- Elevance Health (Richmond, VA)
- ** Provider Reimbursement Manager ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... considered for employment, unless an accommodation is granted as required by law. The ** Provider Reimbursement Manager ** manages key components of the … 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 ... Educate HCPs and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria… more
- Humana (Richmond, VA)
- …VLOOKUP) **Preferred Qualifications** + Experience researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + ... Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing… more
- The Cigna Group (Richmond, VA)
- …integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic ... and organizations required.** + Experience in developing and managing key provider relationships + Knowledge of complex reimbursement methodologies, including… more
- The Cigna Group (Mclean, VA)
- …Analytical skills a plus + Experience in developing and managing key provider relationships + Knowledge of complex reimbursement methodologies, including ... market. Must reside in Maryland, DC or Virginia._** The ** Manager , Network Management** serves as an integral member of...Network Management** serves as an integral member of the Provider Contracting Team and reports to the AVP, … more
- Elevance Health (Norfolk, VA)
- …**Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate ... reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experience:**… more
- University of Virginia (Charlottesville, VA)
- The Enterprise PB Coding Manager for Coder and Provider Education is responsible for directing and managing the PB Coding education team supporting physicians, ... industry and regulatory changes that impact professional services documentation and coding. The manager also oversees both the coder and provider review process,… more
- Elevance Health (Norfolk, VA)
- …enough to fit any size business. **Regional Vice President (RVP) Provider Solutions II** **Location** Virginia (Richmond, Norfolk or Roanoke) **Summary** The ... Regional Vice President (RVP) of Provider Solutions is a dynamic and results-oriented leader committed...overarching contracting process, championing a market transition from "fee-based" reimbursement to a model based on quality achievement. +… more
- Schnabel Engineering (Glen Allen, VA)
- …+ 9 Paid Holidays + Wellness program + Professional development and tuition reimbursement **Position Summary:** The **Total Rewards Manager ** leads the design, ... with a competitive benefits package including maternity leave, tuition reimbursement for continuing education, health, dental, life and disability insurance… more
- Elevance Health (Norfolk, VA)
- …mandates. + Creates and maintains databases to develop and update non-par provider reimbursement . + Analyzes data and summarizes using summary statistical ... skills highly preferred. + Knowledge of Facility, Professional and Ancillary provider reimbursement methodologies highly preferred. Please be advised that… more
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