Jobs near James City: 4,178
RS
Relevance Score ranked on: FIELD REPRESENTATIVE
Field Representative - Insurance Inspections - Richmond, VA
Richmond
As a Verisk Field Representative, you will evaluate commercial business sites for multiple lines of insurance coverage, loss prevention and risk assessment. You will assist insurers in their policy underwriting and pricing decisions through onsite observations and reporting. This is a full-time posit...
Search Terms: Field Representative, Insurance, Business Operations, Inspection, Representative
92.9
0mi
Updated: October 01
Clinical Fraud Investigator II - SIU Fraud & Abuse
RICHMOND, 2103 STAPLES MILL RD,
Conducts data mining activities using available tools and internal data warehouse. Performs comprehensive analysis and clinical evaluation of the collected data. Performs in-depth investigations on identified providers as warranted. Examines claims for compliance with relevant billing and processing ...
Search Terms: Fraud, Clinical, Investigator, Healthcare, Benefits
0
0mi
Updated: October 01
Clinical Program Development Manager - CarelonRx
RICHMOND, 2103 STAPLES MILL RD,
Evaluates industry best practices, medical research, and other resources to develop clinical programs and tools that facilitate and support quality, cost-effective care. Develops and implements an annual plan detailing the strategies, programs, and tools to be implemented. Leads program development a...
Search Terms: Development, Clinical, Manager, Program, Public Health
0
0mi
Updated: October 01
Process Expert I - PBM
RICHMOND, 2103 STAPLES MILL RD,
Monitors reports/has oversight of Intake Site. Reviews adjustment requests submitted to Intake site for accuracy and clarifies requests with the submitter as appropriate. Receives guidance and mentoring from more experienced process experts. Researches operations workflow problems and system irregula...
Search Terms: Expert, Process, Operations, Technology, Healthcare
0
0mi
Updated: October 01
Nurse Care Mgr II (US)
RICHMOND, 10030 ROBIOUS RD
The Nurse Care Mgr II is responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs...
Search Terms: Nurse, Medical Director, Patient Services, Benefits, Management
0
0mi
Updated: October 01
Nurse Care Mgr II (US)
RICHMOND, 10030 ROBIOUS RD
The Nurse Care Mgr II is responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs...
Search Terms: Nurse, Medical Director, Patient Services, Benefits, Management
0
0mi
Updated: October 01
Program Coordinator - Long Term Services and Support Center of Excellence (Operations)
RICHMOND, 2103 STAPLES MILL RD,
Program Coordinator – Long Term Services and Support Center of Excellence (Operations) Locations: NJ, FL, VA, NC, CA, IA, KS, TX, TN, NY, GA, OH, AR, and IN - Associates are required to live within a 50-mile radius and a 1-hour commute to one of our Elevance Health major office (Pulse. Point) locatio...
Search Terms: Program Coordinator, Operations, Support, Coordinator, Program
0
0mi
Updated: October 01
Program Coordinator - Long-Term Services & Supports (LTSS Operations)
RICHMOND, 2103 STAPLES MILL RD,
Program Coordinator – Long-Term Services & Supports (LTSS Operations) Locations: NJ, FL, VA, NC, CA, IA, KS, TX, TN, NY, GA, OH, AR, and IN - Associates are required to live within a 50-mile radius and a 1-hour commute to one of our Elevance Health major office (Pulse. Point) locations. Elevance Heal...
Search Terms: Program Coordinator, Operations, Support, Coordinator, Program
0
0mi
Updated: October 01
Nurse Care Mgr II (US)
RICHMOND, 10030 ROBIOUS RD
The Nurse Care Mgr II is responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs...
Search Terms: Nurse, Medical Director, Patient Services, Benefits, Management
0
0mi
Updated: October 01
Business Information Analyst Senior – SQL
RICHMOND, 2015 STAPLES MILL RD
Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and...
Search Terms: Business, Senior, Analyst, Information, Technology
0
0mi
Updated: October 01
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