- Insight Global (Henrico, VA)
- Job Description Insight Global is looking for a Senior Data Case Manager to join one of our clients in Richmond VA. The CIO Case Manager is a ... the entire approval process for the incoming & outgoing data requests for the Front-Line Units who have a...processing of cases. The average time frame of one case is 145 days and requires consistent follow-up to… more
- Guardian Life (Richmond, VA)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... service to all internal and external customers. The Claims Case Manager II administers claims within a...necessary; follow up as needed to address gaps in data and information + Document and enter information related… more
- CVS Health (Henrico, VA)
- …we do it all with heart, each and every day. **Position Summary** This Case Manager Registered position is with Aetna's Long-Term Services and Supports (LTSS) ... on the telephone, and typing on the computer Nurse Case Manager is responsible for assessing, planning,...coverage policies. Through the use of clinical tools and information/ data review, conducts an evaluation of member's needs and… more
- Highmark Health (Richmond, VA)
- …assesses health management needs of the assigned member panel and utilizing data /analytics in conjunction with professional clinical judgement to identify the right ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...to interpret, evaluate and act on clinical and financial data , including analysis of statistical data +… more
- US Tech Solutions (Richmond, VA)
- …Case management and/or discharge planning experience preferred **Position Summary** + Nurse Case Manager is responsible for telephonically and/or face to face ... patient advocacy. **Duties** + Through the use of clinical tools and information/ data review, conducts an evaluation of member's needs and benefit plan eligibility… more
- Cardinal Health (Richmond, VA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... accuracy and efficiency. + Track key patient metrics, analyzing data to identify trends and areas for improvement, and...effective solutions. + Provide guidance and training to junior case managers on best practices in case … more
- CVS Health (Richmond, VA)
- …it all with heart, each and every day. **Position Summary** + Nurse Case Manager is responsible forassessing, planning, implementingand coordinating all case ... policies. + Through the use of clinical tools and information/ data review, conducts an evaluation of member's needs and...Reviews prior claims to address potential impact on current case management and eligibility. + Using a holistic approach… more
- Cardinal Health (Richmond, VA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... special projects as requested. + Consistently maintain and document accurate data , including insurance, coverage approvals, on-going coverage requirements, and all… more
- BrightSpring Health Services (Richmond, VA)
- …Experience Preferred Full-time Salaried Flexible Schedule Our Home Health Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you ... patient plan of care and reevaluate as necessary + Utilize health assessment data to determine nursing diagnosis + Administer medication and treatment as prescribed… more
- BrightSpring Health Services (Colonial Heights, VA)
- …the territory is required for visits Schedule: PRN Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support ... patient plan of care and reevaluate as necessary + Utilize health assessment data to determine nursing diagnosis + Administer medication and treatment as prescribed… more
- Public Consulting Group (Richmond, VA)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Cardinal Health (Richmond, VA)
- …persistence, creativity, empathy, and trust. + Robust computer literacy skills including data entry and MS Office-based software programs + Strong understanding of ... pharmaceutical therapies, disease states, and medication adherence challenges preferred + Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers **What is… more
- CVS Health (Richmond, VA)
- …candidates to travel 70-75% of the time to meet with members face to face. Case Manager Analyst is responsible for face to face and telephonically assessing, ... do it all with heart, each and every day. **Position Summary** This Analyst, Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team and… more
- Datavant (Richmond, VA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...platform. You will work closely with our other engineering manager and our Customer Success team to ensure successful… more
- Datavant (Richmond, VA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Capital One (Richmond, VA)
- Senior Manager , Technical Product Marketing, Data Security - Capital One Software (Remote) Ever since our first credit card customer in 1994, Capital One has ... recognized that technology and data can enable even large companies to be innovative...question the status quo. As a Capital One Senior Manager , Product Marketing, you'll have the opportunity to be… more
- Evolent (Richmond, VA)
- …culture. **What You'll Be Doing:** **Job Summary** We are seeking a highly motivated **AI/ Data Science Product Manager ** to lead and manage AI initiatives across ... AI capabilities into business impact. **Analytical Skills:** Experience with data -driven decision-making, including business case development and opportunity… more
- Ford Motor Company (Richmond, VA)
- …something bigger than ourselves. Are you ready to change the way the world moves? As a Manager of Central Data Engineering, you will be at the heart of our ... infrastructure. This is a fantastic opportunity for an experienced data or software engineering manager to make...lives within 50 miles of Dearborn, MI. In this case we request the candidate to be on-site 1-2… more
- Deloitte (Richmond, VA)
- …with the best in the business to solve their toughest problems. As an SAP Manager , you will: + Be responsible for delivering complex projects in a fast-paced, team ... SAP consulting or industry experience + Experience with SAP Data Architecture, SAP MDG/MDM, and S4 HANA + Participation...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- Deloitte (Richmond, VA)
- …their toughest problems. In this role you will + support client work on data planning, strategy, and execution + manage the development and testing activities for ... the data migration process for S/4 HANA implementations + lead...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more