Active
Company Information for VIRGINIA PREMIER HEALTH PLAN, INC.
PAUL CRAIG NEIMEYER, PO BOX 5307, P. O. BOX 980240, RICHMOND, VA, 23220-0307,
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Company Registration Number
USVA0422010
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Company Name | |
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VIRGINIA PREMIER HEALTH PLAN, INC. | |
Legal Registered Office / Registered Agent | |
PAUL CRAIG NEIMEYER PO BOX 5307 P. O. BOX 980240 RICHMOND VA 23220-0307 | |
Company Number | USVA0422010 | |
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Company ID Number | 0422010 | |
Date formed | 1994-01-31 | |
Country | United States of America (USA) | |
Origin Country | United States of America (USA) | |
Type | ||
CompanyStatus | Active | |
Lastest accounts | ||
Account next due | ||
Latest return | ||
Return next due | ||
Type of accounts | ||
401k Plan Filings | 401k Plan Data | |
IRS EIN: | 541760974 | |
Jurisdiction | Virginia Secretary of State |
Last Datalog update: | 2018-07-03 16:46:38 |
Virginia Secretary of State |
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Job Title | Location | Job description | Date posted |
---|---|---|---|
Business Controls Analyst I | Richmond | POSITION OVERVIEW This position is primarily responsible for assisting in the Health Plans Model Audit Rule (MAR) initiative. POSITION DUTIES AND | |
Claims Customer Service Representative I | Richmond | POSITION OVERVIEW The position is responsible for taking incoming provider calls for the Medallion 3.0 line of business. Provider issues are to be resolved | |
Assistant Manager, Enrollment | Richmond | Ability to operate a PC in a Microsoft Windows operating system, including Microsoft Office software such as Word and Excel.... | |
RN Manager, Quality | Richmond | P O S ITION OVERVIEW:. The Quality Manager will support the Director of Quality in all quality (e.g., accreditation and regulatory) related activities, in multi... | |
Business Analyst II - Financial Analytics | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Compliance Analyst II (Duals) | Richmond | POSITION OVERVIEW Assist in the implementation, ongoing development and maintenance of the Medicaid & Medicare Plan compliance program to support the | |
Provider Configuration Analyst I ( QDT ) | Richmond | POSITION OVERVIEW The Provider Configuration Analyst performs simple to moderate configuration activities within QNXT and is responsible for developing an | |
Social Worker | Richmond | POSITION OVERVIEW Responsible for the timely coordination of quality health care services to meet the members specific health care needs in a cost-effective | |
Manager, Operations & Process Improvement - Health Services | Richmond | POSITION OVERVIEW Provides quality driven project and program management services while leading process and continuous improvement for multiple Medical | |
Business Analyst II QNXT | Richmond | POSITION OVERVIEW The QNXT Business Analyst II will serve as subject matter expert for Analytics in the QNXT data system. This position is responsible for | |
Program Integrity Data Analyst II | Richmond | POSITION OVERVIEW: This position is responsible for coordinating and supporting the analytical and technical aspects of Program Integrity. The Program | |
Chief Medical Officer | Richmond | POSITION OVERVIEW The Chief Medical Officer will lead all medical and behavioral health management and clinical quality related activities for all product | |
Operations Analyst III | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise of Member Operations data systems. Responsible for gathering requirements | |
Manager, Transportation Support Services | Richmond | POSITION OVERVIEW This position is responsible for managing transportation operations support and non-member transportation services. These are the services | |
Senior Manager, Claims Operational & Systems Performance | Richmond | POSITION OVERVIEW This position is responsible for effective integration of operational reporting and analytics within the Claims department across Virginia | |
Claims Customer Service Representative I | Richmond | POSITION OVERVIEW The position is responsible for taking incoming provider calls for the Medallion 3.0 line of business. Provider issues are to be resolved | |
Security & Risk Analyst III | Richmond | Leads evaluation IT systems involving software, hardware, configuration, and proposed changes to ensure IT security posture is in compliance with existing... | |
DBA - SQL | Richmond | POSITION OVERVIEW This role supports the administration of the application databases and data warehouse server farms. This includes the set-up and execution | |
Provider Configuration Analyst II ( QDT) | Richmond | POSITION OVERVIEW The Provider Configuration Analyst performs moderate to complex configuration activities within QNXT and is responsible for developing an | |
Business Analyst I - Claims Cost Containment | Richmond | Experience in supporting end users in a corporate environment. This position is responsible for supporting the Cost Containment Unit in drafting, documenting... | |
Provider Services Representative | Manassas | Provide services in the recruitment and maintenance of a quality provider network in accordance with the corporate plans of Virginia Premier Health Plan, Inc.... | |
Administrative Assistant | Richmond | POSITION OVERVIEW Provides principal administrative support to the Medical Management Department. Receives and distributes department-related communications | |
Claims Adjuster I | Richmond | POSITION OVERVIEW The Claims Adjuster I is responsible for the accurate and timely processing of pended claims of low complexity received by the Claims | |
Transportation Driver I | Richmond | This is a part-time hourly position with standard hours from 3:00 p.m. - 8:00 p.m. Monday - Friday. POSITION OVERVIEW A Transportation Driver I is responsible | |
Business Analyst II - Cost Containment | Richmond | POSITION OVERVIEW This position is responsible for supporting the Cost Containment Unit in drafting, documenting and gathering business and technical | |
VP, Medicare Health Services | Richmond | POSITION OVERVIEW Responsible for oversight and management of integrated health services within the medical management department which encompasses Population | |
Security & Risk Analyst II | Richmond | POSITION OVERVIEW Reporting to the Manager of IS Security and Risk, the Analyst II is a position that will be under moderate supervision and will be | |
Staff Accountant | Richmond | This position assists in the preparation of balance sheets, income statements and other financial reports by ensuring financial transactions are recorded... | |
Technical Recruiter | Richmond | Use social and professional networking sites to identify and source candidates. The Corporate Recruiter will be responsible for sourcing, screening and... | |
Care Manager II | Charlottesville | POSITION OVERVIEW Care Management focuses on dual eligible members utilizing occasional face to face nurse care manager visits and regular telephonic | |
Manager, Strategic Planning | Richmond | POSITION OVERVIEW The Manager, Strategic Planning is a position that will work on highly complex organizational objectives; support the organization in | |
Temporary Data Abstractor | Richmond | POSITION OVERVIEW The data abstractor will be responsible for the data entry and/or uploading of HEDIS data abstracted from medical records. The sole purpose | |
VP, Complex Programs | Richmond | Bachelors degree in business, social services administration, public health, nursing, social work or allied health professions.... | |
SharePoint Administrator | Richmond | POSITION OVERVIEW The SharePoint Administrator position is responsible for the implementation, configuration, analysis, maintenance and support of SharePoint | |
Director, Risk Governance and Security | Richmond | POSITION OVERVIEW This position is responsible for the strategic leadership and oversight of the health plans information security including the Risk, | |
Network Development Representative | Roanoke | POSITION OVERVIEW Network Development Representative - Provides services in the recruitment, development, and maintenance of a quality provider network. | |
RN Manager, Quality | Chesapeake | P O S ITION OVERVIEW:. The Quality Manager will support the Director of Quality in all quality (e.g., accreditation and regulatory) related activities, in multi... | |
Temporary - Utilization Review Nurse LPN or RN | Richmond | Prepares and sends the appropriate certification or non-certification letter to the member, provider and hospital according to Virginia Premier Health Plan, Inc... | |
Operations Analyst III | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise of Member Operations data systems. Responsible for gathering requirements | |
Care Manager II | Chesapeake | POSITION OVERVIEW Care Management focuses on dual eligible members utilizing occasional face to face nurse care manager visits and regular telephonic | |
Member Engagement Representative I | Richmond | When necessary serve as a liaison between the member and Commonwealth Coordinated Care by Virginia Premier, Virginia Premier Health Plan Inc or Virginia... | |
Utilization Review Nurse RN | Chesapeake | Prepares and sends the appropriate certification or non-certification letter to the member, provider and hospital according toVirginia Premier Health Plan, Inc.... | |
Medical Outreach Representative | Wise | POSITION OVERVIEW The Medical Outreach Representative will perform outreach responsibilities in the community for identified Medicaid and Medicare members. | |
Manager, Strategic Planning | Richmond | POSITION OVERVIEW The Manager, Strategic Planning is a position that will work on highly complex organizational objectives; support the organization in | |
Scheduling Supervisor | Roanoke | POSITION OVERVIEW This position is responsible for jointly supervising, along with the Transportation Supervisor, all or part of the transportation driver | |
Pharmacy Compliance Coordinator | Richmond | POSITION OVERVIEW This position is responsible for analysis, implementation, and process improvement activities in support of the Part D Pharmacy Program. | |
Systems Analyst II | Richmond | POSITION OVERVIEW The Systems Analyst II (Medicare) position involves supporting operational applications for Virginia Premier Health Plan. Primary functions | |
Executive Assistant | Richmond | POSITION OVERVIEW Provides primary support to the CEO and Administration Department. Will play a key role in logistics, planning and communicating among all | |
Care Manager II | Richmond | PC literate with working knowledge of Microsoft Office and various computer software programs. Care Management focuses on dual eligible members utilizing... | |
Corporate Trainer | Richmond | POSITION OVERVIEW: Develop, implement, facilitate and manage operational training, organizational development and quality for Virginia Premier Health Plan, Inc | |
Medicare Sales Agent | Chesapeake | POSITION OVERVIEW Responsible for selling Virginia Premier Health Plans Dual Eligible Special Needs Plan (D-SNP) to eligible beneficiaries within assigned | |
Provider Service Representative | Richmond | Provide services in the recruitment and maintenance of a quality provider network in accordance with the corporate plans of Virginia Premier Health Plan, Inc.... | |
Referral Coordinator | Richmond | POSITION OVERVIEW Referral Coordinators are responsible for receiving, interpreting and processing health information data from a variety of providers by the | |
Lead Payroll Administrator | Richmond | POSITION OVERVIEW This position is primarily responsible for managing the bi-weekly payroll process in an appropriate and timely manner. POSITION DUTIES AND | |
Provider Data Analyst I | Richmond | POSITION OVERVIEW The Provider Data Analyst will be a subject matter expert for provider data dictionaries and will also be a key contributor to provider | |
Senior Director, Health Claim Operations | Richmond | Extensive knowledge of Medicare (Parts A, B & C) and Medicaid programs. The Senior Director of Health Claim Operations will assume all operational... | |
RN Manager, Quality | Richmond | P O S ITION OVERVIEW:. The Quality Manager will support the Director of Quality in all quality (e.g., accreditation and regulatory) related activities, in multi... | |
Corporate Recruiter | Richmond | POSITION OVERVIEW The Corporate Recruiter will be responsible for sourcing, screening and interviewing applicants to fill existing and future job openings and | |
Claims Quality & Integrity Analyst II Duals | Richmond | POSITION OVERVIEW The Quality & Integrity Analyst position is responsible for the Quality Assurance (QA) review of system configuration changes made to VPHP | |
Long Term Support Services Coordinator | Richmond | POSITION OVERVIEW Under the direction/supervision of the Supervisor responsible for coordination of medical services including intake, screening ,referrals | |
QNXT Benefit Implementation Support Analyst | Richmond | POSITION OVERVIEW The Benefit Analyst maintains the integrity of the plan benefits for each program and is responsible for developing an extensive expertise | |
Senior Manager, Medicare Sales | Richmond | Prepares sales action plans and strategies. Leads the sales team in executing an effective and regulatory compliant sales strategy for assisting eligible... | |
Medicare Sales Agent | Richmond | Sales acumen in generating leads and closing on sales. Participate in Sales strategy and implementation. Follow up on company provided sales leads.... | |
HROD Analyst II | Richmond | POSITION OVERVIEW This position is responsible for supporting the strategic goals and objectives of the organization by assisting with the analytical and | |
Business Analyst II - Business Performance Analytics | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Configuration Analyst II | Richmond | POSITION OVERVIEW The Provider Configuration Analyst performs moderate to complex configuration activities within QNXT and is responsible for developing an | |
Corporate Trainer | Richmond | POSITION OVERVIEW: Develop, implement, facilitate and manage operational training, organizational development and quality for Virginia Premier Health Plan, Inc | |
Project Analyst III | Richmond | POSITION OVERVIEW Reporting to the AVP Information Systems, the Project Analyst III is responsible for leading project needs on multiple IS projects. The | |
Systems Analyst I | Richmond | The Systems Analyst position is responsible for developing expertise in the systems used by Virginia Premier Health, Inc.... | |
Total Rewards Coordinator | Richmond | POSITION OVERVIEW The Total Rewards Coordinator partners with compensation and benefits team members on a variety of special projects and activities. Is | |
Analyst III | Richmond | POSITION OVERVIEW This position is primarily responsible for assisting the Sr. Manager of Network Development with all activities relating to system | |
Supervisor, Provider Services | Roanoke | POSITION OVERVIEW This position is responsible for the direct administrative and supervisory activities of Provider Services in the Roanoke to include | |
HROD Business Partner | Richmond | POSITION OVERVIEW This position is responsible for providing HR & OD support to the business areas, including the coordination and administration of a range | |
Business Systems Analyst II - Regulatory Reporting | Richmond | Recommends and prepares modifications to reporting solutions and data structures that meet Regulatory Reporting needs.... | |
Project Management Consultant | Richmond | POSITION OVERVIEW Initiative Management Analyst II is a position that works collaboratively as a project leader and project participant on interdisciplinary | |
Manager, Analytics | Richmond | POSITION OVERVIEW This position is responsible for assisting the Sr. Manager of Network Development in managing a team of analysts that support the Network | |
Analyst I - MLTSS | Richmond | POSITION OVERVIEW This position is primarily responsible for assisting the Manager of Analytics, Network Development with all activities relating to the MLTSS | |
Senior Manager, Provider Services | Richmond | POSITION OVERVIEW This position is responsible for the administrative and supervisory activities of Provider Services in the Central Virginia, Tidewater and | |
Senior Manager, Health Services | Richmond | POSITION OVERVIEW This position is responsible for assisting the Director with program development and providing direct supervision of VPHP CompleteCare | |
Transportation Dispatcher I | Roanoke | POSITION OVERVIEW This position is responsible for completing schedules and ensuring that member transports are accomplished in a safe, efficient and timely | |
Contracting Specialist | Richmond | POSITION OVERVIEW This position is primarily responsible for assisting the Director of Contracting and Network Development with all activities relating to | |
Administrative Assistant | Richmond | POSITION OVERVIEW Provides principal administrative support to the Medical Management Department . Receives and distributes department-related communications | |
Marketing Writer - Temp to Perm | Richmond | POSITION OVERVIEW The Writer position assists in the development, tracking and oversight of all external communications. This position will evaluate the | |
Referral Coordinator | Richmond | POSITION OVERVIEW Referral Coordinators are responsible for receiving, interpreting and processing health information data from a variety of providers by the | |
Analyst I, Compliance | Richmond | POSITION OVERVIEW The Compliance Analyst I provides assistance to the Compliance Manager in the management and implementation of Virginia Premiers Program | |
Social Worker | Chesapeake | POSITION OVERVIEW Responsible for the timely coordination of quality health care services to meet the members specific health care needs in a cost-effective | |
Business Analyst II- Analytics | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise of the Virginia Premier corporate data systems. Responsible for | |
Claims Payment Technician | Richmond | Prepare bank deposits. This position will also handle any other day to day operation as specified by Accounting Operations Manager, Assistant Controller or... | |
Transportation Dispatcher I | Richmond | POSITION OVERVIEW This position is responsible for completing schedules and ensuring that member transports are accomplished in a safe, efficient and timely | |
Web Application Analyst II | Richmond | POSITION OVERVIEW The Web Application Analyst II position is responsible for the implementation, configuration, analysis, maintenance and support of Virginia | |
Business Analyst I - Financial Analytics | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Business Analyst I | Richmond | POSITION OVERVIEW This position is primarily responsible for assisting the Senior Manager of Network Development with all activities relating to provider | |
Chief Executive Officer | Richmond | This leader will also exude a passion for working with the underserved and a commitment to providing high quality healthcare and strategic direction to lead... | |
Manager, Provider Services | Chesapeake | POSITION OVERVIEW This position is responsible for the direct administrative and supervisory activities of Provider Services in the Tidewater region to | |
Business Analyst I | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Operations Analyst II | Richmond | POSITION OVERVIEW The Operations Analyst is responsible for the data analysis, process engineering, report development and generation for the Member | |
Manager, Claims Operations | Richmond | Knowledge of various software packages such as Microsoft Office. This position is responsible for overseeing the day-to-day operations of the claims department.... | |
Business Analyst II - Medical Economics | Richmond | POSITION OVERVIEW This position is responsible for developing expertise in the data and systems leveraged internally and externally by the Analytics | |
Provider Data Specialist | Richmond | POSITION OVERVIEW The Provider Data Specialist is responsible for maintaining provider data relevant for payment. The responsibilities include edits, loads, | |
Manager, Health Services Operations | Richmond | POSITION OVERVIEW Provides efficient, quality driven project/program management services through planning, monitoring and involvement in the implementation of | |
Referral Coordinator | Richmond | POSITION OVERVIEW Referral Coordinators are responsible for receiving, interpreting and processing health information data from a variety of providers by the | |
Network Development Representative | Manassas | POSITION OVERVIEW Network Development Representative solicits participation into the provider network in the Northern region of Virginia. Manages the | |
RN, Care Manager II | Richmond | POSITION OVERVIEW Care Management focuses on dual eligible members utilizing occasional face to face nurse care manager visits and regular telephonic | |
Business Analyst III ( Corporate Analytics ) | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Manager, Marketing | Richmond | Develop social media strategy. The Communications Manager assists in all areas related to the development and oversight of internal and external communications.... | |
Transportation Dispatcher I | Richmond | POSITION OVERVIEW This position is responsible for completing schedules and ensuring that member transports are accomplished in a safe, efficient and timely | |
Utilization Review Nurse LPN or RN | Richmond | Prepares and sends the appropriate certification or non-certification letter to the member, provider and hospital according to Virginia Premier Health Plan, Inc... | |
Outreach Patient Care Coordinator | Chesapeake | POSITION OVERVIEW Under the direction/supervision of the case manager, the Outreach Patient Care Coordinator will be responsible for coordination of medical | |
Referral Coordinator - Bilingual preferred | Richmond | POSITION OVERVIEW Referral Coordinators are responsible for receiving, interpreting and processing health information data from a variety of providers by the | |
Staff Auditor | Richmond | POSITION OVERVIEW Perform Compliance, Operational and IT audit testing including any special project work for the Health Plans Internal Audit Unit. The Staff | |
Systems Support Analyst II | Richmond | Perform audits on equipment and software, as needed. This position will be primarily responsible for maintaining an accurate inventory, coordinating and... | |
Analyst Development Program | Richmond | Virginia Premier Health Plan, Inc.'s Analyst Development Program, EMERGE , allows college graduates to gain valuable experience in the health and managed care | |
RN, Quality Manager | Richmond | P O S ITION OVERVIEW:. The Quality Manager will support the Director of Quality in all quality (e.g., accreditation and regulatory) related activities, in multi... | |
Manager, Health Services Operations | Richmond | POSITION OVERVIEW Provides efficient, quality driven project/program management services through planning, monitoring and involvement in the implementation | |
Manager, Medicare Compliance | Richmond | POSITION OVERVIEW The Compliance Manager is responsible for the compliance oversight, administration, and implementation of Virginia Premier Health Plan's | |
Manager, Case Management | Richmond | Supervises Case/Care Management (CM), Social Work (SW) and other support staff according to VPHPs policy and procedures to assure that CM reviews and SW... | |
Support Desk Specialist | Richmond | Troubleshoot scanners, desktop printers, label writers which may involve installing updated device drivers and software via remote access.... | |
Senior Human Resources & Organizational Development Consultant | Richmond | POSITION OVERVIEW The Senior Human Resources & Organizational Development Consultant works to achieve the organizations human capital strategies and the | |
DBA - SQL | Richmond | POSITION OVERVIEW This role supports the administration of the application databases and data warehouse server farms. This includes the set-up and execution | |
Care Manager III | Richmond | POSITION OVERVIEW Care Management focuses on high risk Medicaid/Medicare members utilizing face to face nurse case manager visits integrated with a | |
AVP, Managed Long Term Services & Supports | Richmond | POSITION OVERVIEW The AVP of MLTSS Program is VPHPs expert resource regarding the MLTSS beneficiaries. The AVP provides leadership and Medicaid long term | |
Care Manager II | Chesapeake | POSITION OVERVIEW Care Management focuses on dual eligible members utilizing occasional face to face nurse care manager visits and regular telephonic | |
Manager, Regulatory Reporting | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Business Analyst I - Financial Analytics | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Long Term Support Services Coordinator | Richmond | PC literate with working knowledge of Microsoft Office and various computer software programs. Under the direction/supervision of the Supervisor responsible for... | |
Operations Support Specialist II | Roanoke | POSITION OVERVIEW This position is responsible for administrative duties that support users throughout the organization. Duties will include equipment and | |
Customer Service Rep (Claims) | Richmond | POSITION OVERVIEW The position is responsible for taking incoming provider calls for the Medallion 3.0 line of business. Provider issues are to be followed up | |
Part Time, Transportation Driver | Richmond | WORKING HOURS: MONDAY-FRIDAY, 3PM - 8PM POSITION OVERVIEW A Transportation Driver I is responsible for providing VPHP members with safe and efficient | |
Transportation Driver | Charlottesville | POSITION OVERVIEW Responsible for transporting members to and from doctors appointments, health education and aerobics classes and maintenance of vehicles. | |
Senior Manager, Claims Operational & Systems Performance | Richmond | Excellent interpersonal skills, including the ability to work with all levels of personnel including, but not limited to peers and Senior Management within the... | |
Systems Support Analyst II - ( Support Team ) | Richmond | POSITION OVERVIEW This position will be primarily responsible for providing computer systems support, service for a variety of operating systems and standard | |
Compliance Analyst II | Richmond | POSITION OVERVIEW Assist in the implementation, ongoing development and maintenance of the Medicaid & Medicare Plan compliance programs to support the | |
Care Manager II | Richmond | POSITION OVERVIEW Care Management focuses on dual eligible members utilizing occasional face to face nurse care manager visits and regular telephonic | |
Referral Coordinator | Richmond | POSITION OVERVIEW Referral Coordinators are responsible for receiving, interpreting and processing health information data from a variety of providers by the | |
Social Worker - PUMS | Richmond | The social worker role is primarily telephonic with some face-to-face interactions with members. Collaborate with counselors, physicians, or nurses to plan or... | |
Network Development Representative | Roanoke | POSITION OVERVIEW The Network Development Repreentative provides services in the recruitment, development, and maintenance of a quality provider network. | |
Manager, Claims Configuration & Quality Duals | Richmond | POSITION OVERVIEW The Manager, Claims Configuration & Quality will manage the claims system configuration for the Commonwealth Coordinated Care line of | |
Total Rewards Administrator - Temp | Richmond | POSITION OVERVIEW Total Rewards Administrator partners with benefits and compensation team members on a variety of special projects and activities to include: | |
Security and Risk Analyst I | Richmond | POSITION OVERVIEW Reporting to the Manager, IT Security and Risk, the Policy Analyst I is responsible for information security policy development and | |
Claims Quality & Integrity Analyst II Duals | Richmond | Identify and document areas of process improvement, including but not limited to, the systems configuration life cycle, the change management process, pre... | |
Transportation Driver | Danville | POSITION OVERVIEW Responsible for transporting members to and from doctors appointments, health education and aerobics classes and maintenance of vehicles. | |
Dispatcher | Richmond | POSITION OVERVIEW This position is responsible for completing schedules and ensuring that member transports are accomplished in a safe, efficient and timely | |
Provider Configuration Analyst III (QDT) | Richmond | POSITION OVERVIEW The Provider Configuration Analyst performs complex configuration activities within QNXT and is responsible for developing an extensive | |
Care Manager III | Chesapeake | POSITION OVERVIEW Care Management focuses on high risk Medicaid/Medicare members utilizing face to face nurse case manager visits integrated with a | |
Member Configuration Analyst II (QDT) | Richmond | POSITION OVERVIEW The Member Configuration analyst performs moderate to complex configuration activities within QNXT and is responsible for developing an | |
Provider Configuration Analyst II (QDT) | Richmond | POSITION OVERVIEW The Provider Configuration Analyst performs moderate to complex configuration activities within QNXT and is responsible for developing an | |
Systems Analyst I - Database | Richmond | POSITION OVERVIEW This position will be a member of the Data warehouse team. This individual will work with the technical team and business customers to | |
Credentialing Assistant | Richmond | POSITION OVERVIEW This position is responsible for providing administrative support to the Credentialing Staff by supporting and coordinating the | |
Temporary Claims Auditor/Coder | Richmond | POSITION OVERVIEW The Claims Prepayment Auditor is responsible for the internal auditing of claim accuracy of claims processed according to the benefit | |
Care Coordinator | Roanoke | POSITION OVERVIEW This position works in a collaborative role with VPHP Medical Management team (case managers, social workers, VPHP Patient Care Coordinators | |
Customer Service Rep (Claims) - Temp | Richmond | POSITION OVERVIEW The position is responsible for taking incoming provider calls for the VPHP line of business owned by UHS Managed Care. Provider phone | |
Claims Prepayment Auditor/Coder (CPC) | Richmond | POSITION OVERVIEW The Claims Prepayment Auditor Coder is responsible for the internal auditing of claim accuracy of claims processed according to the benefit | |
Manager, Sales & Marketing | Richmond | Assists the AVP and Senior Manager of Sales and Marketing with all implementation and operational activities related to the Sales and Marketing Program.... | |
Senior Manager, Sales & Marketing | Richmond | Acceptance of press releases to local and national media. Develops and oversees communication and public relations plan, social media strategy, and website... | |
Business Analyst I (Accounting) | Richmond | POSITION OVERVIEW This position is primarily responsible for performing advanced -level paraprofessional accounting and analytical work. This is accomplished | |
Manager, IT Operations Support | Richmond | POSITION OVERVIEW The Manager of IT Operations Support is accountable for successful management of the Support Desk, Systems Support and Inventory Management | |
Medical Outreach Representative | Charlottesville | POSITION OVERVIEW The Medical Outreach Representative will perform outreach responsibilities in the community for identified Medicaid and Medicare members. | |
Manager, Systems - Data Warehouse | Richmond | POSITION OVERVIEW The System Manager Datawarehouse is responsible for leading the data integration (ETL) development for Enterprise Data Warehouse solutions | |
Transportation Coordinator | Roanoke | POSITION OVERVIEW This position will function as a liaison between the Richmond, Tidewater and Roanoke transportation operations and transportation providers. | |
RN, Case Manager II | Richmond | POSITION OVERVIEW Responsible for the timely coordination of quality health care services to meet the members specific health care needs in a cost-effective | |
Grievances and Appeals Coordinator OR LPN | Richmond | POSITION OVERVIEW The Grievances & Appeals Coordinator core function includes responsibility for informing and educating plan members and practitioners on the | |
Claims Systems Analyst (Configuration) | Richmond | POSITION OVERVIEW This position is responsible for developing configuration solutions that support medical claim processing to ensure timely and accurate | |
Business Analyst III (Business Performance Analytics) | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise in the corporate data systems. Responsible for gathering requirements, | |
Quality Nurse | Lynchburg | POSITION OVERVIEW The Quality Nurse role will be responsible for assuring optimal annual HEDIS rates as a result of ongoing coordination and collection of | |
Claims Systems Analyst (Configuration) | Richmond | POSITION OVERVIEW This position is responsible for developing configuration solutions that support medical claim processing to ensure timely and accurate | |
Manager, HEDIS Data & Systems | Richmond | POSITION OVERVIEW The HEDIS Data & Systems Manager is responsible for the application support and data management functions related to HEDIS for all lines of | |
Referral Coordinator | Richmond | POSITION OVERVIEW Referral Coordinators are responsible for receiving, interpreting and processing health information data from a variety of providers by the | |
Systems Support Analyst II - (Support Team) | Richmond | POSITION OVERVIEW This position will be primarily responsible for providing computer systems support, service for a variety of operating systems and standard | |
Manager, Member Services | Bristol | POSITION OVERVIEW The Manager, Member Services primary responsibility will be oversight of daily operations of the Richmond, Tidewater and Bristol call center | |
Transportation Dispatcher I | Roanoke | POSITION OVERVIEW This position is responsible for completing schedules and ensuring that member transports are accomplished in a safe, efficient and timely | |
Program Integrity Analyst I | Richmond | POSITION OVERVIEW The Program Integrity Analyst will perform provider claim and medical records reviews for the health plan. Additionally, the Analyst will | |
Program Integrity Analyst I | Richmond | POSITION OVERVIEW The Program Integrity Analyst will perform provider claim and medical records reviews for the health plan. Additionally, the Analyst will | |
Security & Risk Analyst II | Richmond | POSITION OVERVIEW Reporting to the Manager of Information Security and Risk, the Risk Analyst II is responsible for assisting with risk management practices | |
Manager, Transportation | Roanoke | POSITION OVERVIEW This position is responsible for managing the day-to-day operations of all transportation offices and depots in the Eastern and Southeastern | |
Analyst II CompleteCare | Richmond | POSITION OVERVIEW This position is primarily responsible for assisting the Complete Care Manager of Network Development with all activities relating to | |
Medical Management Operations Analyst | Richmond | POSITION OVERVIEW The Operations Analyst is a position requiring experience in project management, data analytics, standard operating procedures, process maps | |
Transportation Supervisor | Roanoke | POSITION OVERVIEW This position is responsible for supervising and coordinating the training, development, and work activities of all transportation | |
Payroll Coordinator | Richmond | POSITION OVERVIEW This position is primarily responsible for managing the time records in TimeForce, importing time into payroll system, and keying employee | |
Manager, Provider Data Team | Richmond | POSITION OVERVIEW This position is primarily responsible for providing supervision and oversight of all activities related to the Provider Data Team. Gauge | |
Operations Support Specialist | Richmond | POSITION OVERVIEW This position is responsible for administrative duties that support users throughout the organization. Duties will include equipment and | |
Systems Support Analyst II | Richmond | POSITION OVERVIEW This position will be primarily responsible for providing computer systems support, service for a variety of operating systems and standard | |
HEDIS Data & Systems Team Lead | Richmond | POSITION OVERVIEW The HEDIS Data & Systems Team Lead is responsible for the application support and data management functions related to HEDIS for all lines | |
Manager, Web Technologies | Richmond | POSITION OVERVIEW The Web Technologies Manager is responsible for managing the Virginia Premier Health Plan (VPHP) website, SharePoint application, and web | |
RN, Care Manager III | Richmond | POSITION OVERVIEW Care Management focuses on high risk Medicaid/Medicare members utilizing face to face nurse case manager visits integrated with a | |
Compliance Analyst | Richmond | POSITION OVERVIEW Assist in the implementation, ongoing development and maintenance of the Medicaid & Medicare Plan (MMP) compliance program to support the | |
PRN Utilization Review Nurse, LPN or RN | Richmond | Interfaces with multidisciplinary staff to identify social factors impacting members illness and treatment.... | |
Claims Systems Analyst II - Duals | Richmond | POSITION OVERVIEW The Systems Analyst position is responsible for developing an extensive expertise in the QNXT and all interface applications, both | |
Claims Systems Analyst II | Richmond | POSITION OVERVIEW The Systems Analyst position is responsible for developing an extensive expertise in the IDX Managed Care Application (MCA) and all | |
Outreach Patient Care Coordinator | Richmond | POSITION OVERVIEW Under the direction/supervision of the case manager, the Outreach Patient Care Coordinator will be responsible for coordination of medical | |
Analyst I, CompleteCare | Richmond | POSITION OVERVIEW This position is primarily responsible for assisting the Complete Care Manager of Network Development with all activities relating to | |
Care Manager II | Roanoke | POSITION OVERVIEW Care Management focuses on dual eligible members utilizing occasional face to face nurse care manager visits and regular telephonic | |
Medical Outreach Representative | Richmond | POSITION OVERVIEW The Medical Outreach Representative will perform outreach responsibilities in the community for identified Medicaid and Medicare members. | |
Data Abstractor (HEDIS) - Temp | Bristol | POSITION OVERVIEW The HEDIS Abstractor role will be responsible for the coordination, on-site and telephonic data collection, and data entry and/or uploading | |
Analyst II, Web Solutions | Richmond | POSITION OVERVIEW The Web Solutions Analyst II position is responsible for the analysis, design, development, and implementation of web-based solutions to | |
Business Analyst II- Analytics | Richmond | POSITION OVERVIEW This position is responsible for developing an extensive expertise of the Virginia Premier corporate data systems. Responsible for | |
HEDIS Nurse | Richmond | POSITION OVERVIEW The HEDIS Nurse role will be responsible for the coordination, on-site and telephonic data collection, and data entry and/or uploading of | |
Medical Outreach Representative | Charlottesville | POSITION OVERVIEW The Medical Outreach Representative will perform outreach responsibilities in the community for identified Medicaid and Medicare members. | |
Assistant Manager of Referral Coordination | Richmond | Responsible for direct supervision of referral coordinators for daily operations, monitoring of individual performance and compliance with Virginia Premier... | |
Manager, Medallion 3.0 Enrollment | Richmond | Provide direct supervision of Medallion 3.0 Analyst and MOR agents. The Manager, Enrollment primary responsibility will be oversight of daily operations of the... |
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Western District of Virginia | 7:19-cv-00516 | Patel v. Virginia Premier Health Plan, Inc. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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The top companies supplying to UK government with the same SIC code (INSURANCE COMPANIES) as VIRGINIA PREMIER HEALTH PLAN, INC. are:
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