1121 Aba Specialist Family jobs in Richmond,VA

Lunch Monitor

Richmond City Public Schools

Richmond, VA 23223

Cracker Barrel

Richmond, VA 23274

ALDI

Richmond, VA 23234

Sentara Health

Richmond, VA 23223

Minimum 6 years of experience, which includes 2 years of directly related experience in lieu of a bachelor's degree required
Or Bachelor's degree in healthcare administration, Information Systems, or related field with 4 years of progressive, relevant professional experience required
Required to have**hands-on benefit configuration experience** , preferably in a managed care or health plan environment.
Required to have a strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration.
Required to have strong understanding of regulatory requirements across **Medicare, Medicaid, ACA, and Commercial** plans.
Candidates must have a current residence in one of the following states or be willing to relocate: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington State, West Virginia, Wisconsin, Wyoming

Sevita

Richmond, VA

An equivalent combination of education and experience.
Other education, experience, training, licensure, or certification per state requirements or as required by applicable regulations.
Current driver's license, car registration, and auto insurance.
Must be available on-call to support staff, find coverage or cover shifts as needed.

Wal Mart

Midlothian, VA 23113

The Cigna Group

Richmond, VA 23219

3+ years Healthcare Provider Contracting and Negotiating experience involving complex Physician Groups and Ancillaries
Experience in a Managed Care, Healthcare or Health Insurance environment.
Experience with Commercial Healthcare contracting.
Significant experience leading and mentoring others.
Experience in developing and managing key provider relationships
Knowledge of complex reimbursement methodologies, including incentive based models
Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
Intimate understanding and experience with hospital, managed care, and provider business models.
The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
Customer centric and interpersonal skills are required.
Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment.
Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
Knowledge and use of Microsoft Office tools.
Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.