- Red River (Richmond, VA)
- **Position Summary:** The Manager, Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... Residency Services Manager will be responsible for our residents' growth and operational management in the field full-time for the project's duration for any given… more
- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... policy procedures and processes to help support best member outcomes. Oversees and manages ...Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance… more
- Centene Corporation (Richmond, VA)
- …efficiency to support timely and compliant claims outcomes. + Leads utilization management team on performance, improvement, and career growth path ... including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of… more
- Humana (Richmond, VA)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge… more
- Humana (Richmond, VA)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Richmond, VA)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support .… more
- Humana (Richmond, VA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... value based care, population health, or disease or care management . Medical Directors support Humana values, and...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Richmond, VA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Evolent (Richmond, VA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Humana (Richmond, VA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- EAB (Richmond, VA)
- …success strategy assessment and implementation, metric and measurement alignment, and change management support + Support implementation of best practice ... institutional capacity for transformation + Student success technology implementation and utilization to drive measurable impact The Associate Director will… more
- Evolent (Richmond, VA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management team. We can offer you a… more
- Wolters Kluwer (Richmond, VA)
- …of Wolters Kluwer's CP & ESG Division) is a leading Corporate Performance Management software vendor. In addition to providing a unified Performance Management ... ESG, Tax, Insurance & Banking. The **North American** team is seeking a ** Director of Solution Consulting, North America** to lead a high-performing team of solution… more
- Highmark Health (Richmond, VA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- HCA Healthcare (Richmond, VA)
- …labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure ... **Introduction** Do you have the career opportunities as a Director Womens Childrens Services you want with your current...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- CenterWell (Richmond, VA)
- …to optimize patient care and business outcomes. The Associate Medical Director 's Key Responsibilities include: Leadership & Organizational Management : + ... of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, combining… more
- Baylor Scott & White Health (Richmond, VA)
- …patterns to key stakeholders. This will include close partnership with the BSWH utilization management function to gather information and resolve issues with ... optimize reimbursement outcomes. Will lead external resources through vendor or contractor management in support of clinical denial management operations.… more
- Evolent (Richmond, VA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . ... Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in… more
- ChenMed (Richmond, VA)
- …we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in ... of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical-operations synergy and… more
- CBRE (Richmond, VA)
- …of interest in any posted position at CBRE. **About the role** An Account Director provides leadership, management , and development of a client account, ensuring ... Talent Community (Account Director ) Job ID 193406 Posted 12-Nov-2024 Role type...Posted 12-Nov-2024 Role type Full-time Areas of Interest Facilities Management Location(s) Allentown - Pennsylvania - United States of… more
