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Elevance Health jobs in Virginia

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FIN OPS RECOVERY SPEC LEAD

Audits paid claims for overpayments, using various techniques, including systems-based queries, specialized reporting, or other research. Interacts with staff and management from various departments on a regular basis to ensure h...

CompanyElevance Health
AddressNORFOLK, VA
CategoryInformation Technology
Date Posted 2 weeks ago See detail

Fin Ops Recovery Spec Lead

Elevance Health

NORFOLK, VA

Audits paid claims for overpayments, using various techniques, including systems-based queries, specialized reporting, or other research. Interacts with staff and management from various departments on a regular basis to ensure h...

2 weeks ago seen See more...

Associate Relations Consultant Sr.

Elevance Health

NORFOLK, VA

Provides advice, guidance, coaching, and training to associates and managers based on policies and legal consultation, and in accordance with employment laws and regulations. Conducts investigations including managing the witness...

2 weeks ago seen See more...

Business Analyst II

Elevance Health

NORFOLK, VA

Analyzes business needs to determine optimal means of meeting those needs. Assessing overpayment opportunity by reviewing low to high volume claim samples. Accessing provider contracts, company claims policy and coding guidelines...

2 weeks ago seen See more...

Provider Contract / Cost of Care Analyst Senior

Elevance Health

NORFOLK, VA

Performs varied data analyses which may include: Developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs;. Projecting cost increases in medical services by using analy...

2 weeks ago seen See more...

Associate Relations Consultant Sr.

Elevance Health

NORFOLK, VA

Provides advice, guidance, coaching, and training to associates and managers based on policies and legal consultation, and in accordance with employment laws and regulations. Conducts investigations including managing the witness...

2 weeks ago seen See more...

Nurse Case Mgr II (US)

Elevance Health

NORFOLK, VA

Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implement...

3 weeks ago seen See more...

Business Information Consultant

Elevance Health

NORFOLK, VA

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 d...

3 weeks ago seen See more...

Social Work Case Manager (US)

Elevance Health

NORFOLK, VA

Utilizes available community, government, and/or client resources needed to address participant's limitations or support interventions in the management of the participant's chronic condition. Manages behavioral and psychosocial...

3 weeks ago seen See more...

Program Consultant, Educational Youth SME

Elevance Health

NORFOLK, VA

Manages the development, approval, implementation and compliance of on-going external client facing programs. . Develops program budget. . Ensures program meets its stated objectives. . Provides subject matter expertise in respon...

3 weeks ago seen See more...

Program Consultant, Transition-Aged Youth

Elevance Health

Leesburg, VA

Manages the development, approval, implementation and compliance of on-going external client facing programs. . Develops program budget. . Ensures program meets its stated objectives. . Provides subject matter expertise in respon...

3 weeks ago seen See more...

Program Consultant, Judicial Youth SME

Elevance Health

NORFOLK, VA

Manages the development, approval, implementation and compliance of on-going external client facing programs. . Develops program budget. . Ensures program meets its stated objectives. . Provides subject matter expertise in respon...

3 weeks ago seen See more...

Customer Care Representative I, II

Elevance Health

NORFOLK, VA

Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. . Analyzes problems and provides information/solutions. . O...

4 weeks ago seen See more...

Performance Quality Auditor II

Elevance Health

NORFOLK, VA

Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. . Identifies, documents, and reports any transaction errors or communications issues in a timely manner to ens...

4 weeks ago seen See more...

Security Analyst Senior - Integration Management

Elevance Health

NORFOLK, VA

Lead strategic discussions to facilitate planning of integration activities, identify and remediate risks and issues, drive decisions, and track integration activity progress. . Facilitate cross-functional discussions to address...

4 weeks ago seen See more...

Business Information Developer Consultant Senior

Elevance Health

NORFOLK, VA

Undertakes complex assignments requiring additional specialized technical knowledge. . Develops very complex and varied strategic report applications from a data warehouse. . Establishes and communicates common goal and direction...

4 weeks ago seen See more...

Investigator II

Elevance Health

NORFOLK, VA

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. . Responsible for identifying and...

4 weeks ago seen See more...

Specialty Sales Dir - Specialty Sales

Elevance Health

NORFOLK, VA

Focuses on strengthening key relationships, while driving sales and retention results. . Works in partnership with local medical leadership and teams to ensure field sales and retention team goals are met. . Fosters both interna...

4 weeks ago seen See more...

Business Information Developer Consultant (Level 3 Data Engineer)

Elevance Health

RICHMOND, VA

Establish connectivity to operations source systems and data repositories. . Conduct data discovery work to understand strengths, limitations, and opportunities within the available data. . Build an increasingly comprehensive und...

4 weeks ago seen See more...

Direct Sales Agent Lead

Elevance Health

Roanoke, VA

Coaches and monitors telesales representatives to meet performance standards. Provides feedback to telesales representatives and managers. . Implements daily inbound and outbound schedules and maintains adequate telephone coverag...

4 weeks ago seen See more...

Analytics and Operations Support Internship, Summer 2024

Elevance Health

RICHMOND, VA

12 weeks . Paid Summer Internship . Flexible Hybrid Work Schedule . Assist sales with market and prospect analysis . Assist sales with client meeting preparation . Assist sales with broker meeting preparation . Assist the team in...

4 weeks ago seen See more...

Managed Care Coordinator

Elevance Health

Chesapeake, VA

...

a month ago seen See more...

Referral Specialist I

Elevance Health

RICHMOND, VA

Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews referrals for completeness and follows up for add...

a month ago seen See more...

Business Information Developer Consultant

Elevance Health

NORFOLK, VA

Works with Data Science/Carelon Digital to develop Clinical Artificial Intelligence (AI) solutions for the Medical Management team. . Leverages Large Language Models (LLMs) to develop and implement solutions. . Leverages clinical...

a month ago seen See more...

LTSS Service Coordinator - Clinician

Elevance Health

Roanoke, VA

Assists responsible RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. . Assists the responsible RN in identifying members that would benefit from an alternative le...

a month ago seen See more...

Identity and Access Management (IAM) Security Senior Advisor

Elevance Health

NORFOLK, VA

Write and deploy code to downstream applications such as SailPoint. . Provision infrastructure as code for the automated identity management system. . Support internal SLAs (Service Level Agreements) to deliver automated identity...

a month ago seen See more...

Contract Administrator Ld

Elevance Health

NORFOLK, VA

Develops and oversees the regulatory approval process for submission of health insurance products with federal and state insurance regulators. Collaborate with multiple functional business areas (enterprise and local senior manage...

a month ago seen See more...

LTSS Service Coordinator - Clinician

Elevance Health

ROANOKE, VA

Assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long te...

a month ago seen See more...

Foster Care Case Manager (Northern Region)

Elevance Health

Arlington, VA

Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost effective care and modifi...

a month ago seen See more...

Foster Care Case Manager (East Region)

Elevance Health

CHESAPEAKE, VA

Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost effective care and modifi...

a month ago seen See more...

RN Nurse Case Manager I

Elevance Health

Richmond, VA

Ensures member access to services appropriate to their health needs. . Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. . Imple...

a month ago seen See more...

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Top Jobs

Business Analyst, Pharmacy Technician, Medical Assistant, Case Manager, Manager, Program Manager, Security Analyst, Behavioral Health Case Manager, Service Coordinator, Tableau Developer, Nurse Case,

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