Healthcare Analytics Manager Elevance HealthHealthcare Analytics ManagerNorfolk, New HampshireConsults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right service, to measure program outcome and demonstrate value, to help win and retain clients, and to support information based strategic decision making. The Healthcare Analytics Manager employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs.
Healthcare Analytics Manager Elevance Health IncHealthcare Analytics ManagerNorfolk, VA$111,520–$167,280 / yearConsults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right service, to measure program outcome and demonstrate value, to help win and retain clients, and to support information based strategic decision making. Minimum Requirements: Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research and a minimum of 5 years experience in related health care analytics; or any combination of education and experience which would provide an equivalent background.
Senior Project Manager Healthcare Dewberry Engineers IncSenior Project Manager HealthcareHampton Roads, VA$154,000–$198,000 / yearIn this pivotal role, you will manage projects from initial concept through design, bidding, negotiation, and construction administration, ensuring a seamless experience that fosters long-term client relationships and positions us to win future projects. Leveraging your extensive healthcare credentials and deep understanding of these regional markets, you will utilize existing client relationships while actively establishing new connections to acquire new healthcare projects.
Healthcare BI Developer - Utilization Management Elevance Health IncHealthcare BI Developer - Utilization ManagementNorfolk, VAThe Healthcare BI Developer - Utilization Management (Business Information Developer Consultant) will be responsible for designing and delivering advanced data solutions that drive informed business decisions. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Practice Support Specialist (3022) - Administration TPMGPractice Support Specialist (3022) - AdministrationVirginia Beach, VirginiaThis position will work on the Southside (Chesapeake, Norfolk, Virginia Beach, etc.) Position Summary The Practice Support Specialist is responsible for assisting with the development and implementation of projects that are introduced administratively and throughout the physician group. Tidewater Physicians Multispecialty Group (TPMG) includes more than 220 primary care, specialty physicians and advanced practice clinicians in more than 75 locations throughout southeastern Virginia.
Director of Administration - Sheriff City of Hampton VirginiaDirector of Administration - SheriffHampton, VA$70,849–$77,934 / yearTraining and Career Development: The Employee Education Assistance Program (EEAP) encourages employee development through (1) educational programs leading to a degree, (2) skilled craft or trade training leading to a certificate or license and (3) coursework to renew and update skills. The Director of Administration plays a key role in supporting executive leadership, improving internal processes, managing staff, and ensuring accountability across essential support functions.
NewSenior Healthcare Data Analyst Sentara HospitalsSenior Healthcare Data AnalystVirginia Beach, Virginia$80,204.80–$133,681.60 / yearThis position supports key service lines such as Hospital Medicine, Stroke Regulatory Reporting, and Neurosciences, ensuring alignment of provider reporting and performance metrics across the portfolio. The Senior Healthcare Data Analyst provides advanced data analysis and reporting support to drive operational, clinical, and strategic decision-making.
Healthcare Dining Partner Westminster-Canterbury on Chesapeake BayHealthcare Dining PartnerVirginia Beach, VAPart timeRepresent Dining Services in all areas of Westminster Canterbury with a positive attitude, using established customer service guidelines, displaying a positive dining experience by displaying a cheerful demeanor when serving residents and following established procedures for food handling, plate presentation and service. Other job duties include delivering food trays to residents' rooms, preparing daily milkshakes and snacks and taking daily inventory of food and kitchen supplies in the Lighthouses of the Hoy Center and Enhanced Services.
Senior Healthcare Data Analyst Sentara Healthcare IncSenior Healthcare Data AnalystVirginia Beach, VAThis position supports key service lines such as Hospital Medicine, Stroke Regulatory Reporting, and Neurosciences, ensuring alignment of provider reporting and performance metrics across the portfolio. The Senior Healthcare Data Analyst provides advanced data analysis and reporting support to drive operational, clinical, and strategic decision-making.
Aveanna Healthcare Private Duty Nurse RN - Feeding Tube Aveanna Healthcare Holdings IncAveanna Healthcare Private Duty Nurse RN - Feeding TubeSuffolk, VAIt's a dedicated team of caregivers and office staff providing compassionate and exceptionally proficient care to medically fragile children on a level above and beyond anything I have experienced in my 30 years of nursing!". Joining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization.
Aveanna Healthcare Private Duty Nurse RN - Feeding Tube Young Adult Aveanna Healthcare Holdings IncAveanna Healthcare Private Duty Nurse RN - Feeding Tube Young AdultElizabeth City, NCIt's a dedicated team of caregivers and office staff providing compassionate and exceptionally proficient care to medically fragile children on a level above and beyond anything I have experienced in my 30 years of nursing!". Joining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization.
Aveanna Healthcare Private Duty Nurse RN - Feeding Tube Infant (New Patient) Aveanna Healthcare Holdings IncAveanna Healthcare Private Duty Nurse RN - Feeding Tube Infant (New Patient)Norfolk, VAIt's a dedicated team of caregivers and office staff providing compassionate and exceptionally proficient care to medically fragile children on a level above and beyond anything I have experienced in my 30 years of nursing!". Joining our Talent Network will allow you to stay connected with Aveanna, receive alerts with new job opportunities that match your interests, and receive relevant communications and updates from our organization.
Medical Equipment Branch Manager Rotech Healthcare Inc.Medical Equipment Branch ManagerVirginia Beach, VirginiaWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. If you have a background in healthcare management—especially in respiratory therapy or DME—and are passionate about delivering exceptional patient care through operational excellence, this is your opportunity to lead a high-impact team.
NewPractice Manager Anne Arundel DermatologyPractice ManagerNorfolk, VirginiaFull timeThis leadership role is responsible for driving operational excellence across multiple locations by managing medical office operations, leading clinical and administrative teams, improving patient satisfaction, ensuring regulatory compliance, and partnering with physicians to support continued practice growth. Overview: Anne Arundel Dermatology is seeking an experienced Practice Manager to oversee the operations of multiple dermatology offices across the Hampton Roads and Southeastern Virginia region.
NewOperations Manager OrthoVirginiaOperations ManagerVirginia Beach, Virginia$96,000–$144,000 / yearAt OrthoVirginia, our Operations Managers are strategic leaders who support multiple orthopedic clinics by developing high-performing teams, partnering with physicians, and driving operational excellence. With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy.
Simulation Operations Manager Riverside HospitalSimulation Operations ManagerNewport News, VirginiaThis position holds primary responsibility for operational management of the simulation lab, including budget oversight and financial stewardship, procurement and vendor management, inventory and supply chain coordination, and comprehensive equipment lifecycle oversight, including maintenance, service agreements, and technology infrastructure planning. Serving as a key operational liaison, the Simulation Operations Manager collaborates with simulation educators, clinical leadership, Graduate Medical Education, interdisciplinary departments, and institutional administrative offices to align operational infrastructure with educational objectives and enterprise initiatives.
Associate Market General Manager ChenMedAssociate Market General ManagerNorfolk, Virginia$166,652–$238,075 / yearAdvanced knowledge of business and management principles involved in strategic planning, resource allocation, human resource modeling, leadership technique and operations. Partners with the Regional President to provide management support in the oversight and execution of high-quality, cost-effective and VIP service for clinical outcomes that align with the organization.
Clinical Operations Manager Old Dominion UniversityClinical Operations ManagerNorfolk, VA$65,000–$75,000 / yearThis is highly responsible administrative work that involves overseeing and coordinating the daily operations of the rehabilitation facility; supervising business office staff; overseeing patient and third party payer billing; and communicating directly with the clinic director, university employees, students, referral sources, insurance companies, patients, and visitors. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or consistent with contractor's legal duty to furnish information.
NewSentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare) Sentara HospitalsSentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)Norfolk, VirginiaRemoteThe Manager, Quality Performance and Outreach plays a critical role in driving strategic initiatives to improve STARS, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Performance Withold Program (PWP), and Healthcare Effectiveness Data and Information Set (HEDIS) performance across the health plan and enterprise. Reporting directly to the Director, Quality Performance and Outreach, this position leads cross-functional efforts to design, implement, and evaluate outreach and quality improvement programs that enhance member experience, close care gaps, and support regulatory compliance.
NewSentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)- Remote Sentara Healthcare IncSentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)- RemoteNorfolk, VARemoteThe Manager, Quality Performance and Outreach plays a critical role in driving strategic initiatives to improve STARS, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Performance Withold Program (PWP), and Healthcare Effectiveness Data and Information Set (HEDIS) performance across the health plan and enterprise. Reporting directly to the Director, Quality Performance and Outreach, this position leads cross-functional efforts to design, implement, and evaluate outreach and quality improvement programs that enhance member experience, close care gaps, and support regulatory compliance.
Program Manager, HR Compliance & Regulatory Audit Children's Hospital of The King's DaughtersProgram Manager, HR Compliance & Regulatory AuditNorfolk, VALICENSES AND/OR CERTIFICATIONS Required Licenses and/or Certifications Preferred Licenses and/or Certifications SHRM-CP, SHRM-SCP PHR or SPHR Certified in Healthcare Compliance (CHC) Healthcare Human Resources Certification (CHHR) Project Management certification MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS Required Education and Experience Five (5) years of HR compliance, audit, credentialing, and regulatory experience required. Coordinates workforce-related audits conducted by: The Joint Commission and/or DNV Healthcare Centers for Medicare Medicaid Services (CMS) Virginia Department of Health State licensing agencies External auditors and consultants Collects, validates, and provides required documentation during surveys and inspections.
Community Relations Liaison Chesapeake Regional HealthcareCommunity Relations LiaisonChesapeake, VirginiaThis position is responsible for providing education and outreach to community members, physicians, hospitals, health care providers, and organizational partners regarding the full continuum of services, including Home Health, Hospice, Palliative Care, Connected Care Remote Patient Monitoring, Mobile Health, Advanced Wound Healing, and other Supportive Care programs as assigned. Establishes and maintains relationships with referral sources, including hospital case managers, assisted living facilities, skilled nursing/rehab facilities, physicians’ offices, guardianship organizations, other home health and hospice agencies, etc.
NewNurse Case Manager I Elevance HealthNurse Case Manager INorfolk, VA$67,000–$105,000 / yearThe Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewNurse Case Manager I Elevance Health IncNurse Case Manager INorfolk, VA$67,000–$105,000 / yearThe Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewManager, Patient Relations Children's Hospital of The King's DaughtersManager, Patient RelationsNorfolk, VALICENSES AND/OR CERTIFICATIONS Required Licenses and/or Certifications Required MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS Required Education and Experience Bachelors degree in a related field required (e.g., Healthcare Administration, Public Health, Social Work, Nursing, or a closely related discipline). GENERAL SUMMARY The Manager, Patient Relations leads CHKDs patient relations operations and provides expert guidance and operational support to the Patient Relations team.
Manager, Nursing and Patient Care Services, Acute Care Services Sentara HospitalsManager, Nursing and Patient Care Services, Acute Care ServicesNorfolk, VirginiaAs a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women’s health, including a state-of-the-art neonatal intensive care unit. Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
NewIT HEDIS & Analytics Manager Sentara Healthcare IncIT HEDIS & Analytics ManagerNorfolk, VAExperience working with HEDIS-related vendors or platforms such as Arcadia, Cotiviti, Inovalon, or comparable systems, with the ability to communicate technical issues clearly to business, vendor, audit, project, and executive stakeholders.(preferred). Strong knowledge of payer enrollment, claims, encounters, pharmacy, provider, laboratory, clinical, supplemental data, ETL, SQL, data warehouses, Databricks, file-based integrations, APIs, testing, reconciliation, and production support.
Manager, Nursing and Patient Care Services, Acute Care Services Sentara Healthcare IncManager, Nursing and Patient Care Services, Acute Care ServicesNorfolk, VAAs a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. Sentara Norfolk General Hospital, located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School.
Manager Of DRG Coding & Clinical Validation Audit Elevance HealthManager Of DRG Coding & Clinical Validation AuditNorfolk, VA$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Executive Director of Revenue Cycle Management Eastern Virginia Medical SchoolExecutive Director of Revenue Cycle ManagementNorfolk, VAThe ED RCM operationalizes revenue cycle strategy, drives KPI performance, and ensures Epic Revenue Cycle-enabled workflows support accurate charge capture, timely billing, regulatory compliance, and optimal cash flow, with scope and priorities aligned to evolving organizational needs, reporting jointly to the Medical Group Chief Executive Officer (CEO) and ODU Chief Revenue Officer (CRO). Department Objective: The Medical Group Revenue Cycle function ensures the financial integrity and sustainability of Medical Group operations by delivering accurate charge capture, compliant billing, effective payer management, and timely collections across all practices.
Nurse Manager, Registered Nurse (RN) Hampton-Newport News Community Services BoardNurse Manager, Registered Nurse (RN)Hampton, VA$80,000–$85,000 / yearFull timeSince 1971, the Hampton-Newport News Community Services Board has provided the highest quality of behavioral health services to residents of the cities of Hampton and Newport News, Virginia, offering a comprehensive array of programs for both children and adults living with mental illness, developmental disabilities, and/or substance use disorders. As the RN Nurse Manager in the BJ Roberts Behavioral Health Center at the Hampton-Newport News Community Services Board, you will lead the coordination and delivery of psychiatric and medical services for individuals experiencing acute mental health and substance use crises at our BJ Roberts Behavioral Health Center.
Clinical Operations Manager Commonwealth of VirginiaClinical Operations ManagerNorfolk, VAThis is highly responsible administrative work that involves overseeing and coordinating the daily operations of the rehabilitation facility; supervising business office staff; overseeing patient and third party payer billing; and communicating directly with the clinic director, university employees, students, referral sources, insurance companies, patients, and visitors. Job Description: The Clinical Operations Manager will oversee the daily operations of the clinic to ensure the clinic is fiscally viable to support its vision and mission.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditNorfolk, VA$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Project Manager Elevance Health IncProject ManagerNorfolk, VAMinimum Requirements: Requires a BA/BS in a related field and minimum of 3 years professional project management experience, which at least 2 years are spent leading and directing project tasks; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Business Change Manager Senior - Payment Integrity Elevance Health IncBusiness Change Manager Senior - Payment IntegrityNorfolk, VA$93,760–$161,736 / yearFor URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. The Business Change Manager Senior Payment Integrity is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals.
Department Administrator I Eastern Virginia Medical SchoolDepartment Administrator INorfolk, VAServes as a key partner to departmental and executive leadership in developing operational strategies, optimizing clinical productivity, improving financial outcomes, enhancing patient experience, and ensuring compliance with healthcare regulations and industry best practices. Conduct regular reviews of departmental financial activity to ensure resources are appropriately allocated, expenditures are properly charged, and budgets remain aligned with departmental priorities and strategic goals.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerPortsmouth Heights, VA$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Managed Care Coordinator Elevance HealthManaged Care CoordinatorNorfolk, VirginiaThe Managed Care Coordinator will be responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. Requirements: BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations; or any combination of education and experience which would provide an equivalent background.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Suffolk, VA$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)Suffolk, VA$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Managed Care Coordinator Elevance Health IncManaged Care CoordinatorNorfolk, VA$25–$31.25 / hourThe Managed Care Coordinator will be responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. Requirements: BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations; or any combination of education and experience which would provide an equivalent background.
Medical Management Nurse Elevance Health IncMedical Management NurseNorfolk, VA$75,772–$113,658 / yearHow you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.
Compliance Auditor Chesapeake Regional HealthcareCompliance AuditorChesapeake, VirginiaParticipates in external government audits, including but not limited to: Centers for Medicare and Medicaid Services (CMS); Office of Inspector General (OIG); Medicaid Fraud Control Unit (MFCU); Virginia Department of Health (DOH); Medicaid Integrity Program Contractor (MIC); Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud Prevention and Enforcement Action Team (HEAT). Performs medical record audits of documentation, coding and billing for technical and professional services, including: CPT; ICD10; HCPCII; DRG; APC; APG; Modifiers; Non-Physician Practitioner Documentation (including “incident-to” guidelines), and other services; Conducts audits of electronic and manual documentation, coding, and billing systems.
NewOncology Practice Enablement Clinician Sr. - Quality, Value Based Care, And Practice Tranformation Elevance HealthOncology Practice Enablement Clinician Sr. - Quality, Value Based Care, And Practice TranformationNorfolk, VA$112,880–$203,184 / yearThe Oncology Practice Enablement Clinician Senior will be responsible and accountable for partnering and building critical relationships with larger complex oncology practices to drive success with key strategic solutions that involve practice collaboration and enablement to improve member care quality and value within the development of a Value Based Network (VBN) for the Total Cost of Care (TCOC) in oncology care. translates performance reporting and analytics (including the Carelon Provider Dashboard) into scalable tools, guidance, and practice transformation approaches, while also contributing to solution strategy, provider engagement design, and leading the majority (but not all) of the team's project-based work.
Psychologist Reviewer Senior - ABA Elevance HealthPsychologist Reviewer Senior - ABANorfolk, VA$107,280–$185,058 / yearD in clinical/counseling psychology and minimum of 5 years of experience in a Behavioral Health/Clinical setting and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background. Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.
Psychologist Reviewer - ABA Elevance HealthPsychologist Reviewer - ABANorfolk, VA$93,120–$160,632 / yearMentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing. D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background.
Director Operations II, Orthopedics and Pain Management Sentara Healthcare IncDirector Operations II, Orthopedics and Pain ManagementVirginia Beach, VA5 sub-specialties (ortho trauma, ortho hand, sports medicine, general ortho, foot & ankle) covering 13 clinic locations across Hampton Roads and NENC with the addition of a Peninsula location later this year. Develops and executes a strategic plan that aligns with the organizational objectives related to staffing, employee development, performance management, customer service/satisfaction, service delivery, quality, revenue enhancement, expense control, budgeting, regulatory compliance, safety and security.
Director Operations II, Orthopedics and Pain Management Sentara HospitalsDirector Operations II, Orthopedics and Pain ManagementVirginia Beach, Virginia5 sub-specialties (ortho trauma, ortho hand, sports medicine, general ortho, foot & ankle) covering 13 clinic locations across Hampton Roads and NENC with the addition of a Peninsula location later this year. Develops and executes a strategic plan that aligns with the organizational objectives related to staffing, employee development, performance management, customer service/satisfaction, service delivery, quality, revenue enhancement, expense control, budgeting, regulatory compliance, safety and security.
NewCyber Security Manager Enterprise Identity Sentara HospitalsCyber Security Manager Enterprise IdentityVirginia Beach, Virginia$116,729.60–$216,777.60 / yearExtensive experience in technology and cybersecurity, including at least 15 years of relevant experience and 5 or more years in a senior leadership role; healthcare integrated delivery network or health plan experience preferred. IoMT security: Extend IAM principles to the Internet of Medical Things by ensuring medical devices, such as infusion pumps and monitors, authenticate with unique machine identities before accessing clinical networks.
Psychologist Reviewer - ABA Elevance Health IncPsychologist Reviewer - ABANorfolk, VA$93,120–$160,632 / yearMentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing. D in clinical/counseling psychology and managed care experience which includes experience with the administration and interpretation of psychological test batteries; or any combination of education and experience, which would provide an equivalent background.