Sentara Health

Business Analyst

• Overview This Senior Business Analyst will be responsible in supporting all technical and back-end processes and reporting for our CRM/Salesforce platform.
• The Senior BA will also be responsible for identifying process improvements and streamlining processes to include developing workflows and supporting policies and procedures for new products, services, and new capabilities.
• The Senior BA will track issues, perform root cause analysis and facilitate expedited recovery when warranted.
• The Senior BA will engage formal project management and other function area support as required.
• This Senior BA will also be responsible for reporting externally and internally.

Senior Business Analyst

Customer Support

• Overview The Customer Service Representative (CAC) handles all aspects of member/patient support, focusing on timely research and resolution of telephone inquiries. This role manages incoming calls to address questions about member eligibility , plan prescription benefits , and claim payment issues , as well as patient service needs such as updating billing information , establishing payment plans , resolving payment inquiries , and scheduling . Success in this role requires clear communication, accurate documentation, strong problem-solving, and a service-oriented mindset to ensure an excellent experience on every call.

Customer Service Representative, CAC

Manager

• Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum
• Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services
• Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
• Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs
• Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
• Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
• Presents cases at case conferences for multidisciplinary focus.
• Ensures compliance with regulatory, accrediting and company policies and procedures
• May assist in problem solving with provider, claims or service issues.

Integrated Nurse Case Manager, RN – Maternity/OBGYN

Analyst

• Seeking a Senior IT Specialty Analyst to join the Revenue Cycle IT team, specializing in Accounts Receivable (AR) workflows within Epic Hospital Billing (HB).
• Drive efficiency and automation across insurance follow-up, denials, credits, and payment posting.
• Leverage Waystar claim status integration to improve automation and reduce manual effort.
• Configure, test, and support Epic system actions to drive AR and SBO operations.
• Partner with operational leaders to resolve AR issues and identify process improvements.
• Support RMO, payment posting, and reconciliation activities.
• Contribute to SBO initiatives, including combined HB/PB statement workflows.

Senior IT Specialty Analyst

Therapist

• Assess, plan, organize, and participate in rehabilitative programs that improve functional mobility, relieve pain, and improve or correct disabling conditions resulting from disease or injury.
• Provides age-appropriate education for clients and caregivers.
• Supervise and assume responsibility for care provided by identified team members.

Virtual Physical Therapist Home Care

Integrated Nurse Case Manager, Registered Nurse (RN)

• Senior Integrated Care Manager, specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure.
• Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review.
• Reviews for appropriateness of treatment setting to ensure compliance with applicable criteria, and regulatory requirements.
• Responsible for written and /or verbal communication of pertinent clinical information.
• Location: Hybrid in Norfolk, VA; reports to Sentara Patient Accounting.

Senior Integrated Care Manager, Utilization Review Department - Hybrid

Financial Planning and Analysis

• We are seeking a detail-oriented and proactive professional to provide financial and analytical support to assigned business areas, helping them meet strategic and financial goals.\n• This role works closely with the Director of Finance, Transformation and Corporate finance team.\n• Strategic finance partner to the Transformation Office, providing financial insights and support.\n• Conduct in-depth financial analysis to evaluate and track the performance for strategic initiatives, ensuring alignment with organizational objectives.\n• Collaborate with FP&A to assess and communicate the financial impact of Transformation across the organization.\n• Create and maintain executive-level reporting to support decision-making by senior leadership.

Finance Consultant, Strategic Transformation - Remote in Hampton Roads!

Consultant

• The Continuing Medical Education (CME) Program Consultant at Sentara Health plays a vital role in coordinating and ensuring the quality and compliance of CME activities for physicians and healthcare professionals.\n• This position is central to maintaining alignment with the standards and requirements set by the ACCME, the American Medical Association (AMA), the Southern States CME Collaborative (SSCC), and internal Sentara Health policies.\n• Working within the CME Department, the CME Consultant oversees the planning and delivery of educational events, including annual conferences, Quality Improvement (QI) and Performance Improvement (PI) activities, and other ongoing activities.\n• They ensure these programs meet accreditation requirements, occur on schedule, and within budget .\n• A key part of the role involves managing Maintenance of Certification (MOC) activities through the ABMS Portfolio Program.\n• The Consultant collaborates closely with internal stakeholders, offering guidance on accreditation standards, policies, and procedures.\n• In addition to event coordination and compliance oversight, the role includes maintaining digital platforms such as CloudCME and ACCME PARS.\n• The consultant is also responsible for maintaining detailed records in accordance with accreditation requirements.\n• This position requires a bachelor’s degree in business, healthcare, or education along with strong organizational, communication, and technical skills.\n• The ideal candidate is action-oriented, collaborative, and detail-focused, with a strong ability to manage complex workflows and build effective internal relationships.