- Prime Therapeutics (Richmond, VA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business… more
- Humana (Richmond, VA)
- …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business … more
- USAA (Chesapeake, VA)
- …a part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior . This position is a hybrid work type and ... and manages existing and emerging risks that stem from business activities and the job role. + Ensures risks...colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts… more
- Deloitte (Mclean, VA)
- Senior Consultant, Operations & Technology Transformation, Insurance, Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Mclean, VA)
- Operations Technology Transformation Senior Consultant, Guidewire Configuration / Integration What we do Operations and Technology Transformation delivers ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Mclean, VA)
- Senior Consultant, Operations and Technology Transformation, Guidewire Application Java Developer What we do Operations and Technology Transformation ... and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care &...2025 Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring technical expertise to deliver… more
- HealthEdge Software Inc (Richmond, VA)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
- Wells Fargo (Roanoke, VA)
- **About this role:** Wells Fargo is seeking a Senior Business Execution Consultant for the Fraud & Claims Management Contact Strategy and Management Team as ... regulatory requirements and documentation + Lead support functions or operations for multiple business groups and contribute...education **Desired Qualifications:** + 2+ years of fraud & claims operations experience + 2+ years of… more
- Humana (Virginia Beach, VA)
- …to correct multifaceted problems relating to eligibility, enrollment, billing, claims , referrals/authorizations, network operations , access to care, Defense ... in hard copy or in person) regarding eligibility, enrollment, billing, claims , referrals/authorizations, appointment assistance, network operations , access to… more
- Sedgwick (Richmond, VA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Vice President Business Development **PRIMARY PURPOSE:** To expand and ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Guidehouse (Mclean, VA)
- …**:** Ability to Obtain Public Trust **What You Will Do** **:** **Both Senior Consultant/Consultant** As a Consultant/ Senior Consultant you will leverage your ... on the modernization of public sector and/or commercial/private healthcare operations by facilitating multiple process improvement strategies to increase revenue,… more
- Zurich NA (Richmond, VA)
- Senior US International Reverse Flow Underwriter 117849 Zurich is seeking a senior level US International Reverse Flow Underwriter to join our International ... Operations team in our Schaumburg, IL North America Headquarters....provide US underwriting support for incoming received country (RC) business from non-US producing countries. In this model the… more
- Evolent Health (Richmond, VA)
- …products. You will collaborate with cross-functional teams, including solution strategy, business operations , engineering, quality assurance, and IT, to ensure ... You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst, you will have the opportunity to...market, and the customers. They collaborate with implementation teams, business operations , engineering, and growth teams to… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** SENIOR LINUX SYSTEMS ADMINISTRATOR: Bowhead seeks a Senior Linux Systems Administrator to join our team in Dahlgren, VA. The Senior Linux ... Providing technical problem solving and in-depth consulting for system operations . + Will work as part of a team...or where a rental car must be obtained for business travel purposes, applicants must have a valid driver… more
- AECOM (Glen Allen, VA)
- …department is actively seeking a creative, highly talented attorney to support AECOM's operations in its East Region. This will be a hybrid position including a ... that may have an important bearing on the conduct of the organization's business + Work with management and staff to resolve pre-litigation disputes and potential… more
- USAA (Chesapeake, VA)
- …position. This position can work remotely in the continental US with occasional business travel. **The Opportunity** The ** Senior Manager - Financial Crimes and ... analytics field such as Economics, Finance, Statistics, Mathematics, Actuarial Sciences, Operations Research, Data and/or Business Analysis, Data Science or… more
- Deloitte (Mclean, VA)
- …and Energy & Resources. Our OTT team applies deep sector knowledge and technical business operations consulting experience to take a more strategic view of our ... What we do Operations and Technology Transformation delivers market leading expertise...solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems… more
- Prime Therapeutics (Richmond, VA)
- …across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance ... guidance and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate… more
- Bechtel Corporation (Reston, VA)
- …. # Job Summary: In this role, you will act as an advisor to large projects, business lines, and senior company officers on a range of legal issues with the main ... markets. Our services span from initial planning and investment, through start-up and operations . Core to Bechtel is our Vision, Values and Commitments . They are… more
- VHC Health (Alexandria, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... of the Epic hospital billing module installation. Responsibilities include serving as the senior point of contact with clinical areas that are the primary users of… more