• Audit & Reimbursement Sr

    Elevance Health (Richmond, VA)
    ** Audit & Reimbursement Senior ** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's ... Centers for Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will support our Medicare… more
    Elevance Health (02/22/25)
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  • Audit & Reimbursement Sr

    Elevance Health (Richmond, VA)
    ** Audit & Reimbursement Senior ** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's ... Centers for Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior ** will support our Medicare… more
    Elevance Health (03/19/25)
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  • Nurse Case Manager Sr .

    Elevance Health (Richmond, VA)
    **Nurse Case Manager Sr .** **Location:** This position will work a virtual model. **Our Ideal candidate will live within a 50-mile radius and a 1-hour commute to one ... evening shift will be required. The **Nurse Case Manager Sr ** . is responsible for care management within the...of care management treatment plans. + Negotiates rates of reimbursement , as applicable. + Assists in problem solving with… more
    Elevance Health (03/18/25)
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  • Sr Physical Security NERC Compliance…

    Dominion Energy (Richmond, VA)
    Sr Physical Security NERC Compliance Specialist (Compliance Focus) Dominion Energy is committed to providing reliable, affordable, and increasingly clean energy that ... findings to a panel, providing necessary documentation. + Maintains a stance of audit readiness at all times. + Assesses, identifies, and prioritizes NERC compliance… more
    Dominion Energy (03/07/25)
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  • Sr . Coordinator, Individualized Care (Case…

    Cardinal Health (Richmond, VA)
    …**_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and ... for every interaction using the appropriate database for the inquiry + Must self- audit intake activities to ensure accuracy and efficiency for the program + Make… more
    Cardinal Health (03/12/25)
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  • Senior Director of Operations

    Capital One (Richmond, VA)
    Senior Director of Operations Capital One's Enterprise Payment Operations organization is seeking a talented senior leader to lead the ACH and Transaction & File ... Monitoring teams. As Sr . Director, ACH and Transaction/File Monitoring, you will oversee...5 years experience in a regulated operations environment within Audit , Legal, and Compliance + At least 5 years… more
    Capital One (03/15/25)
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  • Senior Auditor

    Dominion Energy (Richmond, VA)
    Senior Auditor **Date:** Feb 19, 2025 **Location:** RICHMOND, VA, US, 23219 **Company:** Dominion Energy Dominion Energy is committed to providing reliable, ... and performs complex financial, operational and compliance audits. Applies advanced audit concepts and techniques to document, analyze and evaluate systems of… more
    Dominion Energy (02/20/25)
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  • Cyber Compliance Analyst/ Senior Cyber…

    Dominion Energy (Richmond, VA)
    …Abilities & Experience** **Cyber Compliance Analyst:** 3+ years of cyber or IT audit , compliance, or technology related work experience ** Senior Cyber Compliance ... Cyber Compliance Analyst/ Senior Cyber Compliance Analyst Dominion Energy is committed...of technical procedures towards achieving compliance; reduces or eliminates audit findings; implements changes and ensures compliance with all… more
    Dominion Energy (03/18/25)
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  • Senior Mainframe Systems Programmer-…

    Ensono (Richmond, VA)
    Senior Mainframe Systems Programmer- Logical SecurityRemote - United StatesJR011332 ** Senior Mainframe Systems Programmer- Logical Security** At Ensono, our ... the role and what** **you'll** **be doing** : We are seeking a skilled Senior Mainframe Systems Programmer with 8 + years of experience in mainframe security,… more
    Ensono (02/08/25)
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  • Senior Coordinator, Individualized Care…

    Cardinal Health (Richmond, VA)
    …**_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and ... for every interaction using the appropriate database for the inquiry + Must self- audit intake activities to ensure accuracy and efficiency for the program + Make… more
    Cardinal Health (03/15/25)
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  • Senior Charge Management Coordinator

    University of Virginia (Charlottesville, VA)
    …procedures, and applicable regulatory standards and requirements. + Completes chart audit reviews of clinical documentation to determine accuracy of charge capture. ... required in a complex hospital setting Knowledge of third party billing and reimbursement methodologies required Understanding of CPT level II and III HCPCS and… more
    University of Virginia (03/11/25)
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  • Clinical Coding Documentation Improvement

    HCA Healthcare (Richmond, VA)
    …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... Improvement Specialist (Quality Improvement/Medicare Risk Adjustment)** will monitor and audit medical record documentation, coding and quality measures in the… more
    HCA Healthcare (03/19/25)
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  • Maintenance Process Excellence Manager

    GAF (Richmond, VA)
    …Management, and Training pillars. This role will report to the Sr . Director of Operations Maintenance Transformation. **Job Summary** This collaborative role ... a robust job plan library through WO review and audit . + Strong communication skills that are adaptable to...programs and courses, as well as a generous tuition reimbursement program. 6. We put diversity and inclusion into… more
    GAF (03/16/25)
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  • Health Actuary Consultant

    Deloitte (Richmond, VA)
    …in Deloitte's Human Capital group, you will assist Deloitte Managers, Senior Managers and Partners in providing strategic and technical consulting services ... health plan initiatives + Prepare IBNR modeling spreadsheets for audit reviews + Provide project management support including preparing...of Health Care Reform 3 Rs + Exposure to reimbursement mechanisms + Strong client presence + Ability to… more
    Deloitte (01/12/25)
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