- CVS Health (Richmond, VA)
- …of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… more
- DXC Technology (Richmond, VA)
- …2 years of experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance. + Strong understanding of insurance ... **Quality Analyst** with experience in **Life and Annuity Death Claims ** to join our growing team. This role will...performing quality control and assurance tasks to ensure that claim payments and correspondence adhere to regulatory and internal… more
- Kaeser Compressors, Inc. (Fredericksburg, VA)
- …Identify and resolve discrepancies with distributors and branch staff associated with warranty claim processing . + Prepare and maintain claim status reports ... an industrial/service/sales environment to fill the position of **Warranty Processing Specialist** for our **Fredericksburg** location. Job Description The selected… more
- Intermountain Health (Richmond, VA)
- **Job Description:** The Cash Management Credit Balance Resolution Manager has the responsibility for overseeing all facets of credit resolution, including self-pay, ... performance and collaborative relationships. Ensuring the accurate and timely processing of credits, active participation in system integration testing. Serves… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new ... operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement Managers,… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
- Elevance Health (Norfolk, VA)
- …Skills, Capabilities, and Experiences:** + In-depth knowledge of WGS / CI&W Commercial Claims processing or adjustments is preferred. + In-depth knowledge of WGS ... questions/issues. + Assessing overpayment opportunities by reviewing low to high volume claim samples. + Accessing provider contracts, company claims policy and… more
- Prime Therapeutics (Richmond, VA)
- …needs. + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and ... and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
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