- Insight Global (Glen Allen, VA)
- Job Description The Claims Vendor Operations Analyst , with limited supervision, is responsible for managing all channels of communication with Claims ... vendor issues, and other responsibilities as requested by management. The Claims Vendor Operations Analyst will assist the claims organization in achieving… more
- Prime Therapeutics (Richmond, VA)
- …our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description Summary** Serves as ... liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis.… more
- Windstream Communications (Richmond, VA)
- …involves managing Third-Party Auto and General Liability Physical Damage and Bodily Injury Claims . The analyst will assist in internal investigations and support ... of infinite possibilities! ** ** The Risk Management Liability Analyst will act as a crucial liaison between Windstream...the TPA in bringing Third-Party claims to resolution. This is a full-time remote position… more
- Sumitomo Pharma (Richmond, VA)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Glen Allen, VA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- Norstella (Richmond, VA)
- RWD Business Analyst Company: MMIT Location: Remote, United States Date Posted: Nov 15, 2024 Employment Type: Full Time Job ID: R-687 **Description** **About us:** ... to join our RWD Engagement Team as a Business Analyst (Sr.) to support our delivery of RWD engagements...Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be… more
- Bank of America (Richmond, VA)
- Consumer Product Strategy Analyst III - Information Control Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, New York; Boston, ... potential fraud risk and create mitigation strategies. The Client Protection data analyst will provide analytical and data support for Consumer fraud and non-fraud… more
- Elevance Health (Richmond, VA)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Elevance Health (Richmond, VA)
- …PulsePoint sites used for collaboration, community, and connection. The **EDI Ops Analyst ** is responsible for functioning as provider liaison for all electronic ... but are not limited to: + Assists in the development or modification of claims filing procedures, which includes the analysis of business and clients' needs and… more
- Evolent Health (Richmond, VA)
- …culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst , you will have the opportunity to shape the technical aspects and design of ... delight users. **What You'll Be Doing:** Evolent Health is looking for a Senior Product Analyst to be a key member of the Product team. This individual will play a… more
- Elevance Health (Richmond, VA)
- **Title: Grievance/Appeals Analyst Lead** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of a PulsePoint location. ... The **Grievance/Appeals Analyst Lead** will be responsible for leading and coaching...and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize… more
- Bank of America (Richmond, VA)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... LOB Job Description: As a Client Protection Fraud Strategy Analyst , you will capitalize on your technical abilities and...▪ Basic understanding of 1st and 3rd party fraud ( claims to charge-off timing, chargeback recovery rights, etc.) ▪… more
- Prime Therapeutics (Richmond, VA)
- …and drives every decision we make. **Job Posting Title** Health Informatics Analyst **Job Description Summary** Design, document, develop and roll out financial, ... + Job DescriptionPerforms exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Elevance Health (Richmond, VA)
- **Business Analyst II** **Location** : This position is part of our Hybrid Workforce Model and requires a minimum of 1 - 2 days/week in office. **Must reside within ... 50 miles/1 hr commute of a relevant PulsePoint location** . The **Business Analyst ll** is responsible for translating basic business needs into application software… more
- Elevance Health (Richmond, VA)
- **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Defense Logistics Agency (Richmond, VA)
- …for important information regarding this job. Responsibilities Serves as a Management Analyst at a DLA Aviation Industrial Plant Equipment Services Division Plans ... Conditions of Employment Qualifications To qualify for a Management Analyst , your resume and supporting documentation must support: Specialized Experience:… more
- Prime Therapeutics (Richmond, VA)
- …every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst **Job Description Summary** This position specializes in the analysis and ... application of advanced and complex level benefit design requirements. A successful Senior Analyst will ensure a high level of quality and accuracy through benefit… more
- Prime Therapeutics (Richmond, VA)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some initiatives within their designated… more
- Prime Therapeutics (Richmond, VA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Bank of America (Richmond, VA)
- Device and Non-Monetary Fraud Consumer Product Strategy Analyst III Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, ... liability._** **Required Qualifications:** - 2+ years of fraud, cyber, or risk analyst experience developing and/or optimizing mitigation strategies - 3+ years of… more