- Elevance Health (Richmond, VA)
- **Rating/ Claims System Analyst ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one ... of our Elevance Health PulsePoint locations. The **Rating/ Claims System Analyst ** will be responsible for...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- The Cigna Group (Richmond, VA)
- …work in the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and ... reports to the Contracting Manager or Market Lead . This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES**… 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...Casualty claims handling as an adjuster or claims Team Lead or Supervisor experience. +… more
- Evolent Health (Richmond, VA)
- …+ 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable ... Care Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design Life Cycle (SDLC) + Experience with EDI X12 structure and syntax rules; chiefly with 834 files + Superior root cause analysis… 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 ... to: + Assists in the development or modification of claims filing procedures, which includes the analysis of business...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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 ... Doing:** Evolent Health is looking for a Senior Product Analyst to be a key member of the Product...teams, product, and engineer through forums (bringing all POs, Lead engineers, and stakeholder into a consistent forum to… 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...in the implementation of Prime's compliance programs and may lead some initiatives within their designated areas and partners… more
- Prime Therapeutics (Richmond, VA)
- …drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and roll out ... quality. This position has the responsibility to participate and/or lead in defining the issues to be studied as...Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and… more
- Elevance Health (Richmond, VA)
- **Business Analyst III** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **Business Analyst III** will be responsible for serving as the...+ SQL experience preferred. + Reporting experience preferred. + Claims experience preferred. + Knowledge of systems capabilities and… 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
- 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 ... and update appropriate stakeholders of changes or new requirements + Take the lead on any new business issues and opportunities generated by Government and/or… more
- Elevance Health (Richmond, VA)
- **Actuarial Analyst III** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... onsite will be discussed as part of the hiring process. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Elevance Health (Richmond, VA)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting… more
- Prime Therapeutics (Richmond, VA)
- …passion and drives every decision we make. **Job Posting Title** Network Pricing Analyst Principal - Remote **Job Description** The Principal Pricing Analyst ... management, profit drivers and the organization's financial value statement + Lead the development of financial analytic pricing methodologies, models, reports and… more
- Bank of America (Richmond, VA)
- Workforce Strategy & Business Intelligence Analyst IV Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Newark, Delaware; New York, New ... with business narrative. The Workforce Strategy & Business Intelligence candidate will lead efforts to design & execute end-to-end Fraud financial reporting and… more
- Prime Therapeutics (Richmond, VA)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... to execute on strategies to solve complex and open-ended business problems. + Lead prototyping of potential solutions. + Perform implementation reviews. + Lead … more
- Prime Therapeutics (Richmond, VA)
- …in the project management, programming, testing and documentation aspects of the analyst responsibilities to drive the highest level of performance and meet or ... + Collaborates between departmental business owners, end users, IT, Contact Center, Claims and Clinical departments to resolve issues, or develop small to large… more