/14/25)
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  • Senior RWD Analytic Consultant

    Norstella (Richmond, VA)
    Senior RWD Analytic Consultant Company: Norstella Location: Remote, United States Date Posted: Jan 6, 2026 Employment Type: Full Time Job ID: R-1665 **Description** ... efficient, innovative, and responsive to patient needs. **The Role: Senior RWD Analytic Consultant** We are currently seeking a...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
    Norstella (01/07/26)
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