- Elevance Health (Richmond, VA)
- **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
- USAA (Chesapeake, VA)
- …part of what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager Senior (Western States), you will responsible for ... colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts...and policies. + May serve as assistant to the Director of Litigation Operations and assigned to… more
- Mass Markets (VA)
- …candidate will be a results-driven leader with extensive experience inBPO operations management, strong problem-solving abilities, and a commitment to customer ... track and improve service delivery. + Oversee the daily operations of the call center to ensure smooth workflow...Ideal candidates for this position are highly motivated and dedicated and should possess the below qualities: + Associate's… more
- Mass Markets (VA)
- …a trusted partner in the industry. We are seeking an experienced and visionary Director of Strategic Growth and Capture to lead and drive large-scale capture efforts ... compliance and alignment with organizational goals. + Collaborate with recruiting and operations to secure Key Personnel and align resources to bid requirements. +… more
- USAA (Chesapeake, VA)
- …to collect and analyze data. What sets you apart: + P&C Claims Operations and/or Optimization experience. + 2+ years Director , Claims Operations ... makes us special and impactful. **The Opportunity** As a dedicated Business Process Owner Lead, you will lead planning... technical acumen. + Deep operational knowledge of end-to-end claims processes. + Ability to drive results through others… more
- Genesis Healthcare (Bluefield, VA)
- …call)! We are seeking a Fee-For-Service (8-12 hours per week) Attending Physician/Medical Director for our Westwood Center located in Bluefield, VA. This is a Dual ... Role Attending Physician/Medical Director . It is clinical in nature. Must be BC/BE...LTC Experience. AlignMed Partners is a national medical group dedicated to improving health outcomes among residents of skilled… more
- Mass Markets (VA)
- …seeking a detail-oriented and hands-onManager of Accountingto oversee daily accounting operations and ensure accurate financial reporting. This role is dedicated ... documentation and responding to audit inquiries. + Collaborate with FP&A, operations , and other cross-functional teams to provide financial insights and support… more
- Humana (Richmond, VA)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... with federal and/or state requirements related to Provider Clinic operations , billing, investigations, and processes. Coordinates site visits for regulators,… more
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