- Elevance Health (Norfolk, VA)
- …+ Analyzes provider data sets in order to delivery summarized information, trend reports and useful graphs that impact the provider network development strategies. ... + Utilizes data sets and adequacy software such as Quest to identify network adequacy gaps and access deficiencies and recommends contracting targeted providers to close gaps. + Participates in the rate setting and rate negotiation discussions to drive market… more
- Fresenius Medical Center (Newport News, VA)
- …sample collection and any actions required. * Conducts daily, weekly, and monthly trend analysis on the water system to assure system functions as designed. * ... Documents all repairs and maintenance activity. * Assists in planning and installing biomedical equipment to assure safe and effective operation of facility. * Transports equipment as needed with supervisor consent. * Participates in monthly technical and… more
- Sumitomo Pharma (Richmond, VA)
- …review of post-marketing safety data in support of safety signal validation, trend detection, risk benefit management, and development of risk mitigation strategies. ... + Ensure timely submission of periodic aggregate ADR reporting for clinical trials and post-marketing experience as required by local and global regulations. + Participates/contributes to other activities such as literature evaluation, investigator site… more
- Meta (Richmond, VA)
- …new opportunities by developing a deep understanding on business goals and industry trend . 3. Guide our clients and partners to the most optimal implementations by ... walking them through the technical details of Meta's advertising and commerce products. 4. Participate in industry conferences and present to executive-level audiences. 5. Contribute to the creation of top-notch documentation, tools, concepts and processes in… more
- CVS Health (Richmond, VA)
- …lawsuits. Handles extensive file review requests. Assists in preparation of complaint trend reports. Assists in compiling claim data for customer audits. Determines ... medical necessity, applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals. Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. Performs… more
- KBR (Chantilly, VA)
- …and allocation plans to prepare for potential system impacts. + Collect, analyze/ trend , and report Operational performance and interface metrics. + Support Radar and ... EO analysis of constellation performance and architectural updates. + Support Radar analysis of system impacts due to issues, discrepancy reports (DRs), and anomalies. + Perform trade studies optimizing collection across all radar missions. + Suppor t… more
- Cognizant (Richmond, VA)
- …to management and clients. + **Tracking and Trending** : Track and trend claim denials and underpayments to identify improvement initiatives. + **Communication** : ... Ensure all actions are documented, appeal letters are effective, and root causes are communicated clearly We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in… more
- Amazon (Herndon, VA)
- …to improve operational efficiency for all services through root cause and trend analysis with the identification and development of SLA, metrics, monitors, ... procedures, tools, and documentation - Have, or be willing to learn, the capability to automate day to day tasks and develop/build software and/or services This position requires that the candidate selected must currently possess and maintain an active TS/SCI… more
- Huntington Ingalls Industries (Langley AFB, VA)
- …data sources to the data schema. + Conducts long‐term data and trend analysis to identify systemic vulnerabilities and high priority threats, recommends strategies ... to mitigate threats and challenges to the supply chain, providing best practices for implementing Artificial Intelligence (AI) and Machine Learning (ML). + Provides direct on site Mission Partner support in identifying, coordinating, harvesting, and exposing… more
- Elevance Health (Richmond, VA)
- …performing financial reporting, rate development, evaluation of risk contingencies and trend projections; or any combination of education and experience, which would ... provide an equivalent background. + Experience specific to group insurance or health insurance environments or graduate level related education may also be used to offset some years of experience. **Preferred Skills, Capabilities, and Experiences:** + 1 year… more