- Elevance Health (Richmond, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life ... **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be...maximize their health, independence, and quality of life through home- care and community based services. The **Clinical Document Improvement… more
- Guardian Life (Richmond, VA)
- …regarding disability by providing comprehensive medical reviews and analysis of long - term and or short- term disability claims . The Behavioral Health ... with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with...experience strongly preferred **You will** + Review long - term and or short- term disability claims… more
- HCA Healthcare (Low Moor, VA)
- …hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long - term care coverage, moving assistance, pet insurance and ... organization that invests in you as a Medical Insurance Claims Appeals Representative? At Parallon, you come first. HCA...From Work Program (paid time off, paid family leave, long - and short- term disability coverage and leaves… more
- Conduent (Alexandria, VA)
- …lifting and transporting pharmacy record boxes and standing for 8+ hours + Experience in Long - Term Care or Infusion pharmacy is a plus **Flexible Working** ... where individuality is noticed and valued every day. **Pharmacist - Claims Auditor/Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you a… more
- Prime Therapeutics (Richmond, VA)
- …documentation as needed by aligning with other team members + Facilitate long - term working relationships with product management, technology teams, functional ... decision we make. **Job Posting Title** Principal Solution Product Owner - Pharmacy Claims Data **Job Description** The Pharmacy Claims Data Principal Solution… more
- CenterWell (Richmond, VA)
- …and market trends to forecast the organization's short, medium and long - term financial and competitive position. The Associate Actuary, Analytics/Forecasting ... Experience with Medicare Advantage + Experience with member level claims Travel: While this is a remote position, occasional...holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability, life… more
- Elevance Health (Richmond, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life ... **Position Title:** Customer Care Representative I **Location:** **Hybrid 1:** This role...via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates… more
- Humana (Richmond, VA)
- …company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability, life insurance and many other ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- HCA Healthcare (Richmond, VA)
- …hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long - term care coverage, moving assistance, pet insurance and ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...From Work Program (paid time off, paid family leave, long - and short- term disability coverage and leaves… more
- Elevance Health (Richmond, VA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life ... and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care ,...lowering claims costs, improving the quality of care , and increasing member and provider network satisfaction. Provides… more
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