- Humana (Richmond, VA)
- …independent determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage ... caring community and help us put health first** The Project Manager II manages all aspects of a ... + Communicate with other operational areas in the organization to secure specialized resources and contributions for the… more
- Humana (Richmond, VA)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... in resolving outstanding balances related to claim reversals, all while leading process improvements and influencing departmental strategies. This is your chance to… more
- Elevance Health (Richmond, VA)
- …prevent unnecessary medical-expense spending. Our Payment Integrity (PI) Operational Excellence organization is looking to hire a ** Process Improvement ... Process Improvement and Lean Six Sigma principles and project leadership. Requires a BA/BS in a related field...experience, with specific knowledge in payment integrity, provider, and claims , and cost-of-care domains. + Process improvement… more
- Guardian Life (Richmond, VA)
- **Job Posting Title** **Team Leader, Absence Claims Management** **Job Description** The **Team Leader, Absence Claims Management** is responsible for leading a ... Managers to get results within their team and the organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- Norstella (Richmond, VA)
- …Now, Citeline is proud to be a part of Norstella, an organization that consists of market-leading pharmaceutical solutions providers united under one goal: ... to improve patient access to life-saving therapies. Within this organization , Citeline plays a key role in helping clients connect the dots from pipeline to patient.… more
- Bank of America (Richmond, VA)
- …use a multi-faceted approach for flexibility, depending on the various roles in our organization . Working at Bank of America will give you a great career with ... As a Fraud Strategy Manager with the Client Protection organization , you will capitalize on technical abilities and strategic...fraud requirements, testing, and development of strategies for new project and endeavors + Lead the team to develop,… more
- Deloitte (Richmond, VA)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Deloitte (Richmond, VA)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Kiewit (Richmond, VA)
- …their team to build a stable and growing backlog. The candidate should have experience in project sorting to determine if a project should be bid or not bid ... meet individual career goals. This role requires an in-depth understanding of project and business line financials including reporting and presenting these results… more
- Burns & McDonnell (Richmond, VA)
- … Execution Plan, Quality Assurance Plan, Safety & Health plan, Subcontracting Plan, Project Staffing Plan, Organization Chart, and Procurement Plan. + Assist ... required. + Assist with the Prime Contract, subcontractor, and supplier invoicing process . + Establish and administer project documentation and filing systems.… more
- Emerson (Richmond, VA)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- Elevance Health (Richmond, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... go on-site to provider premises during contract negotiations. + Participates on project team involved with enterprise - wide initiatives. **Minimum requirements:** +… more
- Deloitte (Richmond, VA)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Prime Therapeutics (Richmond, VA)
- …Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out ... reports that give a detailed description of the current project 's progress and indicates time devoted to each task...in easily understandable format for varying levels of the organization . **Responsibilities** + 3+ years of transact-SQL (MS SQL… more
- Elevance Health (Richmond, VA)
- …skills, facilitation skills, and analytical skills, with experience leading process and/or projects with significant large-scale project management, ... **Director, Market Experience** will be responsible for leading a multi-regional organization supporting Commercial and Government business and acting as a critical… more
- Elevance Health (Richmond, VA)
- …Care and Enterprise organizations focusing efforts on explaining medical cost trends, lowering claims costs, and improving the quality of care. **How you will make ... using appropriate analytics and tools. + Develop business performance reports using claims data that tells the drivers behind medical trends. + Create and… more
- Elevance Health (Richmond, VA)
- …care. The Pharmacy Quality Improvement Specialist is responsible for generating process improvements that bring about measurable improvement in quality and/or ... improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues. **How you will make an impact:** + Represents… more
- Bank of America (Richmond, VA)
- …use a multi-faceted approach for flexibility, depending on the various roles in our organization . Working at Bank of America will give you a great career with ... and validating fraud varaibles utlized in strategies. Role also include project management where candidate would be responsible for providing fraud requirements,… more
- Sunrun (Richmond, VA)
- …branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution of specific market and ... process issues + Work to pursue and achieve tactical...that require cross-functional engagement with key staff across the organization and external stakeholders + Launch initiatives that increase… more
- Deloitte (Richmond, VA)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more