Serves as the subject matter expert overseeing and directing a team responsible for care coordination activities, routinely assessing and monitoring member status, needs and progress. Accountable for leadership, education, and supporting execution of strategic direction for clinical operations. Ensures quality of care meets or exceeds regulatory standards and requirements

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards (via data mining and summarization) to monitor program and operational performance. Promotes self service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilitie

Leads, directs and manages cardiac service lines with accountability for operations, quality, customer service and success of assigned departments and product lines. Areas of responsibility are high volume and/or have significant strategic and financial impact on current and future success of Sentara Hospitals. Responsible for the coordination of the delivery of high qual

This role is responsible for the strategic leadership of behavioral health and addiction recovery treatment services for the health plan. This includes program development, design, outcomes measurement, and evaluation of behavioral health programs for the Medicaid and Medicare lines of business for OHP and VPHP. Will also have oversight for Sentara Health Plan's EAP produ

The Assistant Practice Manager/Clerical Support Team Coordinator assumes responsibility, leadership, and accountability for daily operations. Coordinate work monitoring for quality of service. Support employees with solutions for everyday operational needs. Manage multiple projects and performs work assignments as needed. Qualifications HS High School Grad or Equivalent (

Performs registration and cashiering functions in an accurate manner which assures timely delivery of patient services. Functions in a multi disciplinary environment, which requires the application of excellent customer services skills. Must be bondable. Qualifications HS High School Grad or Equivalent (Required) Related Skills Active Listening, Communication, Critical Th

Demonstrates proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (G

Coordinates activities for specific physician practices, including insurance verification/obtaining precertification, scheduling, pre registration, and order transmission (faxing). Purpose is to ensure maximum reimbursement and reduce denials related to incomplete insurance information and/or authorization. Maintains statistics and acts as liaison between clinical testing

Coordinates activities for specific physician practices, including insurance verification/obtaining precertification, scheduling, pre registration, and order transmission (faxing). Purpose is to ensure maximum reimbursement and reduce denials related to incomplete insurance information and/or authorization. Maintains statistics and acts as liaison between clinical testing

Provides the management oversight for operational performance, growth, and direction for the PACE programs of Sentara Life Care, the capitated managed care system serving the frail elderly in the community. PACE specific incumbents for this position require a minimum of one year of experience working with the frail or elderly population. Travel required. Qualifications BL

The Clerical Support Team Coordinator assumes responsibility, leadership, and accountability for daily operations. Coordinate work monitoring for quality of service. Support employees with solutions for everyday operational needs. Manage multiple projects and performs work assignments as needed. Qualifications HS High School Grad or Equivalent (Required) Clerical, Managem

Responsible for the billing of insurance claims and/or the resolution of issues preventing the payment of outstanding accounts receivable, for assigned payer(s). Role requires a strong working knowledge of billing and collections with a demonstrated ability to resolve more complex billing edits and/or resolve more complex denials and payment delays. Demonstrates a strong

The Accounts Receivable Specialist is accountable for daily operational tasks associated with revenue cycle accounts receivable. The Accounts Receivable Specialist is responsible for follow up and timely and effectively managing requests from patients, insurance primary, secondary, and tertiary payers, and clearing hours, and prepares all appeals and resolves all upfront

Responsible for accurately balancing and reconciling health plan accounts receivables. Experience in finance or within Optima division. If Bachelor's Level Degree in Finance, there is not an experience requirement. Qualifications HS High School Grad or Equivalent (Required) Related Skills Communication, Microsoft Office Sentara Healthcare prides itself on the diversity an

Assumes responsibility and accountability for strategic planning and success of assigned areas of responsibility. Coordinates the development and marketing of new services and strategic planning for assigned areas of responsibility. Contributes to the success of the hospital through achievement of system, hospital and departmental goals and objectives. Build strong, colla