Welcome to Piedmont Community Health Plan's jobs page. As Central Virginia's very own managed healthcare organization, we're dedicated to providing our members with access to medical care that represents the highest standards for quality and efficiency.
To view and or apply for any of the following positions, click CENTRA HEALTH CAREERS and follow the prompts:
- Scroll to the bottom and select "Piedmont Community Health Plan" from the "Select a Facility" box.
- You may further your search by selecting a job category or job status.
- Click on "Search."
Current Job Openings
Auditor Internal PCHP
The Internal Auditor assists with compliance responsibilities including auditing and monitoring and education to ensure data integrity and compliance with federal and state regulations. This position requires thorough knowledge of accounting and auditing principles, working under broad guidelines and able to complete tasks with minimal assistance.
Clinical Navigator III
The Clinical Navigator will be responsible for providing clinical care and guidance to high-risk, recently hospitalized patients in order to prevent avoidable re-admissions. The position will work to eliminate barriers to care by guiding, educating, and navigating patients to receive necessary healthcare monitoring and resources, both within Centra and externally. The position will be charged with building professional relationships with external local and regional healthcare providers and vendors to ensure smooth post-acute care transitions and timely access to care for patients.
This individual assists the Product Manager of Government Programs – Exchange/Affordable Care Act(ACA) with government healthcare plan daily operation functions. These duties include, but are not limited to: investigating and resolving Health Insurance Casework System(HICS) cases, supporting enrollment discrepancy resolutions, track and chart product metrics, assisting the claims/enrollment Third-Party Administrator (TPA) with reconciliation of Centers for Medicare & Medicaid Services (CMS)/Piedmont records, addressing complex inquiries/issues internally and externally, performing member outreach, process returned mail, and support process improvement initiatives.
Utilization Review Nurse
Piedmont Community Health Plan's medical management department is searching for a full time Registered Nurse to join our team.
This role performs utilization review services for a variety of services, including both inpatient and outpatient services, within the established criteria and regulatory timeframes. The nurse will promote effective utilization and monitoring of health services. The nurse will communication and collaborate with providers and members to manage coverage of services. The nurse will refer members to case management as appropriate.
As a local employer of choice, Piedmont is committed to diversity. As such, we are an Equal Employment Opportunity and Affirmative Action Employer. Please see below for current job openings. Thank you for your interest in Piedmont Community Health Plan.