JOB DESCRIPTION Job Summary Provides analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business
Director, Data Analytics As a member of the Customer Experience team, the Director, Data Analytics ensures timely creation of key Executive and Health plan management reports, as well as providing critical analytical insights. This role will
Senior Benefit Configuration Analyst Sentara is hiring a Senior Benefit Configuration Analyst! No degree required! This position is fully remote! Candidates must have a current residence in one of the following states or be willing to
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the
OverviewCotiviti works with more than 200 healthcare payers and health systems, including all of the top 25 plans in the United States, to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. We
City/StateNorfolk, VA Work ShiftFirst (Days) Overview: Sentara Health Plans is recruiting Member Enrollment Manager for Commercial and Individual Plans - Remote in VA! Status: Full-Time, permanent position (40 hours) Standard working hours: 8am to 5pm EST,
JOB DESCRIPTION Job Summary This is a fully remote call center role and will work on Pacific time zone. Provides level I support center customer service excellence to meet the needs of Molina members and providers.
JOB DESCRIPTION Job Summary Leads and supervises team responsible for provision of support center customer service excellence to meet the needs of Molina members and providers. Ensures issues and needs are addressed fairly and effectively, and
City/StateRichmond, VA Work ShiftMultiple shifts available Overview: Sentara Health Plans is looking to hire a Senior Business System Analyst! This is a fully remote position. Remote opportunities available in the following states: Virginia, North Carolina, Alabama,
City/StateCharlottesville, VA Work ShiftFirst (Days) Overview: Sentara is hiring a Market Development and Outreach Specialist! This is a hybrid position. Overview The Market Development and Outreach Specialist plays a critical role in supporting Sentara Health Plans’
At Curana Health, were on a mission to radically improve the health, happiness, and dignity of older adults—and were looking for passionate people to help us do it. As a national leader in value-based care, we
City/StateNorfolk, VA Work ShiftFirst (Days) Overview: Sentara is hiring a Senior Business Systems Analyst! This position is fully remote. Overview Position is responsible for support, enhancement and implementation software applications used within the organization. Oversees and
Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a
City/StateNorfolk, VA Work ShiftFirst (Days) Overview: Sentara Health Plans Community Care is looking to hire a Remote Cost of Care Analyst. This is a remote position: Remote opportunities available in the following states: Virginia, North Carolina,
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have
Company Description Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the
Director Of Claims Pricing Solutions Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers.
Delegation Oversight Lead Leads and directs team responsible for multi-state delegation oversight activities including monitoring of delegation oversight to ensure compliance with state, federal, National Committee for Quality Assurance (NCQA), and Molina requirements. Collaborates closely with