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Health Services jobs in Glen Allen, VA

Sr. Data Warehouse Developer
Physical health sufficient to meet the ergonomic standards and demands of the position. Responsible for soliciting and capturing business requirements and...
Desired Experience: Microsoft SQL Server, TFS, SQL, Data Warehouse
Senior Manager, Utilization Management
The Senior Manager of UM will assist and partner with the Director of Health Services, Vice President of Health Services and the Medical Directors in...
Desired Experience: Time Management, RN, NCQA Standards, Management Experience, Microsoft Office, Medical Terminology, Managed Care

Director, Health Services

Glen Allen, VA
Knowledge of utilization management, preferably service authorizations related to waiver services. The Director of Health Services is responsible for the...
Desired Experience: CCC-SLP, Case Manager Certification, Time Management, RN, NCQA Standards, Management Experience, Microsoft Office, Case Management, Managed Care

Administrative Assistant

Glen Allen, VA
Demonstrated customer service skills. At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart,...
Desired Experience: Clerical Experience, Office Experience, Microsoft Office, Customer Service

Provider Service Representative

Glen Allen, VA
Provide services in the recruitment and maintenance of a quality provider network in accordance with the corporate plans of Virginia Premier Health Plan, Inc....

Claims Production Team Lead

Glen Allen, VA
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member...
Desired Experience: CPT Coding

Vice President, Health Services

Glen Allen, VA
The Vice President, Health Services provides oversight and management of integrated health services within the medical management department which encompasses...
Desired Experience: RN, NCQA Standards, Management Experience, Managed Care

Manager, Health Exchange Grievance & Appeal

Glen Allen, VA
Experience in a health care office environment. At Virginia Premier, we are building an industry leading health care organization through dedicated teams that...

Manager, Behavioral Health

Glen Allen, VA
Promote and measure improvements in health outcomes for individuals receiving behavioral health services....
Desired Experience: Program Development, RN, Social Work License, Behavioral Health

Clinical Reviewer

Glen Allen, VA
Obtains, reviews, and enters clinical information from service providers for the following services:. Knowledge of Medicaid waiver services (such as EDCD, Tech,...
Desired Experience: CCC-SLP, RN, ICD-10, Microsoft Office, CPT Coding, Managed Care

Pharmacy Compliance Coordinator

Glen Allen, VA
Knowledge of health plan operations including claims, enrollment, sales, health services, membership, and marketing....
Desired Experience: Microsoft Powerpoint, Visio, Certified Pharmacy Technician

Continuous Improvement Consultant

Glen Allen, VA
Health insurance industry experience strongly preferred. At Virginia Premier, we are building an industry leading health care organization through dedicated...
Desired Experience: Microsoft Powerpoint, Project Management, Process Improvement, Lean, Microsoft Word, SharePoint, Continuous Improvement
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