• ( Remote ) Claims Manager

    Sedgwick (Richmond, VA)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ( Remote ) Claims Manager - Workers Compensation | VA Jurisdiction ... + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. +… more
    Sedgwick (08/01/24)
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  • Senior Claims Representative…

    Ryder System (Richmond, VA)
    … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures and recommends solutions. + On-going interaction with field and operations… more
    Ryder System (07/18/24)
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  • Manager , Voluntary Claims

    Lincoln Financial Group (Richmond, VA)
    …Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona) **Work Arrangement:** Remote : Work at home employee residing outside of a commutable distance ... This position will manage a team and processes for Group Benefits Voluntary Claims (Accident, Critical Illness, Hospital Indemnity). You will oversee and ensure the… more
    Lincoln Financial Group (08/08/24)
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  • Construction Defect Claims Manager

    CRC Insurance Services, Inc. (Richmond, VA)
    …for overseeing, managing and supporting all activities of the construction defect claims team and claim files under your supervision within your respective ... construction defect team. This is a fully remote role. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a...1. Manage the supervision, development and coordination of your claims team. 2. Organize, analyze, and disseminate information that… more
    CRC Insurance Services, Inc. (07/02/24)
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  • Commercial Property Claims Specialist

    Zurich NA (Richmond, VA)
    Commercial Property Claims Specialist 116043 Zurich North America is hiring an Commercial Property Claims Specialist to join our team!This position will be ... remote with candidate located based within the US With...direction, handles single and multi-party personal or commercial line claims of low to moderate exposure and complexity within… more
    Zurich NA (08/14/24)
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  • Manager - Reporting & Analytics…

    Prime Therapeutics (Richmond, VA)
    …that. It fuels our passion and drives every decision we make. **Job Posting Title** Manager - Reporting & Analytics ( Remote ) **Job Description** The Manager ... improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
    Prime Therapeutics (08/13/24)
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  • Claim Supervisor - REMOTE

    Ryder System (Richmond, VA)
    …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... issues, and complex and high exposure bodily injury and property damage claims **ESSENTIAL FUNCTIONS** + Investigates and resolves complex and high exposure … more
    Ryder System (08/06/24)
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  • 340B Onsite Pharmacy Auditor - Remote

    Prime Therapeutics (Richmond, VA)
    …every decision we make. **Job Posting Title** 340B Onsite Pharmacy Auditor - Remote in the Florida market **Job Description** The Onsite Pharmacy Auditor travels to ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
    Prime Therapeutics (07/03/24)
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  • Director Risk Management- REMOTE

    Ryder System (Richmond, VA)
    …and budgeting activities of the insurance product line and risk management departments. REMOTE work from HOME **Essential Functions** + Manage a staff of finance and ... around insurance policies and procurement, assist with executive lines claims management and support claims team in...Ryder IT systems Advanced, Preferred + & Certified Risk Manager (CRM), Preferred, 1 Year + & Chartered Property… more
    Ryder System (07/04/24)
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  • Underwriter - Remote

    Prime Therapeutics (Richmond, VA)
    …and drives every decision we make. **Job Posting Title** Underwriter - Remote **Job Description** The Underwriter is responsible for assisting in the development ... Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data +… more
    Prime Therapeutics (08/14/24)
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  • Benefits & Leave Administrator - Remote

    Sharecare, Inc. (Richmond, VA)
    …plans, Company wellness plans, etc.) This role will work with the Benefits Manager and benefit analyst(s) to manage enrollments, annual renewals, and the delivery of ... enrollments, COBRA, terminations, status changes, beneficiaries, disability, accident and death claims , and worker's compensation claims . + Oversee maintenance… more
    Sharecare, Inc. (08/14/24)
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  • Senior Treasury Analyst - Remote

    Prime Therapeutics (Richmond, VA)
    …every decision we make. **Job Posting Title** Senior Treasury Analyst - Remote **Job Description** The Senior Treasury Analyst is responsible for working across ... Treasury Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
    Prime Therapeutics (08/01/24)
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  • Manager , Provider Services PCP

    Humana (Richmond, VA)
    …a part of our caring community and help us put health first** The Manager , Provider Services - PCP/Medical leads a team of provider relations associates responsible ... Virginia Medicaid plan through day-to-day, front-line relationship management. The Manager is responsible for facilitating a positive provider relationship… more
    Humana (08/15/24)
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  • Telephonic Case Manager

    Sedgwick (Richmond, VA)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. +… more
    Sedgwick (08/08/24)
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  • Benefits Manager

    SMX (Richmond, VA)
    Benefits Manager (3461)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States SMX is seeking a highly motivated, detail-oriented Benefits Manager ... directly to the Vice President, Human Resources. The Benefits Manager is responsible for the management and administration of...the liaison with vendors and brokers to resolve employee claims . + Provides coaching and responds to escalated 401(k)… more
    SMX (07/31/24)
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  • Product Manager : Provider Data Management

    HealthEdge Software Inc (Richmond, VA)
    **Overview** **JOB TITLE: Product Manager : Provider Data Management** **JOB LOCATION: Company Headquarters in Burlington, Massachusetts 01803. REMOTE EMPLOYMENT ... **REQUIRED HOURS: Full-time.** **REQUIRED DUTIES:** + Develop the product roadmap for claims value stream and lead high-level epic planning for current and future… more
    HealthEdge Software Inc (08/07/24)
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  • Sr. Manager , Medicaid Contract…

    Sumitomo Pharma (Richmond, VA)
    …. **Location: Remote /occasional onsite (if ... dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid Contract… more
    Sumitomo Pharma (08/08/24)
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  • Health Information Manager

    Elevance Health (Richmond, VA)
    **Health Information Manager ** Location: This position will work a hybrid model ( remote and in office 1 - 2 days per week). Ideal candidates will live within 50 ... the Richmond, VA office several times per year). The **Health Information Manager ** is responsible for identifying opportunities to deliver affordable quality care… more
    Elevance Health (08/03/24)
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  • Sr. Global Product Manager

    J&J Family of Companies (Richmond, VA)
    Sr. Global Product Manager - 2406192767W **Description** Johnson & Johnson is currently seeking a **Sr. Global Product Manager ** to join our **Abiomed** Team ... located in Danvers, Massachusetts. We are open to remote candidates for this position. At Johnson & Johnson,...+ Development of go-to-market strategy, value proposition and key claims + Successful commercial and operational introduction of new… more
    J&J Family of Companies (08/02/24)
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  • Field Case Manager RN…

    CVS Health (Richmond, VA)
    …position are Monday-Friday 8:00am - 5:00pm EST. This is a full time remote teleworker position in Virginia supporting the Serious Mental Illness Team. Qualified ... within the region 25-40% of the time. The Case Manager RN (CM RN) is responsible for telephonically and/or...and multiple diagnoses that impact functionality. * Reviews prior claims to address potential impact on current case management… more
    CVS Health (07/27/24)
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