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Remote Jobs with Emergency backup care Benefits

28 fresh jobs found

Underwriter - Remote (Select States)
Sentara Health Plans Community Care, United States

Self-funding Renewal rating Prospect rating Insurance coverage Financial statements Guidance Statistical analysis Underwriting Risk Assessment +6

USD 88K+

Remote Clinical Pharmacy Specialist
Sentara Ambulatory Pharmacy Administration, United States

Drug information Patient counseling Anticoagulation Medication Reconciliation Clinical pharmacy Diabetes Management BLS Clinical Practice Policy Development +18

USD 81K+

Supervisor, Integrated Care Management
Sentara Health Plans Richmond - Remote, United States

Behavioral health services Health Plan Experience RN license Educational Services BLS Health Plan Supervisory Care Coordination RN +19

USD 127K+

Fraud and Abuse Investigator/CPC- Remote!
Virginia Remote, United States

Behavioral health services Statistical sampling Health Plan Medical Coding Healthcare Compliance Report Writing Fraud Investigation Interviewing Claims processing +18

USD 88K+

Process Improvement Engineer- Remote
Virginia Premier Health Plan Glen Allen, United States

Behavioral health services Human resource management Health Plan Experience Healthcare Management Healthcare operations Lean Six Sigma Health Plan Six Sigma Lean +18

USD 101K+

Senior Business Analyst Remote
Sentara Health Plans Richmond - Remote, United States

Jiva System Configuration Utilization management Business Analysis Information Technology Reimbursement Support Implementation Testing +8

Senior Mid Full Time

USD 102K+

Integrated Nurse Case Manager
Sentara Health Plans Wise - Remote, United States

Coordinate RN license Discharge planning Health Plan Clinical assessments Care Coordination RN Claims Care management +13

USD 111K+

Integrated Nurse Case Manager
Sentara Health Plans Roanoke - Remote, United States

Coordinate RN license Discharge planning Health Plan Clinical assessments Care Coordination RN Claims Care management +13

USD 111K+

Supervisor, BH Care Coordination - Remote in Virginia Only
Sentara Health Plans Richmond - Remote, United States

Behavioral health coordination RN licensure Educational Services Supervisory Care Coordination RN Coordination Care management Case Management +6

USD 127K+

Integrated Case Manager/RN- Fairfax, Woodbridge, NOVA!
Sentara Health Plan - Northern Virginia Remote, United States

Behavioral health services Health care coordination Chronic Illness Management RN license Telephonic assessments Health Plan Experience Discharge planning Health Plan Clinical assessments +21

USD 111K+

Business Analyst - Remote
Sentara Park 1300, United States

Analytical Principles Statistical Tools Information systems Business Analysis Information Technology Reimbursement Support Implementation IT +5

Entry Mid Full Time

USD 101K+

Manager, Behavioral Health Care Management/RN/LCSW/LPC/LCAS- Remote in VA!
Sentara Health Plans Community Care, United States

Quality Outcome Indicators Addiction recovery Claims analysis Human services Staff Development Healthcare Management NCQA LPC Health Plan +32

Senior Mid Full Time

USD 153K+

Temp Registered Nurse Medicare Case Manager - Remote (Virginia Only)
Sentara Health Plans Williamsburg - Remote, United States

Health care coordination Chronic Illness Management RN license Telephonic assessments Health Plan Clinical assessments Acute care Care Coordination RN +17

USD 94K+

Board Certified Behavior Analyst (BCBA)/Behavioral Health Utilization Management- Remote in VA!
Virginia Remote, United States

Behavioral health services Managed care contracting Coordinate Autism spectrum disorder Health Plan Experience Clinical protocols Compliance requirements Clinical Judgment Mental health services +27

Entry Mid Full Time

USD 101K+

Strategic Sourcing Manager- Remote
Sentara Supply Chain, United States

Product trials Product standardization Cost reduction Healthcare Management Strategic sourcing Accreditation Care management Consultation Sourcing +10

USD 132K+

Business Analyst - Remote
Sentara Health Plans Richmond - Remote, United States

Data Reporting Information systems Claims processing Statistical analysis Claims Dashboards Data integrity Business Analysis Business Intelligence +18

Entry Mid Full Time

USD 89K+

Sr IT Specialty Analyst ERP
Sentara Supply Chain, United States

Custom Validation Workday EIB Workday Worksheets Workday Configuration Healthcare supply chain Business Process Configuration Service Now Workday ERP Calculated Fields +17

Senior Mid Full Time

USD 152K+

Qualified Health Plan (QHP) & Business Support Manager- Remote!
Virginia Remote, United States

Visual Basic Health Plan Enrollment Wellness Claims Managed Care Medicare Medicaid Regulatory +16

USD 116K+

Integrated Case Manager - Registered Nurse
Sentara Health Plans - Fredericksburg Remote, United States

Health promotion Home Health Community Health Electronic Medical Records Care Coordination Wellness RN Coordination Microsoft Outlook +16

USD 111K+

Business Analyst - Clinical Insights and Operations
Sentara Health Plans Richmond - Remote, United States

Data Storytelling Data Reporting Information systems Statistical analysis Dashboards Business Analysis Business Intelligence Power BI Optimization +13

Entry Mid Full Time

USD 89K+

Manager, Actuary - Remote (Select States)
Sentara Park 1300, United States

Rate Development Financial Risk Management Actuarial Analysis Actuarial modeling Financial reporting Support Reimbursement Team Leadership Mentoring +6

USD 188K+

Integrated Nurse Care Manager
Sentara Health Plans Richmond - Remote, United States

Coordinate Interdisciplinary Collaboration Health education Clinical assessments Accreditation Care Coordination Quality improvement RN Care management +12

USD 111K+

Integrated Nurse Case Manger
Sentara Health Plans Richmond - Remote, United States

Chronic Illness Management RN license Telephonic assessments Clinical assessments Health Plan Care Coordination RN Care management Coordination +16

USD 111K+

Supervisor, Rehabilitation
North Carolina Remote, United States

PT SLP OT Policy compliance BLS Staff Development Program development LCSW Quality improvement +11

USD 87K+

Integrated Nurse Case Manager
Virginia Premier Health Plan Richmond, United States

RN license Clinical assessments Discharge planning Health Plan Care Coordination RN Care management Nursing Managed Care +10

USD 66K+

Compliance Coding Auditor
Sentara Patient Accounting, United States

PBB locations Federal payer policies MPFS payment methodology NPP services Physician education Coder education Management of AR queries Compliance coding Multi-specialty coding +21

USD 50K+

Actuarial Analyst II - Remote (Select States)
Sentara Health Plans Community Care, United States

IBNR calculation Financial evaluation Deadline management Actuarial Analysis Government programs Risk Adjustment Data Modeling Medicaid Medicare +14

USD 74K+

Intermediate Configuration Analyst - Remote
Virginia Premier Health Plan Glen Allen, United States

Networx pricer Contract configuration Networx Qnxt Technical experience Functional analysis System Configuration Health Plan Acute care +15

USD 52K+

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