- The Cigna Group (Richmond, VA)
- …or McLean, Virginia or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and management of the day to day contracting and… more
- The Cigna Group (Mclean, VA)
- The Existing Business Sales Manager is a member of the Market's Senior Executive team and reports directly to the Market Growth Leader. Responsible for attaining ... strong articulation and execution of Cigna's value proposition through our clinical engagement programs. + Manage expenses and monitor budget. Conduct financial… more
- Elevance Health (Norfolk, VA)
- ** Clinical Provider Auditor I (CPC)** ** Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... distance from an office.** + **Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
- Elevance Health (Richmond, VA)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... locations may be considered. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
- Elevance Health (Norfolk, VA)
- ** Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... Alternate locations may be considered. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
- Elevance Health (Norfolk, VA)
- …is granted as required by law. Alternate locations may be considered. The ** Manager , Medical Director** will serve as a clinical and strategic advisor ... ** Manager , Medical Director - Transformation Initiatives** Location: This...adaptable workplace. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance… more
- Eliassen Group (Mclean, VA)
- …of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With ... **Project Manager (Merger & Acquisition Integration)** **McLean, VA** **Type:**...+ Description + Recommended Jobs **Description:** **This job is hybrid in McLean, VA (3 days on site)** Our… more
- Elevance Health (Roanoke, VA)
- …onboarding and skill development. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... + Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Elevance Health (Norfolk, VA)
- …+ Experience working with claims databases + Experience with industry standard clinical code sets, predictive modeling risk adjustment tools and episode ... an office Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...RWE and HEOR studies. + Conducts competitive analysis of risk stratification models and makes recommendations to clients. +… more
- Elevance Health (Norfolk, VA)
- …locations may be considered.** Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... and appeals, manages inventory and production levels, and operational and plan risk , ensures quality, and regulatory compliance.** PRIMARY DUTIES: + Leads team of… more
- Elevance Health (Richmond, VA)
- …commuting distance from an office. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... adopted across business units. + Develops, analyzes, and models complex operational, clinical , and economic data, while delivering end-to-end ML systems (XGBoost /… more
- Elevance Health (Roanoke, VA)
- …will make an impact:** + Assists responsible RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. + ... and direct, hands-on engagement. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting… more
- Elevance Health (Culpeper, VA)
- …and direct, hands-on engagement. _Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the posting ... care across the care continuum. Responsible for performing face-to-face clinical assessments for the identification, evaluation, coordination and management of… more
- WTW (Arlington, VA)
- …strategies. We also provide specialty consulting services including clinical /health management program design, pharmacy solutions, disability/absence management ... revenue across our business by leading strategic quantitative and risk conversations with employer clients. We deliver quantitative reporting...particularly in Excel and PowerPoint + This is a hybrid position that requires you to be local and… more
- ChenMed (Richmond, VA)
- …provider's direction, the incumbent provides a wide range of urgent and acute clinical interventions to patients in their homes in order to stabilize them. The ... hospital or advanced life support services. + Creates and records detailed clinical documents for each patient, noting all medications, allergies, and medical… more