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49 virginia premier health plan jobs

Manager, Grievance & Appeals – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Provides coordination and support for the grievance process • Is the subject matter expert related to Grievance and Appeals associated with… CareerBuilder

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Contracting Specialist

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Involves the identification, recruitment, and the contracting of network providers including: Primary Care Physicians, Physician Specialists… CareerBuilder

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Manager, Claims Operations

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Ensure claims are processed in accordance with timely filing guidelines to avoid interest payment penalties • Hire, train, retrain and maintain… CareerBuilder

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Manager of Web Applications

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Oversee the development of web-based solutions to support Virginia Premiers internal and external users • Manage and support the companys online… CareerBuilder

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Contracting Specialist QNXT Implementation – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Review all Medicaid agreements • Document all provider rates and reimbursement methodologies • Coordinate with QNXT implementation analyst on… Virginia Premier Health Plan, Inc.

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Claims Systems Analyst II – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Configure claims systems to support complex business operations such as requirements gathering and the development of… Virginia Premier Health Plan, Inc.

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Compliance Analyst, Medicaid & Medicare Plan – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Assist the Director of Compliance with planning and managing large-scale initiatives to ensure timely completion of program objectives… Virginia Premier Health Plan, Inc.

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Medical Outreach Representative – new

Virginia Premier Health Plan, Inc. 21 Reviews Charlottesville, VA

• Provides medical outreach services through face to face contacts during home or community visits, telephone contact, and/or written communication… Virginia Premier Health Plan, Inc.

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Accounting Systems Analyst III – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Gathers, documents and analyzes business requirements and coordinates and/or performs systems testing, documenting results • Troubleshoots… Virginia Premier Health Plan, Inc.

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Pharmacy Case Manager, RN – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

Under the direction of the Pharmacy Director, the Pharmacy Case Manager, RN is responsible for the day-to-day administrative and operational… Virginia Premier Health Plan, Inc.

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Claims Systems Analyst (Configuration) – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Perform data analysis to resolve basic claims payment discrepancies • Configure provider contracts • Maintain claim system business rules… Virginia Premier Health Plan, Inc.

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Grievance & Appeals LPN – new

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

The Grievances & Appeals Nurse will be responsible for informing and educating plan members and practitioners on the process to properly submit a… Virginia Premier Health Plan, Inc.

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Manager, Member Operations Systems and Analytics

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Provide support for department applications which includes customizing, upgrading, integrating and troubleshooting applications software and… Virginia Premier Health Plan, Inc.

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Systems Analyst III (Database)

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Perform regular database instance-level as well as application-level tuning • Ensure contingency plans for each database system… Virginia Premier Health Plan, Inc.

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Manager, Grievances and Appeals

Virginia Premier Health Plan, Inc. 21 Reviews Richmond, VA

• Provides coordination and support for the grievance process • Is the subject matter expert related to Grievance and Appeals associated with… Virginia Premier Health Plan, Inc.

  • Overview
  • Reviews
  • Salaries
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