Sentara Health

Transform complex healthcare data into actionable insights through dashboards, reports, and stakeholder engagement. | Proficiency in SQL, Power BI, healthcare analytics, understanding of population health metrics, and 3+ years of healthcare analytics experience. | City/State Virginia Beach, VA Work Shift First (Days) Overview: Senior Healthcare Data Analyst – Population Health Remote / Hybrid Opportunities | Sentara Health Overview At Sentara Health, population health is central to our mission of improving the health and well-being of the communities we serve. Our analytics team transforms clinical, financial, and operational data into meaningful insights that help reduce care gaps, improve quality outcomes, support value-based care, and strengthen provider performance across our integrated delivery network. We are seeking a Senior Healthcare Data Analyst with strong data storytelling, advanced visualization skills, and deep healthcare analytics experience. This role translates complex population, quality, and financial data into clear, actionable insights for clinical teams, operational leaders, employer groups, and external provider partners. What You Will Do Transform population health data into meaningful stories: Create dashboards, scorecards, and reports that communicate trends, performance, and opportunities in a clear and actionable way. Develop analytics that drive enterprise-wide performance in the following domains: Quality Measures: HEDIS reporting, STAR ratings, gap closure Medical Expense: cost-of-care trends, utilization, savings opportunities Value-Based Care & Network Performance: contracting insights, pay-for-performance metrics, financial performance Employer Group Reporting: clinical and financial outcomes reporting for employer clients Clinical Integrated Network (CIN) Reporting: quality, financial, and operational analytics for CIN providers Provider Performance Analytics: quality, and financial performance analytics Benchmarking: quality, utilization, and performance benchmarking General Population Health Reporting: trends, cohorts, risk indicators, and care management support Support key reporting needs across the organization Engage directly with stakeholders: Collaborate with diverse internal teams, and external provider partners to understand analytic needs and translate them into actionable solutions. Contribute as a senior team member onboarding, mentorship, and subject matter leadership. What You Bring Technical Skills Strong experience with SQL Proficiency with Power BI (Tableau exposure is helpful) Ability to build dashboards, performance scorecards, and data visualizations Strong data storytelling and ability to explain insights to diverse audiences Healthcare & Population Health Expertise Understanding of HEDIS, STAR ratings, gap closure workflows and impact to data/analytics Knowledge of value-based care, pay-for-performance, CIN operations, and provider analytics Experience working with medical expense data, utilization, and financial performance Familiarity with employer reporting and provider network analytics Professional Skills Excellent oral and written communication Strong problem-solving and critical thinking Consultative engagement skills Ability to work with interdisciplinary teams and external providers Education & Experience Bachelor’s degree required 3+ years of healthcare analytics experience required, preferably in population health, quality, care management, or clinical analytics Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Planning, executing, and delivering projects within programs using waterfall or hybrid methodologies, ensuring projects are completed on time, within scope, and under budget, while fostering collaboration across teams. | Minimum 2 years of project management experience, preferably in healthcare, with a bachelor's degree and relevant certifications like PMP or CAPM, and experience with technical project management. | City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is looking to hire a Remote Project Manager. This is a remote position: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming. The Project Manager is responsible for planning, executing, and delivering projects or workstreams within programs using waterfall or hybrid methodologies. This role ensures projects are completed on time, within scope, and under budget while fostering collaboration across cross-functional teams in a fast-paced environment. Education High School / GED (Required) Bachelor’s Degree (Preferred) Certification/Licensure One of the following certifications or equivalent (Preferred): Project Management Institute Certified Associate Project Manager (CAPM) Project Management Institute Project Management Professional (PMP) Project Management Institute Agile Certified Practitioner (ACP) Scrum, SAFe or equivalent Experience 2+ years of experience in project management/project coordination, or a similar role (Required) The following experience is strongly preferred: Healthcare (Preferred) Care delivery (ambulatory, hospital, post-acute), health plan, corporate/shared services (Preferred) Technical project management (Preferred) We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $79,497.6 – $132,496. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Analyze vendor performance, ensure compliance, and support continuous improvement in vendor oversight. | Requires 3+ years in business analysis, data reporting, or analytics, with knowledge of SQL, BI tools, and healthcare claims data. | City/State Norfolk, VA Work Shift First (Days) Overview: We are looking for a meticulous and analytical Business Analyst to oversee the management of third-party vendors. This role will be responsible for analyzing vendor performance, identifying cost-saving opportunities, and is critical in ensuring vendor compliance with contractual, regulatory, and operational standards. The ideal candidate will bring strong analytical skills, audit/claims experience, and a collaborative mindset to support risk mitigation and performance improvement across the vendor landscape. Key Responsibilities: Analyze audit findings and vendor performance data to identify trends, risks, and improvement opportunities. Data extraction & Analysis Regulatory Reporting & KPI Development Serve as a liaison between vendors and providers to resolve issues and improve service delivery. Track and evaluate vendor performance using KPIs and SLAs. Conduct regular vendor reviews and audits to ensure compliance and quality standards. Evaluate vendor adherence to Business Associate Agreements (BAAs), SLAs, and quality standards. Recommend enhancements to vendor audit frameworks, tools, and documentation practices. Contribute to the development of policies and procedures for vendor oversight and governance. Support continuous improvement initiatives in vendor lifecycle management. Maintain documentation of audit procedures, findings, and follow-up actions. Contribute to the development of vendor audit policies and workflows. Preferred Skills: Knowledge of Databricks Knowledge of SQL Experience in regulated industries (e.g., healthcare, finance, insurance). Experience and/or knowledge of medical coding and inpatient auditing Education Bachelor's Degree (Required) Certification/Licensure No specific certification or licensure requirements Experience 3+ years of relevant experience in business analysis, data reporting, or analytics (Required) Must have 3+ years of experience in business analysis, auditing, claims, vendor management, or compliance. Knowledge of business intelligence (BI) tools, SQL querying, and reporting software. Required to have experience working with health insurance, claims data, and auditing claims data Excellent written and verbal communication skills. We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$53,476.80-$89,128.00. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Manage financial analyses for new business opportunities and oversee a portfolio of joint ventures and investments within a healthcare system. | Requires a Bachelor's in accounting or finance, 8+ years in finance, healthcare valuation experience, and supervisory experience. | City/State Norfolk, VA Work Shift First (Days) Overview: The Director, Portfolio Management and Business Development / Valuation. will be responsible for working with Sentara’s SVP of Finance and Chief Venture officer on financial analyses for new business opportunities and the management of a portfolio of joint venture and equity investments. This role Is a system-wide role, encompassing broad exposure and responsibilities including valuation, technical analysis, and financial reporting. Principle Duties and Responsibilities: Responsible for the design and implementation of standardized fair market value analyses in support of new business ventures, physician contracts and M&A activities within the regulated healthcare industry. Leads financial and operational reporting for Sentara’s portfolio of joint venture and equity investments Leads technical and valuation analysis for potential new business and physician contract opportunities Supports the Care Delivery Strategy Team in the development and management of business planning processes including vetting, goal setting, and financial evaluation Gathers, analyzes, prepares and summarizes recommendations for financial feasibility studies, trended future requirements and operating forecasts. MHA or MBA may be considered in lieu of CPA. Change Agent required. Financial Reports experience required. Healthcare Economics experience required. Reimbursement Guidelines experience required. Job Description Sentara Health is seeking to hire a qualified individual to join our team as Director, Portfolio Management and Business Development / Valuation. Position Status: Full-time, Day Shift Position Location: This position is remote. Standard Working Hours: 8:00AM to 5:00PM (ET). Minimum Requirements: Bachelor’s Degree in accounting for finance required. 2 years supervisory experience required. 8 years in accounting and finance required. Healthcare valuation and/or CFA/CVA experience preferred. #LI-AB1 Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Implementing and supporting quality initiatives, reporting, and analysis within healthcare operations. | At least 7-10 years of experience, health plan experience (Medicaid, Medicare, Commercial), advanced SQL, Agile environment experience. | City/State Woodbridge, VA Work Shift First (Days) Overview: Sentara is hiring for a Senior Business Analyst - Operations - Remote! Overview This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system administration, expansion business, and member enrollment. Education Bachelor's Level Degree Certification/Licensure No specific certification or licensure requirements Experience Required to have at least 7 to 10 years of experience Required to have health plan experience - Medicaid, Medicare & Commercial enrollments. Must have advanced SQL experience. Must have experience working in an Agile environment. Needs to be able to work in a fast-paced environment. We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$60,756.80-$101,254.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Manage the recruitment process, partner with hiring managers, and develop sourcing strategies for diverse candidates. | Requires at least 2 years of HR experience with recruitment experience preferred; your background aligns more with HR operations support than direct recruitment. | City/State Norfolk, VA Work Shift First (Days) Overview: Overview The Talent Acquisition Specialist will partner with hiring managers and HR business partners to understand and anticipate hiring needs and proactively identify strategic recruiting solutions to meet those needs. This role manages the recruitment process for all open positions in assigned business units with a focus on identifying and tapping into new sourcing resources and utilize proactive techniques to recruit diverse, high value candidates. Engage in tactical and strategic sourcing to help business units proactively source and place top talent. Executes and facilitates the overall recruitment strategy, including screening, interviewing and testing while serving as a strategic partner to hiring managers. Participates in projecting future employment needs, creating recruitment plans, and improving the employment process. This role may lead projects and excels at maintaining and successfully addressing a high load of positions, a variety of positions and/or hard to fill positions in the areas of greatest need. Education HS Diploma/GED required Bachelor’s Degree strongly preferred Experience Two years of Human Resources experience with a Bachelor’s Degree, or four years of equivalent experience with a High School Diploma or GED are required. Recruitment experience is strongly preferred. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Manage multiple related projects within a healthcare program, coordinate with stakeholders, and ensure successful program delivery. | 8+ years of project management experience, healthcare and IT experience, PMP certification, and strong communication and data analysis skills. | City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is looking to hire a Remote Program Manager. This is a remote position: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming The Program Manager has a critical role within Sentara Health. The Program Manager is responsible for the overall management of their assigned Program(s) which will consist of multiple related Projects. The Program Manager will work with the Business and IT leaders, and Project Managers to drive component project intake as well as program delivery. To support these activities, we will work closely with Sentara Health employees and contractors to ensure quality completion of business requirements, scope, end user impact, Program dependencies, financials and transition to operations activities for the Service Line. A critical element of the Program Manager role will be to coach Project Mangers in Project Delivery excellence. Provides advice, counsel, and insight to PMs on how to more effectively lead projects to completion. Serves as a champion and advocates for Project Management Methodology and assist teams with adoption. Education: Bachelors 8 years related experience in lieu of degree Certification: Project Management Professional (PMP) certification required within 1 year of hire Experience: 8 years of Project Management preferred 3 years of healthcare 3 years of Information Technology and/or Analytics required Experience using Epic preferably in the scheduling/referral management space Experience in Process Improvement Highly organized Strong attention to detail Strong multi-tasking skills Strong communication skills – verbal/written – willingness to present in front of large groups Experience analyzing reports/data – strong excel skills Experience implementing AI solutions LLM preferred Experience in a Call Center Environment, preferably leading teams within a call center We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $101,504 – $188,510.4. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities Keywords: Talroo-Allied Health, Health Plan, Healthcare, Health Insurance, Project Management, PMP, PMI, IT, Analytics, Process Improvement, Call Center Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Support and improve Encounters data submission processes, including validation, reporting, and remediation, under supervision. | Requires 3+ years in operations, IT, or reporting, with skills in data validation, healthcare data, and systems like SQL, Power BI, and Databricks. | City/State Norfolk, VA Work Shift First (Days) Overview: Overview This position is responsible for general support and functionality within the Sentara Health Plan Encounters Team and the Encounters submission process. This position will operate under the guidance of Sr. Business Analysts and the Encounters Leadership Team to address and satisfy State, Federal, and Internal imperatives. General Duties / Responsibilities to include, but are not limited to: Coordinate with other Encounters Department team members in the preparation, validation, and submission of adjudicated claims data (“Encounters”), to both state and federal agencies. Under general supervision, train and develop proficiencies in data analysis techniques relating to Encounters submission data received by the Health Plan from state and federal agencies. Work with Sr. Business Analysts to coordinate efforts to identify, analysis, and remediate identified errors via reprocessing, Over time, develop sufficient operational expertise (systems and tools, methodologies, contractual / technical requirements) to support the Encounters workstream actively and competently in all major operational areas (data requirements, data structure, submissions, and remediation) Establish and maintain working relationships with peers, key departmental stakeholders, and external servicing vendors relating to assigned Market(s) / Lines of Business (LOBs). Partner with Sr. Business Analysts and the Encounters Leadership Team in ongoing efforts to establish, maintain, and incorporate improvements to departmental documentation needs (task schedules, submissions tracking, Standard Operation Procedures (SOPs) Assist Sr. Business Analysts and the Encounters Leadership Team in ongoing User Acceptance Testing (UAT) needs relating to internal systems upgrades, configuration changes, and new vendor / LOB implementations. Education Bachelor's Degree preferred. Certification/Licensure No specific certification or licensure requirements Experience Must Have : Three years' of related experience is required in one of the following areas: Operations, IT or Reporting. Strong attention to detail and accuracy in reporting, data validation, and documentation Nice to have: Experience with healthcare data and systems, including Encounter data, 837/834 transactions, EDI, and related reporting Experience with SQL, Power BI, and Databricks to support analytics, reporting, and data validation Experience supporting UAT(User acceptance testing), Root Cause Analysis (RCA), and project-based initiatives We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$60,756.80-$101,254.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Responsible for handling incoming calls to effectively address issues related to member eligibility, plan prescription benefits, and claim payment issues. Also responsible for patient services needs such as updating billing information, establishing payment plans, and resolving payment inquiries. | A high school diploma is required, along with two years of customer service experience and previous data entry experience. Healthcare experience is strongly preferred. | City/State Harrisonburg, VA Work Shift First (Days) Overview: Customer Service Representative I Blue Ridge Cardiology Remote Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries from members or patients. Primarily responsible for handling incoming calls to effectively address issues related to either member eligibility, plan prescription benefits, and claim payment issues or patient services needs such as updating billing information, establishing payment plans, resolving payment inquiries, or patient scheduling. Responsible for all areas of customer service as it pertains to research and resolution of telephone inquiries from members or patients. Primarily responsible for handling incoming calls to effectively address issues related to either member eligibility, plan prescription benefits, and claim payment issues or patient services needs such as updating billing information, establishing payment plans, resolving payment inquiries, or patient scheduling. Provide quality service and customer satisfaction through effective communication and education. You must be within one hour of either Sentara Martha Jefferson Hospital or Sentara Rockingham Hospital Education High School Diploma Certification/Licensure No specific certification or licensure requirements Experience Two years Customer Service Exp Previous Data Entry Experience Health care experience strongly preferred Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Lead and support Community Connect IT team by maintaining and enhancing Epic and third-party applications, managing upgrades, troubleshooting, workflow assessments, and leading projects. | 6-8 years of relevant experience with a degree or 8-10 years without, Epic Ambulatory certification, strong Excel and project skills, IT support proficiency, leadership experience, and ability to work remotely. | Sentara Health is an integrated, not-for-profit health care delivery system with over 130 years of dedicating to its mission of improving health every day. It is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country. Sentara employs 30,000 individuals, operates 12 hospitals in Virginia and Northeastern North Carolina, and serves over 1.2 million members through Sentara Health Plans in Virginia and Florida. The organization is nationally recognized for clinical quality, safety, and innovation, and has received accolades from IBM Watson Health and Forbes for its exceptional working environment. Role Description This is a full time fully remote position based in Virginia Beach, VA. As the Community Connect Lead IT Analyst, you will help support the day-to-day operations of the Community Connect team and projects. The ability to lead other analysts, multitask, and think ahead/outside of the box is crucial. This role reports to the Community Connect IT Manager and is responsible for maintaining and enhancing enterprise software applications, including Epic and third-party integrations. Key duties include: • Performing application builds, upgrades, and system optimizations. • Troubleshooting and resolving application issues with minimal disruption. • Evaluating software updates for business and clinical impact. • Conducting workflow assessments and aligning technology with operational needs. • Leading IT projects, mentoring analysts, and supporting process improvements. • Managing incidents, problems, and changes to ensure smooth application performance. • Ability to create strong collaboration with stakeholders and a take proactive approach to driving strategic IT initiatives. Qualifications • Epic Certification – Ambulatory (Required) plus recent build experience preferred • Experience with an Epic Community Connect program is a plus • Strong Microsoft Excel and/or Project experience is preferred • Proficiency in Information Technology and Technical Support • Strong analytical and troubleshooting abilities • Excellent communication skills • Relevant experience in leading IT projects and teams • Bachelor's degree in information technology, computer science, or related field • Excellent work ethic with ability to proficiently work remotely with minimal supervision Education • 6-8 years of relevant experience with a degree (Required) • or • 8-10 years of relevant experience without a degree (Required) Compensation We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $91,416 - $152,380.80. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” all Sentara locations are tobacco-free environments. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Non-Sentara applicants - if you believe you are qualified for this position, please apply at: External Posting URL https://sentara.wd1.myworkdayjobs.com/SCS/job/Virginia-Beach-VA/Lead-IT-Analyst---Community-Connect---Remote_JR-84879 Sentara applicants - please apply at: https://www.myworkday.com/sentara/d/inst/15$392530/9925$249570.htmld

Support, enhance, and implement software applications while managing intermediate scale projects and coordinating project resources. | Bachelor's degree in a related field and 5+ years of relevant experience with no specific certification requirements. | City/State Richmond, VA Work Shift First (Days) Overview: Overview This position is responsible for support, enhancement and implementation software applications used within the organization. Oversees and directs intermediate scale projects or components of large-scale projects; develops project plans and timelines and coordination of project resources. Education Required to have a bachelor's degree in any of the following disciplines - Computer Science, Business, Technical, Education, Information Systems, Finance, Business/Administration, Accounting, Engineering, Information Technology. Certification/Licensure No specific certification or licensure requirements Experience Required to have 5+ years of related experience. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

The Senior Specialty Software Engineer will work on developing various types of software, including end-user applications and enterprise data architecture. Responsibilities include understanding software functionality, writing code, and supporting software testing and deployment activities. | Candidates should have 5 to 7 years of relevant experience, with a preference for those holding a bachelor's degree. Knowledge of software development best practices and the ability to work independently with general supervision are essential. | City/State Harrisonburg, VA Work Shift First (Days) Overview: Overview Software product development focuses on developing multiple types/categories of software including end-user applications, enterprise data architecture, and operating systems/utility software and tools, which provides a platform for running end-user applications for external customers. The work includes: •Understanding the domain of the software problem and/or functionality, the interfaces between hardware and software, and the overall software characteristics •Using programming, scripting, and/or database languages to write the software code •Supporting software test engineering, DevOps, deployment, maintenance, and evolution activities by correcting programming errors, responding to scope changes, and coding software enhancements •Applying knowledge of software development best practices, including technical design specifications, coding standards, code reviews, source control management, build processes, testing, and operations. An Experienced Professional applies practical knowledge of job areas typically obtained through advanced education and work experience. Responsibilities typically include: • Works independently with general supervision. • Problems faced are difficult but typically not complex. • May influence others within the job area through explanation of facts, policies, and practices. Education Experience in lieu of Bachelor’s Degree 5+ years of relevant experience with a degree 7+ years of relevant experience without a degree Certification/Licensure No specific certification or licensure requirements Experience 5 to 7 years of relevant experience. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

The role involves developing various types of software, including end-user applications and enterprise data architecture. Responsibilities include understanding software functionality, writing code, and supporting software testing and deployment activities. | Candidates should have 3 to 5 years of relevant experience, with a preference for those holding a degree. Experience in software development best practices and various programming languages is essential. | City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview Software product development focuses on developing multiple types/categories of software including end-user applications, enterprise data architecture, and operating systems/utility software and tools, which provides a platform for running end-user applications for external customers. The work includes: •Understanding the domain of the software problem and/or functionality, the interfaces between hardware and software, and the overall software characteristics •Using programming, scripting, and/or database languages to write the software code •Supporting software test engineering, DevOps, deployment, maintenance, and evolution activities by correcting programming errors, responding to scope changes, and coding software enhancements •Applying knowledge of software development best practices, including technical design specifications, coding standards, code reviews, source control management, build processes, testing, and operations. Education Experience in lieu of a Bachelor’s Degree 3+ years of relevant experience with a degree 5+ years of relevant experience without a degree Certification/Licensure No specific certification or licensure requirements Experience Required to 3 to 5 years of relevant experience Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

The Care Coordinator performs a variety of casework duties and provides case management services to patients, families, and designated caregivers. They assist adult patients and their families with personal and environmental difficulties associated with medical conditions, including terminal illnesses. | Candidates must possess a degree in Health & Human Services or a related field, with at least one year of experience in Long Term Care, Health Plan, and Medicaid. Mental health experience is preferred. | City/State Fairfax, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Care Coordinator in Falls Church, Arlington, Woodbridge, Fairfax, VA and surrounding areas! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F The position requires both in person/face-to-face assessments and remote telephonic assessments for the LTSS Waiver population in Falls Church, Fairfax, Arlington, Woodbridge, VA and surrounding areas! Location: Candidate must reside in Falls Church, Fairfax, Arlington, Woodbridge, VA and surrounding areas! Job responsibilities: Performs a variety of casework duties and provides case management services to patients, families, and designated caregivers. Must develop, participate and monitor multidisciplinary collaboration of services to patients where appropriate. Assist adult patients and their families with personal and environmental difficulties associated with medical condition up to and including at time of terminal illnesses. Education: Must possess a degree in Health & Human Services or one of the following related Fields: -Art Therapy -Behavioral Sciences -Child Development -Cognitive Sciences -Community Mental Health Counseling (MH, Vocational, Pastoral, etc.) -Counselor Education -Early Childhood Development -Educational Psychology -Gerontology -Healthcare Administration -Human Development -Human Services -Marriage and Family Therapy -Music Therapy -Nursing -Pharmacy -Psychiatric Rehabilitation -Psychology -Rehabilitation Counseling -Social Work -Sociology -Special Education -Speech Therapy -Therapeutic Recreation -Vocational Rehabilitation All degrees must be from schools that are listed as accredited on the U.S. Department of Education College Accreditation database found on the U.S. Department of Education website. Schools that are not listed on the database do not meet the standard as accredited. Degrees that have been obtained from schools outside the United States will be reviewed individually. Certification/Licensure None required Experience Long Term Care- 1 year; Health Plan- 1 year; Medicaid- 1 year REQUIRED At least one year of mental health experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-85678 Talroo – Health Plan Keywords: Care Coordination, Human Services, Community Health, Health Education, Long Term Care, Health Plan, Social Work, Therapy, Counseling, Psychology, Waiver, LTSS, Medicaid, Managed Care, MCO, Alexandria, Falls Church, Arlington, Annandale, Woodbridge, Fairfax, VA, Virginia Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Oversee and coordinate multiple inter-related technical projects within the PMO to ensure alignment with business objectives and successful execution. | Minimum 3 years IT program/project management experience with a degree or 5 years without, strong governance and project delivery skills. | City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview The IT Program Manager is responsible for overseeing and coordinating multiple inter-related technical projects within the Technical Program Management Office (PMO). This role ensures that projects align with business objectives, meet strategic goals, and adhere to best practices in program and project management. The IT Program Manager provides centralized expertise, governance, and support, driving efficiency and ensuring successful project execution. The IT Program Manager is responsible for overseeing and coordinating multiple inter-related technical projects within the Technical Program Management Office (PMO). This role ensures that projects align with business objectives, meet strategic goals, and adhere to best practices in program and project management. The IT Program Manager provides centralized expertise, governance, and support, driving efficiency and ensuring successful project execution. Education Bachelor's Degree (Preferred) Certification/Licensure No specific certification or licensure requirements Experience Required to have a minimum of 3 years of relevant experience in IT program/project management with a degree Required to have 5 years of related experience without a degree We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $106,080 - $176820.80. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

The Care Coordinator performs a variety of casework duties and provides case management services to patients, families, and designated caregivers. They assist adult patients and their families with personal and environmental difficulties associated with medical conditions, including terminal illnesses. | Candidates must possess a degree in Health & Human Services or a related field and have at least one year of experience in Long Term Care, Health Plan, and Medicaid. Mental health experience is preferred. | City/State Winchester, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring a Care Coordinator in Winchester, VA and surrounding areas! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F The position requires both in person/face-to-face assessments and remote telephonic assessments for the LTSS Waiver population in Winchester, VA and surrounding areas! Location: Candidate must reside in Winchester, VA and surrounding areas! Job responsibilities: Performs a variety of casework duties and provides case management services to patients, families, and designated caregivers. Must develop, participate and monitor multidisciplinary collaboration of services to patients where appropriate. Assist adult patients and their families with personal and environmental difficulties associated with medical condition up to and including at time of terminal illnesses. Education: Must possess a degree in Health & Human Services or one of the following related Fields: -Art Therapy -Behavioral Sciences -Child Development -Cognitive Sciences -Community Mental Health Counseling (MH, Vocational, Pastoral, etc.) -Counselor Education -Early Childhood Development -Educational Psychology -Gerontology -Healthcare Administration -Human Development -Human Services -Marriage and Family Therapy -Music Therapy -Nursing -Pharmacy -Psychiatric Rehabilitation -Psychology -Rehabilitation Counseling -Social Work -Sociology -Special Education -Speech Therapy -Therapeutic Recreation -Vocational Rehabilitation All degrees must be from schools that are listed as accredited on the U.S. Department of Education College Accreditation database found on the U.S. Department of Education website. Schools that are not listed on the database do not meet the standard as accredited. Degrees that have been obtained from schools outside the United States will be reviewed individually. Certification/Licensure None required Experience Long Term Care- 1 year; Health Plan- 1 year; Medicaid- 1 year REQUIRED At least one year of mental health experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-86229 Talroo – Health Plan Keywords: Care Coordination, Human Services, Community Health, Health Education, Long Term Care, Health Plan, Social Work, Therapy, Counseling, Psychology, Waiver, LTSS, Medicaid, Managed Care, MCO, Winchester, VA, Virginia Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

Manage on-premises Active Directory and Azure services, including administration, support, maintenance, and monitoring. Handle migration activities and day-to-day administration of escalated calls. | Candidates must have 7+ years of experience managing Active Directory and related services, with specific experience in migrations and setting up conditional access policies. A degree is preferred, but extensive experience may substitute for formal education. | City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview Manage on-premises Active Directory, Entra ID (Azure Active Directory), AD Federation Services (ADFS), and Azure AD Connect servers. Administration, support, maintenance, and monitoring Manage conditional access policies, application integrations, and Identity synchronization from on-premises AD to Entra ID. Day-to-day administration of L3 and escalated calls, and provide resolution. Handle migration activities in Active Directory, ADFS, Entra ID and Azure AD Connect. Be part of on-call rotation schedule Education Experience in lieu of a Bachelor’s Degree 5+ years of relevant experience with a degree (Required) 7+ years of relevant experience without a degree (Required) Certification/Licensure No specific certification or licensure requirements Experience Required to have 7+ years of experience in managing on-premises Active Directory, Entra ID (Azure Active Directory), AD Federation Services (ADFS), and Azure AD Connect servers. Required to have experience in migrations from AD/ADFS to Entra ID. Required to have experience in setting up conditional access policies, application integrations, PHS, and WS-FED Required to have knowledge of Industry standard authentication protocols – SAML, OpenID Connect, OAuth, and password less authentication. Candidate should be capable of driving projects, e.g. modernize the Active Directory environment, consolidate domains, and leverage cloud-based identity services. Good understanding of domain controller backup/restore/disaster recovery. Good understanding of AD security, attacks, and mitigations. . We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$91,416.00-$152,380.80. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform. This role ensures benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements. | Candidates must have 7+ years of hands-on QNXT benefit configuration experience and strong knowledge of QNXT system architecture. Proficiency in Microsoft SQL Server and understanding of regulatory requirements across various plans is also required. | City/State Richmond, VA Work Shift Multiple shifts available Overview: Overview The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with Product, Compliance, IT, Network and Claim’s teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements. The senior analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations, annual updates, and ongoing configuration maintenance. Education Bachelor’s Degree (Required) Certification/Licensure No specific certification or licensure requirements Experience Required to have 7+ years of hands-on QNXT benefit configuration experience, preferably in a managed care or health plan environment. Required to have strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration. Required to have proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting. Required to have experience with CMT and QCS tools for version management, configuration migrations, and build monitoring. Required to have strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans. Required to have excellent analytical, organizational, and problem-solving skills, strong written and verbal communication including technical documentation. Excellent interpersonal skills and team oriented. Preferred Qualifications Familiarity with implementation methodologies for new products or market launches. Knowledge of healthcare claims lifecycle, pricing, and accumulators. Lean Six Sigma or process improvement background is a plus. We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $ 69,867.20 - $ 116,438.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Keywords: QNXT, Benefit Configuration, SQL Server, CMT, QCS tools, Medicare, Medicaid, ACA, Commercial plans, lean six sigma, LSS, process improvement, QNXT system architecture, QNXT benefit configuration Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

The ARTS Care Coordinator reviews clinical information from providers to ensure it meets Medical Necessity Criteria for service authorization. This role requires knowledge of various healthcare protocols and ensures accurate data entry into the claims system for payment processing. | Candidates must have a Master's degree in Counseling, Social Work, or a BSN, along with relevant licensure. Additionally, two years of experience in behavioral health and one year in care coordination or related fields is required. | City/State Roanoke, VA Work Shift First (Days) Overview: Sentara Health is currently seeking a full-time remote Arts Care Coordinator. Position Status: Full-time, Day Shift Position Location: Remote in the state of Virginia Standard Working Hours: Monday - Friday, 8:00AM - 5:00PM EST. Overview The ARTS Care Coordinator is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of managed care contracting, Medical Necessity, CMHRS services, BH and ARTS services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self funded and commercial payers. Ensures appropriate and accurate information is entered into claims system for processing of payment Education Master's degree in Counseling or Social Work or BSN Certification/Licensure LCSW or LPC or LMFT or RN current license for the state of Virginia. LMHP- S, LMHP-R may be considered if actively working towards licensure and prior experience is present. Experience 2 years experience working in behavioral health and 1 years' experience with behavioral health care coordination, discharge planning, continuity of care or transitions of care required. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!

The LTSS Waiver Authorization Coordinator provides operational support for MLTSS clinical processes, collaborating with Care Coordination and LTSS Authorization teams. Responsibilities include reviewing reports, obtaining screenings, determining member eligibility, and submitting waivers to DMAS. | Candidates should have a minimum of 2 years of related experience in a medical setting, preferably in long-term care or Medicaid. An Associate's Level Degree is preferred, along with knowledge of Medicaid waiver services and experience with vulnerable populations. | City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is recruiting a Long-Term Services and Supports (LTSS) Waiver Authorization Coordinator! Status: Full-Time, permanent position (40 hours) Standard working hours: 8 am to 5 pm EST, M-F Location: This position can work remotely in VA. Job responsibilities: Responsible for providing operational support of MLTSS clinical processes in collaboration with the Care Coordination team and the LTSS Authorization team. Reviews reports, requests and documentation for information concerning LOC changes. Contacts authorized screening entities statewide to obtain MLTSS screenings within expected timeframes. Corresponds with DMAS to request screenings and to obtain regulatory guidance on the screening process and other processes that affect waiver eligibility. Corresponds with Nursing/Hospice Facilities for LOC change information, member data updates and regulatory reporting. Collaborates with LTSS Authorization team for members with CCC Plus waiver authorization requests. Reviews MLTSS screenings for validity and authorization. Determines member eligibility for LTSS waivers and completes charting. Submits waivers to DMAS for eligible members. Notifies Analytics Department for follow-up to ensure accurate payment from DMAS. Assists with corrections of LOC change forms and LOCERI assignments, and acts as a point of contact for access to DMAS portal. Reviews, approves, processes and audits charts for DMAS 225s. Provides education to Care Coordinators. Handles the fax queue; attaches faxes in the charting system and creates notifications. Other duties as assigned. Education: ALD - Associate's Level Degree preferred Certification/Licensure: None required Experience: Minimum of 2 years related working experience in a medical setting, preferably long-term care, home health, or MCO Medicaid experience Knowledge of Medicaid waiver services Experience working with low-income, disadvantaged, disabled, elderly, and vulnerable populations preferred. Preferred qualifications: ALD - Associate's Level Degree preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-84102 #Indeed Monster Talroo – Health Plan LTSS Waiver Authorization Coordinator, MLTSS, Medicaid, MCO, Health Plan, DMAS, Remote, Virginia, VA, Long term care, home health Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: 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, West Virginia, Wisconsin, and Wyoming. Sentara Health is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider that has been in business for over 131 years. Offering hundreds of sites of care including 12 hospitals, PACE, home health, hospice, medical groups, imaging services, therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the communities that we serve have nominated Sentara “Employer of Choice” for over ten years. U.S. News and World Report has recognized Sentara as having the Best Hospitals for 15+ years. Sentara offers professional development and a continued employment philosophy!