The IT Program Manager oversees and coordinates multiple interrelated technical projects to ensure alignment with business objectives and strategic goals. This role develops best practices, manages resources, and provides centralized governance for technical programs.
Sentara Health
95 Remote Job Openings at Sentara Health
Manager – Cyber Communications & Security Awareness
Sentara Health
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Full Time
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9 hours ago
Sentara Health
The manager will lead cyber communications and security awareness programs to drive a stronger security culture and mitigate human risk. They are responsible for managing a team of analysts, developing communication plans, and maturing the organization's security education initiatives.
Program Director – Cyber Execution & Operations
Sentara Health
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Full Time
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9 hours ago
Sentara Health
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 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 talent.
Supervisor, Provider Operations - Credentialing - Remote
Sentara Health
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Full Time
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a day ago
Sentara Health
The supervisor manages day-to-day provider data management and credentialing activities while serving as a subject matter expert. They are responsible for quality assurance, auditing, process improvements, and managing a team of 10 to 14 credential specialists.
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 guidance on insurance coverage and conducting follow-up communications.
Provider Credentialing Specialist II - Remote!
Sentara Health
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Full Time
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a day ago
Sentara Health
The Credentialing Specialist II is responsible for processing credentialing and re-credentialing applications for managed care providers. They perform primary source verifications while ensuring compliance with NCQA, state, and federal regulations.
The coordinator will manage medically and behaviorally complex members by conducting both in-person and telephonic assessments. They are responsible for coordinating care for individuals with serious mental illnesses, emotional disturbances, and substance abuse disorders.
The Revenue Integrity Specialist reviews charging, coding, and billing processes to ensure regulatory compliance and optimize revenue capture. They collaborate with clinical and financial teams to identify revenue leakage and implement corrective actions.
This role supports the DSNP clinical line of business by delivering reporting, analytics, and quality initiative support to improve clinical outcomes and operational efficiency. The analyst acts as a bridge between clinical operations and IT to translate business needs into effective reporting and analytics solutions.
The Epic Senior Security Analyst manages user access, security policies, and role-based permissions within the Epic EHR system to ensure compliance and data protection. They collaborate with IT and clinical teams to conduct security audits, troubleshoot access issues, and maintain system integrity during upgrades.
The Advanced Practice Provider will provide primary care services via telehealth, managing both acute issues and chronic conditions. The role requires flexibility to work across various shifts, including mornings, afternoons, evenings, and weekends.
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 Director of Appeals and Grievance will lead strategic planning and program development for all lines of business, ensuring compliance with regulatory and accreditation standards. They will oversee staff, manage audit processes, and collaborate with Medical Directors to analyze trends and improve medical criteria.
Pharmacy Benefit & Compliance Specialist - Remote in Virginia
Sentara Health
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Full Time
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5 days ago
Sentara Health
This role supports the Pharmacy Department's daily operations regarding benefit configuration and regulatory compliance across all business lines. The specialist analyzes data, maintains operational reports, and collaborates with internal teams to ensure system accuracy and compliance.
The Benefit Configuration Manager leads the strategic oversight and execution of benefit configuration operations within the QNXT platform. This role manages the end-to-end lifecycle of benefit plans, ensuring compliance with regulatory standards and supporting claims adjudication across various product lines.
Utilization Review Nurse / RN for Medicaid - Remote
Sentara Health
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Full Time
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6 days ago
Sentara Health
The Utilization Review Nurse conducts prior authorizations, inpatient, concurrent, and retrospective reviews to ensure compliance with medical policies and clinical criteria. They also facilitate discharge planning and transition of care while managing provider requests and member notifications.
The Credentialing Specialist is responsible for verifying the qualifications of healthcare providers to ensure compliance with regulatory and accreditation standards. They also manage the preparation and submission of privileging and payer enrollment applications while serving as the primary point of contact for credentialing matters.
The Compliance Coding Auditor performs internal audits, physician and coder education, and manages AR queries to ensure ethical reimbursement and compliance. They also act as a liaison for external audits and monitor coding trends to advise management.
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 Workday Technology Analyst leads the analysis, configuration, and deployment of Workday HCM solutions while partnering with stakeholders to translate business needs into scalable system designs. The role also provides advanced production support, manages data transactions, and collaborates on reporting to enhance end-user experience and operational efficiency.
The Supervisor provides leadership and operational oversight for a team of Integrated Care Managers to ensure quality care coordination and member engagement. They are responsible for coaching staff, monitoring performance outcomes, and participating in case management activities for complex populations.
Inpatient Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN - Remote in VA and NC
Sentara Health
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Full Time
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13 days ago
Sentara Health
The clinician is responsible for reviewing clinical information to ensure it meets medical necessity criteria for authorizing behavioral health and substance use services. They also ensure accurate data entry into claims systems to facilitate appropriate payment processing.
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for Substance Abuse - Remote in VA and NC
Sentara Health
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Full Time
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14 days ago
Sentara Health
The clinician is responsible for reviewing clinical information to ensure services meet medical necessity criteria for authorization. They also ensure accurate data entry into claims systems to facilitate appropriate payment processing.
Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Fredericksburg, Spotsylvania, VA
Sentara Health
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Full Time
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14 days ago
Sentara Health
The Integrated Nurse Case Manager develops, monitors, and revises care plans for members with chronic or complex conditions to optimize health outcomes. They perform clinical assessments and coordinate care across the continuum, including physical, behavioral, and social services.
Social Worker/ Masters in Social Work (MSW) for Maternal Health/ Perinatal for Central Richmond (Henrico, Hanover, Colonial Heights, VA)
Sentara Health
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Full Time
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15 days ago
Sentara Health
The Social Worker coordinates care for health plan members by assessing barriers to medical compliance and implementing effective interventions. They act as a resource to connect members with community-based programs and assist them in navigating the healthcare system.
Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote!
Sentara Health
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Full Time
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15 days ago
Sentara Health
Lead and develop a team of care managers supporting members in nursing and skilled nursing facilities. Drive process improvement initiatives while monitoring quality outcomes and collaborating with providers to enhance member care.
Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Hampton, Newport News, Yorktown, Williamsburg, VA
Sentara Health
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Full Time
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15 days ago
Sentara Health
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 Customer Service Representative is responsible for researching and resolving telephone inquiries from members and patients regarding eligibility, benefits, and claims. They also handle patient service needs such as billing updates, payment plan establishment, and appointment scheduling.
The IT Specialty Analyst is responsible for the day-to-day support, optimization, and advancement of Epic Inpatient orders. This role involves partnering with clinical and operational stakeholders to translate clinical needs into effective system solutions.
Learning & Development Facilitator, AI & Digital Workplace Enablement
Sentara Health
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Full Time
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18 days ago
Sentara Health
The facilitator will design and deliver engaging learning experiences to help employees build confidence in using AI and digital workplace tools. They will provide one-on-one coaching and small-group support to translate complex technical concepts into practical, role-relevant work habits.
The Medical Coding Specialist II performs accurate and compliant coding activities while supporting revenue cycle operations across multiple specialties. This role collaborates with providers and clinical teams to optimize reimbursement and maintain coding integrity.
Senior MLOps & Generative AI Engineer - Remote
Sentara Health
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Full Time
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19 days ago
Sentara Health
The role involves building and scaling enterprise-grade MLOps infrastructure and deployment pipelines while architecting secure, production-ready Generative AI applications. You will collaborate with cross-functional teams to operationalize AI/ML solutions and ensure platform reliability, security, and compliance within a healthcare environment.
Behavior Health Utilization Management Care Coordinator
Sentara Health
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Full Time
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19 days ago
Sentara Health
The Care Coordinator manages medically and behaviorally complex members by conducting both in-person and telephonic assessments. They focus on supporting individuals with serious mental illnesses, emotional disturbances, and substance abuse disorders.
The supervisor oversees daily operations, team coordination, and quality of service within the Medical Care Management department. They also facilitate team workflows, conduct competency assessments, and provide educational support to staff.
Laboratory Client Account Rep - Remote VA Only
Sentara Health
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Full Time
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19 days ago
Sentara Health
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.
Sr. Process Improvement Engineer/ LSSBB for the Health Plan - Remote
Sentara Health
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Full Time
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20 days ago
Sentara Health
Responsible for identifying, analyzing, and optimizing operational processes to enhance efficiency, quality, and productivity within the health plan. Collaborates with cross-functional teams to design, implement, and monitor process enhancements using data-driven methodologies.
The Registered Nurse is responsible for delivering high-quality patient care by conducting assessments, designing personalized care plans, and administering treatments. They work within an interdisciplinary team to coordinate care, educate patients and families, and ensure adherence to safety and regulatory standards.
The Customer Service Representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They also assist patients with billing information, payment plans, and scheduling needs.
The Customer Service Representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They also assist patients with billing information, payment plans, and scheduling services.
Develop and maintain scalable data pipelines using PySpark and Databricks within a metadata-driven ingestion framework. Ensure data quality, governance, and performance optimization while collaborating with stakeholders on data onboarding requirements.
Physical Therapist Specialist - Pelvic Floor
Sentara Health
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Full Time
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20 days ago
Sentara Health
Assess, plan, and implement rehabilitative programs to improve functional mobility and relieve pain for patients with pelvic floor conditions. Provide age-appropriate education to clients and caregivers while supervising team members.
Customer Service Representative I (Part-Time)
Sentara Health
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Full Time
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20 days ago
Sentara Health
The Customer Service Representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They are also responsible for updating billing information, establishing payment plans, and managing patient scheduling.
The Customer Service Representative is responsible for researching and resolving telephone inquiries from members and patients regarding eligibility, benefits, and claims. They also handle patient service needs such as updating billing information, establishing payment plans, and managing patient scheduling.
The Registered Nurse is responsible for performing competent nursing care using the nursing process, including assessment, planning, and evaluation. They must also uphold professional standards such as ethics, collaboration, and evidence-based practice to ensure quality patient outcomes.
The Underwriter evaluates and manages insurance risk by reviewing applications and determining policy terms based on company guidelines. They utilize statistical data and financial statements to ensure policies remain competitive and profitable for the organization.
The IT Program Manager coordinates IT-driven initiatives by centralizing intake, validating requirements, and aligning IT milestone owners. They provide governance and leadership to ensure successful execution across clinical and revenue cycle systems.
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.
Sentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)- Remote
Sentara Health
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Full Time
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21 days ago
Sentara Health
The manager leads cross-functional efforts to design and implement quality improvement programs for STARS, CAHPS, HOS, and HEDIS performance. They are responsible for managing a team of 3 to 6 direct reports while collaborating with providers and vendors to enhance member experience and close care gaps.
The IT Specialty Analyst is responsible for the day-to-day support, optimization, and integration of software applications. They perform workflow assessments, manage system upgrades, and provide on-call support to resolve application-related issues.
The Cost of Care Analyst identifies trends and solutions by analyzing complex data reports from internal and external sources. They collaborate with business leaders to drive initiatives and provide subject-matter expertise to support complex business decisions.
The IT HEDIS & Analytics Manager leads technology, data integration, and technical validation functions to support the organization's HEDIS program. This role manages ETL developers and operational staff while overseeing data feeds, platform support, and major engine migration initiatives.
Integrated Nurse Case Manager/RN for Maternal Health/ Perinatal for Central Richmond (Henrico, Hanover, Colonial Heights, VA)
Sentara Health
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Full Time
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22 days ago
Sentara Health
The Integrated Nurse Case Manager is responsible for developing, monitoring, and revising care plans for pregnant members to optimize health outcomes across the care continuum. They perform clinical assessments, coordinate care for high-risk complications, and facilitate authorizations while ensuring compliance with regulatory and company policies.
The Strategic Regulatory Growth Director aligns regulatory strategy with enterprise growth objectives by identifying market opportunities and guiding expansion initiatives. This role oversees cross-functional projects including financial modeling, regulatory approvals, and strategic partnerships while advising executive leadership.
Integrated Nurse Case Manager/RN for Maternal Health/ Perinatal for South of Roanoke
Sentara Health
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Full Time
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22 days ago
Sentara Health
The Integrated Nurse Case Manager is responsible for developing and monitoring care plans for high-risk pregnant members to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care in collaboration with medical directors and interdisciplinary teams to ensure efficient utilization of health benefits.
The Customer Service Representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They also assist patients with billing information, payment plans, and scheduling needs.
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.
The role involves managing In Basket messages for multiple primary care clinics and conducting virtual Telehealth appointments for acute care and onboarding. Responsibilities also include providing TCM support and performing Annual Wellness Visits (AWVs).
Lead cross-functional analytics and data governance initiatives to develop enterprise reporting and dashboards. Partner with executive leadership to deliver actionable insights and automated monitoring solutions for strategic decision-making.
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.
The representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They are also responsible for updating patient billing information, establishing payment plans, and managing scheduling.
The Integrated Case Manager develops and monitors member care plans to optimize health outcomes across the care continuum. They perform telephonic clinical assessments and coordinate care for high-risk members with physical and behavioral health needs.
Responsible for the day-to-day support, optimization, and advancement of Epic Inpatient clinical applications. This includes analyzing clinical workflows, performing system builds, and managing software upgrades to improve patient care and operational efficiency.
The Director assists the VP of Strategy in developing and monitoring strategic initiatives and coordinating multi-disciplinary teams for regional plans. They manage market position assessments and provide data-driven analysis to senior executives to achieve strategic goals.
Partner with hiring managers to identify strategic recruiting solutions and manage the full-cycle recruitment process for assigned business units. Execute sourcing strategies to attract diverse, high-value talent and assist in projecting future employment needs.
Responsible for the support, enhancement, and implementation of software applications, specifically overseeing intermediate to large-scale projects. Acts as a liaison between customers, IT personnel, and vendors to align technological functionality with operational business processes.
The Compensation Analyst designs and implements compensation policies and practices to attract and retain talent. Key duties include analyzing market data, collaborating with stakeholders on pay packages, and administering bonus and merit plans.
The Customer Service Representative is responsible for handling telephone inquiries from members or patients. This includes addressing issues related to member eligibility, plan prescription benefits, claim payment issues, and patient services needs.
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.
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 with organizational strategy.
The Compensation Specialist supports the administration of compensation programs to ensure market competitiveness and internal equity. This role involves conducting data analysis, supporting offer development, and assisting with annual compensation processes.
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.
Senior Benefit Configuration Analyst QNXT - Remote
Sentara Health
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Full Time
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2 months ago
Sentara Health
Responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to ensure accurate claims adjudication. Collaborates with cross-functional teams to implement benefit plans in accordance with regulatory and contractual requirements.
Oversees day-to-day accounting operations, including general ledger management and month-end close activities within a healthcare system. Leads and coaches accounting staff while ensuring compliance with GAAP and regulatory requirements.
Clinical Systems Domain Architect- Population Health Remote
Sentara Health
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Full Time
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2 months ago
Sentara Health
Provide strategic leadership and architectural guidance for the Population Health portfolio to align technology investments with organizational goals. Act as a bridge between clinical stakeholders and IT teams to design scalable solutions and maintain application roadmaps.
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 Procurement Specialist manages the full procure-to-pay lifecycle, guiding complex purchase requisitions for supplies and services. They are responsible for verifying pricing through contract tools and ensuring accuracy in ERP processing and invoicing.
Acts as the primary liaison between Pharmacy Operations, Finance, and IT to deliver pharmacy technology solutions and data analytics. Leads IT projects, system enhancements, and regulatory reporting to improve pharmacy operational and financial performance.
Performs internal auditing and physician education to ensure ethical reimbursement and compliance with coding guidelines. Manages audit queries and liaises with external auditors for corporate audits.
The Care Coordinator performs a variety of casework duties and provides case management services to members in nursing facilities. This includes assisting adult patients and their families with personal and environmental difficulties associated with medical conditions.
Business System Analyst - Epic Contract Build
Sentara Health
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Full Time
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3 months ago
Sentara Health
The role focuses on optimizing Epic Contract Build workflows by collaborating with stakeholders to gather requirements and design system enhancements. It involves troubleshooting application issues, providing end-user training, and maintaining technical documentation to improve organizational efficiency.
The Senior Accountant is responsible for preparing, analyzing, and adjusting financial statements and work papers for management presentation. They also research technical accounting issues and assist in the coordination of year-end audits.
Nurse Case Manager-Northern Virginia/Winchester Region, VA(Arlington, Manassas, Woodbridge, Front Royal, Warrenton)
Sentara Health
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Full Time
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4 months ago
Sentara Health
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.
Performs casework duties and provides case management services to patients, families, and caregivers. Develops and monitors multidisciplinary collaboration of services to support patients with medical and environmental difficulties.
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 consultant will provide practice management solutions and process improvement strategies across the Sentara Ambulatory Division. They are responsible for delivering business tools, conducting gap analyses, and creating action plans to achieve operational excellence.
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 Benefits Coding Analyst maintains the integrity of plan benefits for each program, developing expertise in all plan benefits while collaborating with various Health Plan teams to ensure compliance with state and Federal guidelines. This role synthesizes stakeholder input for benefit implementation decisions, coordinates benefit design documentation, and researches/codes policies for emerging treatments and services.
The analyst is responsible for the day-to-day support and optimization of software applications, including builds, upgrades, and enhancements, while analyzing business/clinical needs to optimize processes. They also manage problem, incident, and change management, provide daily on-call support, and oversee smaller projects or project components.
The Senior Configuration Analyst provides business and technical expertise to identify, develop, and implement system configuration solutions that enhance and support business operations. This role involves performing complex analysis and configuration functions, ranging from high-level functional analysis to detailed technical system configuration.
ServiceNow Principal Domain Architect - Remote
Sentara Health
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Full Time
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7 months ago
Sentara Health
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.