The posting provides no specific responsibilities; its job-description section contains placeholder text. The Lead Healthcare Data Analyst title indicates a senior role focused on healthcare data analysis, but no duties are detailed.
The posting does not describe specific day-to-day responsibilities for the Referral Specialist I role. It identifies the position as part of Sentara Independence, an outpatient facility providing emergency, imaging, and physical therapy services.
The Director provides strategic and operational leadership for the Epic revenue cycle application portfolio, including SBO, HB, and PB modules. They are responsible for driving technology strategy, governance, and enterprise billing transformation initiatives to improve financial and operational outcomes.
The consultant will lead cross-functional analytics and data governance initiatives while developing enterprise reporting and dashboards. They will partner with business leaders to deliver actionable insights and automated monitoring solutions to support strategic decision-making.
The investigator conducts in-depth reviews of suspected fraud, waste, and abuse involving providers, members, and pharmacy claims. They also perform routine desk audits and on-site audits to ensure accurate reimbursement and coding compliance.
The IT Specialty Analyst is responsible for the day-to-day support, maintenance, and optimization of clinical applications, specifically Epic Inpatient ClinDoc. They partner with clinical stakeholders to analyze workflows, implement system improvements, and ensure the reliability of clinical systems.
The Care Coordination Technician provides direct support to care staff by performing telephone triage, data entry, and coordinating member services. They are responsible for scheduling health assessments and conducting provider outreach to ensure compliance with care plans.
The Business Systems Analyst supports the accuracy and integrity of benefit plan data within the Simplify Benefits1 platform through quality assurance and data validation. They collaborate with stakeholders to resolve issues, implement system enhancements, and develop operational tools to improve efficiency.
The analyst is responsible for identifying, developing, and presenting medical cost savings opportunities through payment policy research and technical writing. They will collaborate with internal and external stakeholders to define and deliver initiatives that align with health plan goals.
The Inpatient Case Management Authorization Technician assists the case management team by preparing referral packets and obtaining pre-authorizations for post-acute care. They also coordinate with insurance companies and document clinical information to ensure timely patient care transitions.
The Benefit Configuration Manager leads the strategic oversight and execution of benefit configuration within the QNXT platform to support claims adjudication and regulatory compliance. This role manages the end-to-end lifecycle of benefit plans, including team leadership, quality assurance, and cross-functional collaboration on system enhancements.
The consultant supports executive leadership by coordinating cross-functional analytics and governance initiatives to meet strategic goals. They provide guidance on the development of analytic models, dashboards, and strategic reporting across the enterprise.
The Integrated Nurse Case Manager develops and monitors care plans for members with chronic or complex conditions to optimize health outcomes. They perform clinical assessments and coordinate care across the continuum, including telephonic and face-to-face home visits.
The Senior Underwriter is responsible for underwriting complex employer groups and leading strategic rating decisions to balance competitiveness and profitability. They also serve as a mentor and subject-matter expert while collaborating with Sales, Actuarial, and Leadership teams.
The Senior Healthcare Data Analyst provides data analysis support by developing reports and dashboards to monitor program and operational performance. They also act as a subject matter expert to offer data-driven conclusions and recommendations to business partners.
The Compensation Analyst is responsible for designing, budgeting, and implementing compensation policies to attract and retain talent. They analyze market data, collaborate with stakeholders, and administer bonus and merit plans to ensure competitive pay structures.
The Patient Care Specialist provides non-clinical administrative support in a physician's office to ensure an excellent patient experience. Primary duties include answering phones, scheduling appointments, and addressing patient inquiries.
The Contact Center Advisor is responsible for handling telephonic sales inquiries, identifying qualified prospects, and enrolling eligible consumers in insurance plans. They also perform upselling and cross-selling activities while providing expert guidance on insurance coverage options.
The Compliance Coding Auditor performs internal audits to ensure optimal ethical reimbursement and adherence to federal coding guidelines. They also provide education to physicians and coders while managing audit queries and liaising with external auditors.
The role involves supporting the implementation, maintenance, and optimization of Epic applications across clinical and revenue cycle teams. Responsibilities include performing workflow analysis, system configuration, troubleshooting, and collaborating with stakeholders to translate business needs into effective technical solutions.
The Senior IT Specialty Analyst supports, maintains, and optimizes Epic applications across clinical and revenue cycle areas. Responsibilities include application configuration, workflow assessment, system testing, and leading project initiatives.
The Director will lead the enterprise identity and digital trust program by building scalable, automated, and policy-driven solutions. They are responsible for reducing risk, strengthening compliance, and enabling secure digital transformation within a healthcare environment.
The Talent Acquisition Specialist partners with hiring managers to identify and implement strategic recruiting solutions for open positions. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value candidates.
The Program Manager will develop and implement an enterprise resilience program to strengthen the organization's ability to respond to and recover from various operational and technical disruptions. They will coordinate cross-functional teams to define recovery objectives, conduct resilience assessments, and manage documentation for critical business services.
The Director provides strategic and operational leadership for the Epic revenue cycle application portfolio, including the Single Billing Office, Hospital Billing, and Professional Billing. This role drives technology strategy, governance, and innovation to improve financial performance and patient experience across the organization.
The Senior Business Analyst identifies process improvement opportunities and serves as a liaison between business stakeholders and IT. They are responsible for gathering requirements, coordinating user acceptance testing, and developing reports to support strategic decision-making.
The Program Manager, Total Rewards is responsible for managing and administering compensation and benefits programs to ensure market competitiveness. They will analyze market data and business needs to support the development and implementation of total rewards strategies.
The Senior Healthcare Data Analyst converts vendor file specifications and business requirements into detailed data mapping documentation for the Enterprise Data Platform. This role acts as a liaison between stakeholders and technical teams to ensure data integration, validation, and delivery within the analytics ecosystem.
Performs casework duties and provides case management services to patients, families, and caregivers. Monitors multidisciplinary collaboration of services and assists patients with medical and environmental needs.
The Senior Coding Specialist assists the manager with daily operations, quality control, and service goals within the acute care department. They serve as a technical resource for team members and facilitate monitoring of work processes to ensure regulatory compliance.
The Director leads a process improvement team to drive transformative changes in clinical and operational processes through strategic planning and resource allocation. They are responsible for managing concurrent projects, overseeing change management, and fostering a culture of continuous improvement across multiple departments.
The Accounts Receivable Specialist manages daily operations including the collection of payments from consumers and insurance companies. They are responsible for resolving billing issues, reconciling accounts, and maintaining accurate transaction records to ensure financial compliance.
The Sales Executive will drive new business growth by developing territory strategies and cultivating relationships with brokers and employer groups. They will manage the entire sales cycle, including RFP responses, finalist presentations, and negotiations to secure profitable commercial health insurance contracts.
The therapist assesses the social, psychological, and environmental needs of patients presenting with behavioral health concerns in the emergency department. They collaborate with healthcare teams and families to develop, implement, and evaluate effective treatment plans.
The therapist assesses the social, psychological, and clinical needs of patients presenting with behavioral health concerns in the emergency department. They collaborate with families and healthcare teams to develop, implement, and evaluate effective treatment plans.
The representative is responsible for researching and resolving telephone inquiries from patients regarding billing, eligibility, and plan benefits. They also handle patient service needs such as updating billing information, establishing payment plans, and managing patient scheduling.
The Registered Nurse assesses patients, performs triage, and assists physicians with examinations and procedures in an ambulatory setting. They also manage patient education, coordinate care, and maintain clinical documentation within the electronic health record.
The Registered Nurse provides nursing care in an ambulatory setting, including patient assessment, triage, and the administration of medications and immunizations. They also manage patient follow-up, coordinate care, and maintain accurate clinical documentation within the electronic health record.
The manager drives revenue cycle change initiatives by collaborating with operational leaders to improve key performance indicators. They lead project management for technology and process rollouts while ensuring data-driven solutions are implemented effectively.
The Workday Technology Analyst is responsible for configuring, supporting, and enhancing Workday Human Capital Management solutions to ensure efficient and compliant people processes. This role involves partnering with stakeholders to translate business needs into scalable technical solutions and managing system upgrades.
The Talent Acquisition Specialist manages the full-cycle recruitment process, including sourcing, screening, and interviewing candidates to meet workforce needs. They partner with hiring managers and HR Business Partners to develop strategic recruiting solutions and maintain continuity across the team.
The analyst is responsible for the day-to-day support, maintenance, and optimization of Epic Willow applications to ensure efficient medication management. They collaborate with clinical and operational stakeholders to implement system enhancements, perform workflow assessments, and manage incident resolution.
This role acts as a bridge between clinical operations and IT to deliver reporting, analytics, and quality initiative support for the DSNP line of business. The analyst is responsible for identifying data gaps, building dashboards, and overseeing components of large-scale clinical program initiatives.
The manager will lead a team of analytical resources to monitor pharmacy trends, develop reporting, and support PBM oversight including financial guarantees and invoicing. This role involves balancing complex independent analysis with mentoring staff and collaborating across departments like IT, Finance, and Compliance.
The nurse assesses patients, performs triage, and provides care coordination within a physician practice or ambulatory clinic setting. They also manage patient communication, administer medications, and support population health outreach through clinical documentation.
The Lead IT Analyst supports the implementation and optimization of ServiceNow AI solutions while maintaining enterprise software applications. This role involves conducting workflow assessments, troubleshooting system issues, and collaborating with stakeholders to align technology with operational goals.
Design, develop, implement, and support enterprise IAM and IGA solutions using Saviynt, including integrations, automated workflows, access governance, and compliance controls. Troubleshoot and enhance IAM systems, analyze identity and access data, support audits, and collaborate with technical teams and business stakeholders.
The Referral Coordinator acts as a liaison between patients, primary care providers, specialty providers, and insurance companies. They manage the referral process and handle pre-authorization approvals for medications and medical services.
The Sales Executive manages and grows broker relationships within assigned territories to drive Small Group new sales and renewals. They serve as a trusted consultant to stakeholders while collaborating with internal teams to meet performance metrics and business objectives.
The Senior Business Systems Analyst serves as the primary liaison between business units and IT to support enrollment and eligibility processes, specifically focusing on EDI 834 file exchanges. They are responsible for eliciting requirements, mapping data flows, leading testing activities, and optimizing system performance through data analysis and reporting.
The representative is responsible for researching and resolving telephone inquiries from members and patients regarding eligibility, benefits, and claims. They also handle patient services such as billing updates, payment plans, and scheduling.
The analyst is responsible for the support, testing, and maintenance of Epic Population Health applications including Healthy Planet and Inpatient Case Management. They partner with clinical and technical teams to analyze workflows, resolve application issues, and support system enhancements.
The HIPAA Privacy Analyst is responsible for monitoring and ensuring organizational compliance with HIPAA privacy regulations. They will conduct privacy assessments and provide guidance on the protection of health information.
The Talent Acquisition Specialist will partner with hiring managers to identify and recruit diverse, high-value candidates for various business units. This role involves executing recruitment strategies, managing the full-cycle hiring process, and proactively building talent pipelines using CRM tools.
The Senior Cloud Engineer designs, implements, and operates secure, scalable cloud platforms to support enterprise applications, AI, and machine learning workloads. This role focuses on infrastructure automation, Kubernetes management, and ensuring operational excellence through DevSecOps practices.
The Registered Nurse provides nursing care in an ambulatory setting, including patient assessment, triage, and medication administration. They also coordinate patient care, manage follow-ups, and support population health outreach initiatives.
The Registered Nurse assesses patients, performs triage, and assists physicians with examinations and procedures in an ambulatory setting. They also manage patient education, coordinate care, and document clinical information within the electronic health record.
The Senior Pharmacy Performance Specialist acts as a liaison between Finance, Analytics, IT, and Pharmacy to manage data content and business logic. This role involves gathering requirements, performing analysis, and supporting the development and testing of processes for the Pharmacy Department.
The Advanced Practice Provider will perform health risk assessments and manage prescription rewrites within the Case Management Pharmacy Program. They will collaborate with a multidisciplinary team to review approximately 150 patients per month specifically within the Medicaid population.
The Advanced Practice Provider will perform health risk assessments and manage prescription rewrites for patients within the Case Management Pharmacy Program. They will collaborate with a multidisciplinary team to review approximately 150 patients per month specifically within the Medicaid population.
The Advanced Practice Provider will perform health risk assessments and manage prescription rewrites within the Case Management Pharmacy Program. They will collaborate with a multidisciplinary team to provide care for patients covered by Sentara Medicaid.
The accountant is responsible for recording routine and non-recurring accounting entries and preparing account reconciliations to the general ledger. They also prepare financial statements and perform financial analyses for routine and special projects.
The manager will lead cyber communications and security awareness programs to drive a stronger security culture and mitigate human risk. They are responsible for maturing the security education program, managing team communications, and ensuring compliance with industry security standards.
The IT Specialty Analyst is responsible for the support, maintenance, and optimization of Epic HIM Coding applications. This role collaborates with cross-functional teams to analyze workflows and implement system solutions that ensure coding accuracy and operational efficiency.
The Quality Improvement Specialist conducts comprehensive clinical and documentation reviews of behavioral health claims to ensure compliance with medical necessity and regulatory requirements. They collaborate with providers and clinical teams to validate service delivery and make evidence-based determinations regarding claim payments.
The RN Clinician performs comprehensive utilization management, including pre and post-payment claim reviews and authorization assessments. They ensure compliance with regulatory standards and health plan policies while facilitating accurate coding and reimbursement.
The Principal Enterprise Architect provides strategic leadership in developing enterprise architecture frameworks that align clinical systems and infrastructure with business objectives. This role identifies gaps in the IT environment and defines target-state architectures, roadmaps, and standards to guide organizational transformation.
The Integrated Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for high-risk members while ensuring efficient utilization of health benefits.
The Care Coordinator performs casework and provides case management services to members in nursing facilities, including patients, families, and caregivers. They are responsible for developing, participating in, and monitoring multidisciplinary collaboration of services for patients.
The analyst is responsible for the day-to-day support, maintenance, configuration, and optimization of Epic MyChart and Cadence applications. They will collaborate with stakeholders to evaluate business needs, design workflows, and manage system upgrades and testing activities.
The BCBA will apply clinical knowledge and critical thinking to evaluate treatment plans and ensure evidence-based care for behavioral health services. They will coordinate with providers to facilitate appropriate healthcare services while monitoring compliance and clinical necessity requirements.
The IT Specialty Analyst provides day-to-day support, optimization, and advancement of Epic Inpatient clinical applications. This role collaborates with clinical and operational stakeholders to translate business needs into effective system workflows and solutions.
The Social Worker will act as a key member of the Population Health Team, collaborating with providers and care teams to optimize health outcomes through value-based care. They will serve as a patient advocate and liaison, assisting members in navigating community-based programs and medical care processes.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including proactive sourcing, screening, and interviewing to attract high-value candidates.
The specialist is responsible for the strategic design, optimization, and maintenance of Epic scheduling templates, decision trees, and visit types across the Ambulatory Service Division. They collaborate with operational leaders to improve scheduling workflows, enhance patient access, and manage complex scheduling-related projects.
The Nurse Recruiter will partner with hiring managers to identify strategic recruiting solutions and manage the full-cycle recruitment process for assigned business units. This role involves proactive sourcing, screening, and interviewing candidates while facilitating recruitment plans to meet future employment needs.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value talent.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value candidates.
The Senior IT Analyst serves as a liaison between business stakeholders and technical teams to design, develop, and optimize data solutions for Health Plan and Case Management systems. Responsibilities include managing ETL processes, maintaining SQL code, automating workflows, and providing production support to ensure operational efficiency.
Manage a team of Special Investigative Unit (SIU) investigators and report findings to government and regulatory agencies. Review and propose updates to health plan policies regarding fraud, waste, and abuse while leading the FWA subcommittee.
The Manager of Accounting oversees daily department operations, ensuring the accuracy and timeliness of financial reporting and regulatory compliance. They supervise staff, manage budgets, and collaborate with senior leadership to provide financial data that supports strategic decision-making.
The Patient Services Coordinator manages the intake of authorization requests via various channels and builds authorization shells in JIVA. They also coordinate insurance verification, conduct provider outreach for clinical information, and assist with scheduling peer-to-peer calls.
The accountant is responsible for recording routine and non-recurring accounting entries and preparing account reconciliations to the general ledger. They also prepare and review financial statements and reports while performing financial analyses for routine and special projects.
The accountant records routine and non-recurring accounting entries and prepares account reconciliations to the general ledger. They also prepare and review financial statements and reports while performing routine and special project financial analyses.
The Program Director will drive program rigor and execution across the cybersecurity portfolio by designing operational frameworks and managing key initiatives. They will act as a primary interface between Cyber, IT, and business teams to ensure foundational processes are documented and strategic goals are met.
The Integrated Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for members with complex needs, including physical and behavioral health requirements.
The Director leads a team to drive growth, retention, and profitability objectives while managing membership forecasting and budget processes. They cultivate strategic relationships with key influencers and decision-makers within the large group business segment.
The Sales Executive is responsible for cultivating and managing relationships with brokers and direct prospects to drive profitable net new business growth. They manage the full sales cycle, including prospecting, presenting solutions, negotiating terms, and closing deals.
The representative conducts follow-up sales calls to healthcare providers and businesses to secure laboratory services business. They also resolve client complaints and assist in developing marketing strategies for laboratory services.
The IT Program Manager coordinates Revenue Cycle Systems initiatives by centralizing intake, validating requirements, and aligning IT milestone owners. They provide governance and cross-functional leadership to ensure operational efficiency and successful execution across clinical and revenue cycle systems.
Lead the enterprise identity strategy focusing on non-human identities, privileged access management, and the digital front door experience. Oversee the modernization of the identity technology stack and integrate security operations to mitigate identity-based threats.
Responsible for supporting, enhancing, and implementing software applications and overseeing intermediate to large-scale projects. Acts as a liaison between customers, IT personnel, and vendors to align technology functionality with operational business processes.
Acts as a strategic partner to HR and leadership to deliver advanced compensation analysis and ensure market competitiveness and internal equity. Leads complex market analyses, job evaluations, and annual compensation processes to align pay with organizational strategy.
The Compensation Specialist supports the administration of compensation programs to ensure market competitiveness and internal equity. They partner with Talent Acquisition and HR business partners to provide data-driven recommendations for offers and annual compensation processes.
Lead actuarial pricing, financial performance insights, and strategic analytics for Medicare and Medicaid lines of business. Oversee bid development, regulatory submissions, and partner cross-functionally to drive product strategy and financial sustainability.
Lead the Cloud Architecture function by defining roadmaps, reference architectures, and governance standards for scalable cloud solutions. Manage a team of architects and engineers to deliver secure cloud platforms supporting enterprise transformation and AI use cases.
The Nurse Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for high-risk members, ensuring efficient utilization of health benefits and regulatory compliance.
The Workday Principal Solution Architect leads and supports enterprise architecture activities, guiding the development and management of technology solutions. They partner with business leads to translate needs into scalable technical solutions across the Workday ecosystem.
The Senior Digital Media Advisor leads the development and execution of digital strategy across web, social, and mobile channels to align with company initiatives. They serve as a subject matter expert, advising teams on digital solutions, market segmentation, and customer acquisition.
The ServiceNow Principal Domain Architect leads and supports enterprise architecture activities, guiding the development of domain and infrastructure solutions. They create deliverables that help develop target-state guidance for evolving the technical infrastructure across the enterprise.
The MRI Technologist is responsible for performing general MRI examinations and ensuring the safety integrity of the MRI operational area. They will also coordinate with patient care staff at different sites and maintain adequate supply inventory for examinations.
Responsible for day-to-day support and optimization of software applications, including builds, upgrades, and system enhancements. Works within a cross-functional team and with end-users to achieve application integration to meet business and clinical needs.
