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46 Jobs in Richmond, VA

  • IT Systems Analyst Specialist Sr

    ManpowerGroup - Richmond, Virginia
    ... . Experience in multi-line claims management processes and system requirements strongly preferred. **Job ... manages work to timelines. Strong knowledge of third party administration/claims management business ...
  • Sr Claims Recovery & Analysis Analyst

    Carrington - Richmond, Virginia
    ... Come join our amazing team and work remote from home! The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans. Determine the ...
  • Consumer Product Strategy Analyst III

    Bank of America - Richmond, Virginia
    ... Consumer Product Strategy Analyst III Charlotte, North Carolina;Belfast, Maine; Plano, Texas ... reports and updates for senior management Skills: Business Analytics Business ...
  • Medical Claim Analyst

    CVS Health - Richmond, Virginia
    ... . Position Summary The Medical Claim Analyst role is responsible for analyzing submitted documentation, making efforts to obtain required information, and processing Medicare and Commercial claims per ...
  • Billing Payer Response Analyst

    HCA Healthcare - Richmond, Virginia
    ... you as a Billing Payer Response Analyst? At Parallon, you come first. HCA Healthcare has committed up ... looking for a dedicated Billing Payer Response Analyst like you to be a part of our team. **Job ...
  • Business Information Analyst II

    Elevance Health - RICHMOND, Virginia
    ... Business Information Analyst II Location: This position will work a hybrid model ... Information Analyst II** is responsible for analyzing, reporting, and developing recommendations on data ...
  • Business Systems Configuration Analyst I

    Intermountain Health - Richmond, Virginia
    ... Job Description: At SelectHealth, the Business Systems Configuration Analyst I is ... situations where configuration cannot fully meet the requirements. Works with management to identify the ...
  • Actuarial Analyst- Analytics/Forecasting

    Humana - Richmond, Virginia
    ... Become a part of our caring community and help us put health first The Actuarial Analyst 2 ... position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require ...
  • Senior Benefit Plan Configuration Analyst

    Prime Therapeutics - Richmond, Virginia
    ... ** Senior Benefit Plan Configuration Analyst Job Description Summary This position specializes in ... Senior Analyst will ensure a high level of quality and accuracy through benefit configuration, test ...
  • Financial Analyst (Actuarial Focus)

    Humana - Richmond, Virginia
    ... , enhancing DVACO's total number of beneficiaries to over 200,000. The Financial Analyst _(Actuarial Focus ... key stakeholders at the DVACO. The Financial Analyst is seen as a subject matter expert and will lead ...
  • Operations Analyst III - Claims

    Trustmark - Richmond, Virginia
    ... years’ experience within operations (preferably Claims) or as a business analyst with progressive ... are seeking a detail-oriented and analytical Operations Analyst to join our team, specializing in the ...
  • Business Analyst II - Remote preferably in the Florida market

    Prime Therapeutics - Richmond, Virginia
    ... system process analysis and/or program management. The Pharmacy Analyst shall have experience in managing ... ** Business Analyst II - Remote preferably in the Florida market Job Description Summary Serves as ...
  • Consumer Product Strategy Analyst III- Digital Fraud Strategies

    Bank of America - Richmond, Virginia
    ... Consumer Product Strategy Analyst III- Digital Fraud Strategies Charlotte, North Carolina ... management where candidate would be responsible for providing fraud requirements, testing, and development of ...
  • Variance Analyst- Millennium

    Universal Health Services - RICHMOND, Virginia
    ... Analyst - Millennium. The primary responsibility of the Variance Analyst is the ... . Directs any problems with accounts or where additional intervention is needed to management for resolution ...
  • Decision Support Analyst - Medicaid Operations

    Highmark Health - Richmond, Virginia
    ... data management staff to define an operational framework that will define, develop and implement ... . Role sits within my 007620 COE Claims Portfolio, who supports our Operations (Claims/Provider ...
  • Senior Medical Pharmacy Analyst - Remote

    Prime Therapeutics - Richmond, Virginia
    ... ** Senior Medical Pharmacy Analyst - Remote Job Description Summary Responsible for leading and ... pharmacy claims data manipulation and analysis. Understanding of CPT and ICD-9 codes preferred ...
  • Sr IT Analyst - MedPharm

    Prime Therapeutics - Richmond, Virginia
    ... ** Sr IT Analyst - MedPharm Job Description Summary This position will analyze, evaluate and ... Management, ITIL, Design Thinking and structured systems analysis and design. Work quickly and independently ...
  • Business Analyst II - Remote in the California market

    Prime Therapeutics - Richmond, Virginia
    ... ** Business Analyst II - Remote in the California market Job Description Summary Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad ...
  • Market Finance Lead - New York, NY

    Humana - Richmond, Virginia
    ... , Administrative, Product, Claims and trend analytics. This position is the team lead for all market financial ... support. The Market Finance Lead has 2-3 direct Analyst Staff directly providing support for all key ...
  • Cons Prod Strategic Analyst IV

    Bank of America - Richmond, Virginia
    ... Cons Prod Strategic Analyst IV Phoenix, Arizona;Belfast, Maine; Plano, Texas; Richmond ... business trends based on economic and portfolio conditions and communicates findings to senior management ...
  • Manager - Card Fraud Claims

    UMB Bank - Richmond, Virginia
    ... Duties & Responsibilities The Manager, Card Fraud Claims, will oversee and manage the UMB card fraud claims process, ensuring timely and accurate resolution of fraud cases. The role will ...
  • Advisory Services Analyst- State Health

    Mathematica - Richmond, Virginia
    ... implementing all-payer claims databases, alternative payment models, or tools to support analytics, or ... enrollment, claims, financial, or program data is preferred. * Excellent written and oral communication ...
  • Data Analyst III

    Centene Corporation - Richmond, Virginia
    ... operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS ... actions; elevate issues, trends, areas for improvement and opportunities to management Develop ...
  • Operations Analyst II - Damage Collections

    Lumen - Richmond, Virginia
    ... , excavators and property owners to resolve billed damage claims. This role is responsible to meet scope ... risk, identify potential alternatives and escalate as required to the appropriate level of management ...
  • Data Analyst III

    Centene Corporation - Richmond, Virginia
    ... operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS ... actions; elevate issues, trends, areas for improvement and opportunities to management Develop ...
  • Cons Prod Strategy Mgr I

    Bank of America - Richmond, Virginia
    ... developing and validating fraud variables utilized in strategies. Role also includes project management ... management systems. Manage and optimize the performance of fraud detection systems and tools • Policy ...
  • Senior Insurance Collections Analyst

    HCA Healthcare - Richmond, Virginia
    ... over 156,000 hours volunteering in our communities. As a Senior Collections Analyst with Parallon you ... for an enthusiastic Senior Collections Analyst to help us reach our goals. Unlock your potential ...
  • Sr Director, Behavioral Scientist

    Travelers Insurance Company - Richmond, Virginia
    ... , designer and data analyst related to behavioral considerations. Serve as a researcher, interviewer, design thinking facilitator, and data analyst for the application of behavioral science to Travelers Claim ...
  • Clinical & Population Health Analyst

    Highmark Health - Richmond, Virginia
    ... languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider ...
  • Senior Variance Analyst- Central

    Universal Health Services - RICHMOND, Virginia
    ... Analyst. The Senior Variance Analyst is responsible for the maximization of ... of the revenue cycle process. Reviewing all high dollar claims over 25k as well as working ...
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