- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the Indiana Pathways...as well as a focus on collaborative business relationships, value based care, population health, or disease or care… more
- Humana (Richmond, VA)
- …community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Richmond, VA)
- …diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships ... drives solutions at an organizational level to provide maximum value and align to the overarching IT strategy. They...+ **The CIO is dedicated full-time to the Virginia Medicaid product lines and must reside in the state… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Richmond, VA)
- …enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities. **Responsibilities** The Medical Director provides ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Richmond, VA)
- …us put health first** Humana Healthy Horizons in Virginia is seeking a Director , Provider Engagement who will oversee the plan's strategic provider services model, ... for Provider Relations, Provider Engagement and Network Development. The Director , Provider Engagement coordinates communication between Humana and its network… more
- Evolent Health (Richmond, VA)
- …Primary Care First- **Strongly** **Preferred.** + Actuarial experience within value -based contracting across payers (Medicare Advantage, Commercial, Medicaid )- ... Actuarial Team offers candidates the opportunity to support the evolution of value -based care across all lines of business by collaborating directly with primary… more
- CenterWell (Newport News, VA)
- …The Nurse Practitioner (NP) works in our team-based care environment. We are a value -based care provider focused on quality of care for the patients we serve. Our ... and lead with the care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in… more
- HCA Healthcare (Richmond, VA)
- …and processing of reviews as determined by the Charge Master Manager and Director of Compliance. + Ensures proper maintenance of facility charge masters and related ... action as indicated by the Charge Master Manager and Director of Compliance. + Practice and adhere to the...to the "Code of Conduct" philosophy and "Mission and Value Statement". + Other duties as assigned. **What qualifications… more
- Humana (Richmond, VA)
- …first** The Sr. Manager, Lead Category Manager will report directly into the Director of IT Procurement and will lead the development of category strategies, design ... business and sourcing leadership in Humana's business segments to drive enterprise-wide value . Focusing on the Cloud provider space, the Lead Category Manager… more
- CenterWell (Norfolk, VA)
- …Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our ... care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of...Willingness and ability to learn/adapt to practice in a value based care setting + Superior patient/customer service +… more
- HCA Healthcare (Richmond, VA)
- …and collaborates with the Revenue Integrity Clinical Analysts and/or Facility Director to resolve identified issue. * Monitors total charges associated with ... when necessary on special projects. **Qualifications that you will need:** * Associate Degree or above; or healthcare license/certification required. * Minimum 1… more
- Humana (Richmond, VA)
- …and clinical to drive the evolution of data driven insights and our segment value proposition. Throughout the annual business cycle, you will champion the needs of ... to senior leaders across the enterprise. Tactically, you will partner with the Director of Strategy Advancement to set segment specific OKRs and then drive progress… more
- HCA Healthcare (Richmond, VA)
- …hospital to maintain accreditation standards of the Joint Commission, Medicare, Medicaid , and similar organizations. + Serves as the HealthStream administrator for ... entering data, and providing reports as needed. + Assists the Market Director of Clinical Professional Development to prepare and oversee business reports, including… more