- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
- Centene Corporation (Richmond, VA)
- …activities including peer-to-peer requests, authorization entry, and discharge data management . + Leads utilization management team on performance, ... including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of… more
- EAB (Richmond, VA)
- …institutional capacity for transformation + Student success technology implementation and utilization to drive measurable impact The Associate Director will ... For more information, visit our Careers page. The Role in Brief: Associate Director , Strategic Consulting EAB is actively expanding its portfolio of technology and… more
- Evolent (Richmond, VA)
- …leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. Technical Requirements: We require ... of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty… more
- CVS Health (Richmond, VA)
- …members across Aetna. **Expectations and Responsibilities:** * Serve as the principal utilization management reviewer for cases related to Applied Behavior ... Director , Aetna Medicaid, this role is responsible for utilization , quality, and fraud, waste, and abuse reviews for...Attend and actively participate in clinical meetings with care management and utilization management teams,… more
- Option Care Health (Richmond, VA)
- …presentations within Option Care and externally with customers (ex. medical director , head of case management , executive c-suite individuals). **Travel ... **Job Description Summary:** Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution… more