- WelbeHealth (Richmond, VA)
- ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- Sedgwick (Norfolk, VA)
- …Workplaces in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst **PRIMARY PURPOSE OF THE ROLE:** To manage the implementation of ... users, coordinate with software vendors for support and enhancements, and maintain audit readiness by ensuring compliance with data governance and privacy standards.… more
- Defense Logistics Agency (Fort Belvoir, VA)
- …as internal controls and compliance test planning and execution. Supports audit requirements and requests from Auditors and Program Management Office. Responsible ... Requirements Conditions of Employment Qualifications To qualify for a Procurement Analyst , your resume and supporting documentation must support: A. Basic… more
- Elevance Health (Norfolk, VA)
- … claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Highmark Health (Richmond, VA)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... include but not limited to, review/editing of content submissions and best practices, audit reports, etc. The incumbent is expected to make major contributions to… more