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Elevance Health
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RICHMOND, Virginia
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Medical Investigations Analyst I
Location: This position is virtually based. This ... scheduled hours start and end times.
The Medical Investigations Analyst I is responsible
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Elevance Health
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Richmond, Virginia
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administrative and medical policy, reimbursement and provider utilization patterns.
Coordinates prompt claims resolution through direct contact with providers, claims, pricing and medical management
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Elevance Health
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Richmond, Virginia
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and prevent unnecessary medical-expense spending.
The Nurse Audit Sr. is responsible ... -utilization by performing medical reviews via prepayment claims review and post payment auditing
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Elevance Health
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RICHMOND, Virginia
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organizations) as needed.
Documents interactions with patients and on behalf of patients in medical record ... experience utilizing electronic medical record as well as a minimum of 5 years experience in a healthcare
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Elevance Health
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Richmond, Virginia
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insurance industry and medical terminology and relevant systems and proven understanding of processing
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Elevance Health
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RICHMOND, Virginia
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unnecessary medical-expense spending.
The Senior Investigator is responsible for the
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Elevance Health
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RICHMOND, Virginia
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provides guidance to medical underwriters concerning the risk selection of applicants applying for
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Elevance Health
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RICHMOND, Virginia
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analysis of experience, location, demographics, etc.
Determines and provides guidance to medical
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Elevance Health
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RICHMOND, Virginia
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analysis of experience, location, demographics, etc.
Determines and provides guidance to medical
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Elevance Health
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RICHMOND, Virginia
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Title: Health Educator
Location: This position will work a hybrid model (remote an
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Elevance Health
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RICHMOND, Virginia
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, medical device, HIPAA, data use, AI and technology consulting services.
Collaborate across the ... + years of legal practice experience with a focus on digital health technology, software as a medical
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Elevance Health
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Richmond, Virginia
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planned medical trends and high quality/large provider networks that support business objectives for Medical Loss Ratio (MLR), growth, and income results.
Requires collaborating to identify customers
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Elevance Health
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Richmond, Virginia
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determined to recover, eliminate and prevent unnecessary medical-expense spending.
The **Nurse ... -utilization by performing the most complex medical reviews via prepayment claims review and post payment
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Elevance Health
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Richmond, Virginia
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through extra-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician
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Elevance Health
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Richmond, Virginia
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through extra-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician
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Elevance Health
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RICHMOND, Virginia
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workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical
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Elevance Health
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Richmond, Virginia
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/substance abuse and/or medical disorders preferred.
For Government business only, LAPC, LAMFT, LMSW (as
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Elevance Health
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Richmond, Virginia
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/substance abuse and/or medical disorders preferred.
For Government business only, LAPC, LAMFT, LMSW (as
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Elevance Health
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Richmond, Virginia
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with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.
For
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Elevance Health
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Richmond, Virginia
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/substance abuse and/or medical disorders preferred.
For Government business only, LAPC, LAMFT, LMSW (as
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Elevance Health
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Richmond, Virginia
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social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders
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Elevance Health
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Richmond, Virginia
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social work counseling with a broad range of complex psychiatric/substance abuse and/or medical disorders
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