- Trustmark (Richmond, VA)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- Elevance Health (Norfolk, VA)
- **Business Change Director - Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model ( remote and office). Ideal ... live within 50 miles of a PulsePoint location. The **Business Change Director - Claims /Payment Integrity Use-Case Lead** is responsible for collaborating with… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to...member PHI / HIPAA information + This is a remote position\#LI- Remote **Scheduled Weekly Hours** 40 **Pay… more
- Zurich NA (Richmond, VA)
- …Office, AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR ... Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our… more
- Takeda Pharmaceuticals (Richmond, VA)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote… more
- Patent and Trademark Office (Alexandria, VA)
- …is seeking a highly motivated executive to serve as the Northeast Regional Office Director (Regional Office Director ). As the Regional Office Director , ... of the United States. Responsibilities The Northeast Regional Office Director reports to the Chief Public Engagement Officer in...a key role in employee engagement and connecting with remote employees in the region. Join the dynamic leadership… more
- HealthEdge Software Inc (Richmond, VA)
- **Overview** ** Director , Product Management** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to lead our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
- Cardinal Health (Richmond, VA)
- …are used. **What this position contributes to Cardinal Health:** The Associate Director , Access and Patient Support (APS) is responsible for the tactical execution ... collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational development, and… more
- Humana (Richmond, VA)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Elevance Health (Norfolk, VA)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... business system integrations. **Location:** This position will work in a hybrid model ( remote and office) with once a week from the nearest Elevance Health… more
- RELX INC (Alexandria, VA)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... and experienced professional to join our team as the Director of Data Content and Strategy. This critical role...Maintaining a deep understanding of relevant industry data, including claims , provider data, and patient insights. + Performing all… more
- Trustmark (Richmond, VA)
- …benefits products (ie, sales, implementation and enrollment, underwriting, billing, servicing, claims ) using DMAIC, PDCA, etc. methods. Develop the approach and ... small, mid-size, and complex/transformational projects, with support from the Executive Director , Digital Project Manager, as needed. Define baseline and target… more
- Southland Industries (Dulles, VA)
- **POSITION SUMMARY** As the Division Safety Director , you will oversee all aspects of Safety within the division, setting the gold standard for safety culture, ... and insurance efforts at the division level, ensuring proper claims management and proactive risk mitigation. + Develop and...you bring to the table:** + Occasional travel to remote project locations for both overnight and in-day trips.… more
- RTX Corporation (Dulles, VA)
- Date Posted: 2024-10-21 Country: United States of America Location: RCO99: RTN Remote , Colorado Position Role Type: Remote At Raytheon, the foundation of ... (SC) Legal Advisor, who will report to the Associate Director , Raytheon SC Advising. The SC Advisor provides advice...information agreements, and other agreement types. This position is remote ; the ideal candidate will be located within 50… more
- Prime Therapeutics (Richmond, VA)
- …Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Works independently to research and resolve regulatory inquiries/complaints related to claims , contracting and XXXX. Works directly with business partners across the… more
- Prime Therapeutics (Richmond, VA)
- …every decision we make. **Job Posting Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more
- Prime Therapeutics (Richmond, VA)
- …every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible for leading portions ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Zurich NA (Richmond, VA)
- …AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID ... Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- American Institutes for Research (Arlington, VA)
- …to the analysis of healthcare data and provide support to the project director and/or senior team members on various tasks including querying large datasets ... including Medicare, Medicaid, and commercial payer claims data, cleaning and imputing data, creating analytic data files according to technical specifications,… more
- Zurich NA (Richmond, VA)
- …Office, AM - Oregon Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LB1 #LI- DIRECTOR ... prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims...for resume submission. Location(s): AM - Schaumburg, AM - Remote Work (US), AM - Dallas, AM - San… more