• Claims Care Associate

    Lincoln Financial Group (Richmond, VA)
    …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
    Lincoln Financial Group (09/18/24)
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  • Associate Director, Global Labeling Lead…

    Takeda Pharmaceuticals (Richmond, VA)
    …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
    Takeda Pharmaceuticals (07/18/24)
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  • Associate Director, Signal Detection…

    J&J Family of Companies (Richmond, VA)
    Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… more
    J&J Family of Companies (09/19/24)
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  • Customer Care Representative I

    Elevance Health (Richmond, VA)
    **Customer Care Representative I** **Location:** Remote , within 50 miles of an Elevance Health pulse point. **Hours:** An 8-hour shift, Monday - Friday, between ... the hours of 8 am - 6 pm EST. The **Customer Care Representative I** is responsible for successfully completing the required basic training. Able to perform basic… more
    Elevance Health (09/28/24)
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  • Manager, Provider Services Behavioral Health

    Humana (Richmond, VA)
    …managed care contractual requirements for provider relations, such as claims dispute resolution within specified timeframes **Use your skills to make an ... of provider inquiries, concerns, or problems, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate education… more
    Humana (09/13/24)
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  • Senior Business Intelligence Engineer

    Humana (Richmond, VA)
    …Science, finance, Statistics, Economics or related field + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in ... and Root Cause Analysis (RCA) experience **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring process for this… more
    Humana (08/30/24)
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  • Case Manager RN - Field- Virginia

    CVS Health (Richmond, VA)
    …and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. ** Remote role with requirement to ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (08/29/24)
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  • Provider Services Advisor

    Humana (Richmond, VA)
    …of the overall Provider Services team, which includes provider relations, claims education, provider engagement, and provider performance improvement. + Establishes ... and other metrics to ensure compliance with related managed care contractual requirements. + Develops initial and manage annual...may be based at our office in Richmond or remote within the state **Preferred Qualifications:** + Master's Degree.… more
    Humana (09/18/24)
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  • Medical Director - Grievances and Appeals

    Humana (Richmond, VA)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (09/17/24)
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