- Elevance Health (Norfolk, VA)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer… more
- NTT DATA North America (Mclean, VA)
- …an overall sourcing strategy. NTT DATA Services currently seeks a ** Medical Claims Processors** to join our team in **remotely.** **Role Responsibilities** ... At NTT DATA , we know that with the right people...right people on board, anything is possible. The quality, integrity , and commitment of our employees have been key...To serve as a ** Medical Claims Processor within the Xcelys environment**… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager Senior, you will managed complex litigation arising out of… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... makes us special and impactful. **The Opportunity** As a dedicated Senior Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented… more
- USAA (Chesapeake, VA)
- …collect and analyze data . **What sets you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims Operations experience. + Guidewire ... career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat...are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We… more
- USAA (Chesapeake, VA)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... what truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager- Section II** , you will be responsible for managing… more
- Elevance Health (Richmond, VA)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Elevance Health (Richmond, VA)
- …background. **Preferred Skills, Capabilities, and Experiences:** + Healthcare experience preferred; medical claims experience a plus. + Extensive hands-on ... **Application Architect Senior - Payment Integrity ** The **Application Architect Senior** creates architectural solutions that articulate the business context,… more
- Insight Global (Norfolk, VA)
- …research in support of an investigation. -Collect and evaluate potential suspicious patterns in claims data , provider enrollment data , and other sources to ... Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements -2+ years in medical coding, insurance billing, internal/ external audit, claims… more
- Humana (Richmond, VA)
- …and reporting. Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to communicate key ... trends to stakeholders. The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of… more