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How much do optima healthcare jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for optima healthcare in Virginia is $30.02, according to ZipRecruiter salary data. Most workers in this role earn between $16.36 and $38.34 per hour, depending on experience, location, and employer.

What is an Optima Healthcare job?

An Optima Healthcare job typically refers to a role within Optima Healthcare, a company or organization focused on providing medical and healthcare services. Positions can range from clinical roles like nurses and physicians to administrative roles such as medical billing or healthcare management. Employees may work in hospitals, clinics, or corporate offices, depending on the specific role. Optima Healthcare jobs often emphasize patient care, efficiency, and innovation in healthcare services. Benefits and job responsibilities vary based on the position and location.

What are the key skills and qualifications needed to thrive in an Optima Healthcare position?

To thrive at Optima Healthcare, professionals need a combination of relevant healthcare credentials, such as clinical licensure or allied health certifications, as well as a solid understanding of patient care protocols and best practices. Familiarity with electronic health record (EHR) systems, specialized medical software, and compliance with HIPAA regulations is often required. Strong communication, teamwork, and problem-solving skills help individuals excel in collaborative care environments. These competencies ensure delivery of effective healthcare services and support overall patient outcomes within the organization.

What opportunities for career advancement are available at Optima Healthcare?

Optima Healthcare offers a variety of pathways for career growth, ranging from clinical specialist and supervisory roles to leadership positions in administration and program management. Employees are often encouraged to pursue continuing education, on-the-job training, and mentorship programs to expand their skills and advance their careers. Team members can also benefit from internal promotions and cross-departmental projects, which provide exposure to different aspects of healthcare delivery. The organization values professional development and regularly supports staff in achieving their long-term career goals.

What are popular job titles related to Optima Healthcare jobs in Virginia?

For Optima Healthcare jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Optima Healthcare jobs in Virginia look for?

The top searched job categories for Optima Healthcare jobs in Virginia are:

What cities in Virginia are hiring for Optima Healthcare jobs?

Cities in Virginia with the most Optima Healthcare job openings:

Optima Healthcare jobs near you
Infographic showing various Optima Healthcare job openings in Virginia as of August 2026, with employment types broken down into 2% As Needed, 62% Full Time, 22% Part Time, and 14% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $62,435 per year, or $30 per hour.

Director, Appeals and Grievance

Sentara Healthcare Inc

Virginia Beach, VA • On-site

$140 - $210/hr

Other

Posted 2 days ago

New

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

531st of 888 rated healthcare providers

Job description

Overview

The Director of Appeals and Grievance will plan, develop, and direct the department services and activities for all existing and new business opportunities. This includes setting strategic long- term goals for Commercial, Medicaid, and Medicare business. This role assumes leadership for the program development and strategic planning of for Appeals and Grievance Department in all Sentara Health Plan’s (formally known as Optima Health) lines of business and markets.

  • Develops policies, workflows, and compliance documents, which meet all contractual, regulatory and accreditation requirements for new and existing business product lines.
  • Provide oversight for complaints, appeals and grievances reporting and analysis, and interface with Member Services on ongoing key performance indicators
  • Oversee staff in their efforts to resolve and coordinate resources effectively to solve any needs for ad hoc requests and ongoing projects relative to appeals and grievances, state, federal, and accreditation requirements
  • The Director works closely with the Medical Directors to identify trends in Appeals and make recommendations to change Medical Criteria and Benefit covered items.
  • Accountable for ensuring compliance with contractual agreements, SHP policies and procedures in addition to Federal, State and Accreditation regulations and standards.
  • Responsible for all external audits of Appeals and Grievance: NCQA, EQRO, CMS, DMAS and BOI.
  • Responsible to meet department SLAs and work with other departments to ensure full compliance with targets.
  • Responsible for effective management of work inventories and establishing and maintaining working relationships with other departments.
  • Responsible for the outcomes of the Appeals and Grievance department.
  • Support inquiries from Compliance and Internal Audit including development and execution of corrective action plans with a focus on issues recurrence avoidance.
  • Other tasks as needed for the success of the department and Sentara Health Plans
Education
  • Bachelor\'s Degree (Required)
Location
  • Remote
Experience
  • Minimum five years of experience with Healthcare Complaints/Appeals.
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