• Medicaid Provider Financial

    General Dynamics Information Technology (Fairfax, VA)
    …Service,Reconciliations **Experience:** 2 + years of related experience **Job Description:** The ** Medicaid Provider Financial Support Specialist** ... or more functional areas of Accounting or Financial Services. Provider in-depth understanding of Medicaid reimbursement policies, claim processing, billing… more
    General Dynamics Information Technology (05/13/25)
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  • Medicaid State Data Consultant

    Guidehouse (Mclean, VA)
    …and researching financial trends + Document and communicate findings and support development of recommendations and follow-up steps to respond to findings + ... with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various states, public health… more
    Guidehouse (05/05/25)
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  • Medicaid Eligibility Advocate

    HCA Healthcare (Salem, VA)
    …8:00am - 4:30pm** **Introduction** Do you have the career opportunities as a Medicaid Eligibility Advocate you want with your current employer? We have an exciting ... join LewisGale Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** LewisGale Medical Center, offers a… more
    HCA Healthcare (05/14/25)
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  • Pharmacy Analyst ( Medicaid Business Unit…

    Highmark Health (Richmond, VA)
    …regulatory changes, legislative efforts, industry trends, and/or contract changes. + Provide consultation and advanced analytic support , developing predictive ... Inc. **Job Description :** **JOB SUMMARY** Work with the Pharmacy Medicaid /DSNP business unit business owners, stakeholders and other management, as required,… more
    Highmark Health (05/08/25)
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  • RN / Nurse Utilization Review ( Medicaid )

    Elevance Health (Woodbridge, VA)
    RN Utilization Review Nurse (Washington DC Medicaid ) JR149756 **Location** : This role requires associates to be in-office 4 days per week, Monday - Thursday, ... fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
    Elevance Health (05/03/25)
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  • Business Information Consultant - Vendor Medicare/…

    Elevance Health (Norfolk, VA)
    **Business Information Consultant - Vendor Medicare/ Medicaid Encounter Data** **Location:** Norfolk, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Cincinnati, OH ... week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office… more
    Elevance Health (05/10/25)
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  • Behavioral Health Medical Director- Psychiatrist…

    Elevance Health (Roanoke, VA)
    **Behavioral Health Medical Director- Psychiatrist Virginia Medicaid ** Location: Hybrid 2: This role requires associates to be in-office 3 days per week, fostering ... collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with… more
    Elevance Health (05/03/25)
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  • Claims Operations Manager, Medicare/…

    CareFirst (Fairfax, VA)
    …may include but not limited to: installation, implementation, client support , client services, client administration, customer service, enrollment and eligibility, ... problems; identifying, developing, and implementing system improvements. Meets departmental financial objectives by estimating requirements; preparing an annual budget;… more
    CareFirst (05/08/25)
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  • Provider Relations Representative - BH

    Humana (Salem, VA)
    …Healthy Horizons in Virginia Medicaid network. This role supports provider onboarding, training, education, and inquiry/issue support resolution. This role ... with onboarding, including hosting orientation session(s) + Respond to assigned provider inquiries and support prompt issue resolution, including, where… more
    Humana (05/14/25)
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  • Provider Contracting Executive

    Humana (Richmond, VA)
    provider contracting skills, including contract preparation and implementation, financial analysis and rate proposal development + Excellent written and verbal ... part of our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other … more
    Humana (05/07/25)
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