- Cardinal Health (Richmond, VA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Humana (Richmond, VA)
- …+ Previous MCO management/leadership experience + Previous direct experience working in a managed care field. + 5 or more years of previous management/supervisor ... us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (Maternal-Child Health) who will lead teams of nurses and health… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Behavioral Health Care Manager (Field Care Manager , Behavioral Health 2) performs ... to face and telephonic assessments with members. The BH Care Manager serves as the primary point...social service agencies and additional community resources + Previous managed care experience + Bilingual preferred (Spanish,… more
- Highmark Health (Richmond, VA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Richmond, VA)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- Elevance Health (Richmond, VA)
- …Requirements:** + Requires BA/BS in Pharmacy and a minimum of 2 years of managed care pharmacy experience; or any combination of education and experience, which ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The **Pharmacist Program Manager ** will be...Skills, Capabilities, and Experiences** + Knowledge of current health care and managed care pharmacy… more
- CDM Smith (Richmond, VA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Capital One (Richmond, VA)
- Leave and Accommodations Operations Manager The Leave & Accommodations team is looking for an Operations Manager . This leader will oversee the teams responsible ... take time away for their own health or to care for a family member, as well as providing...of our associates can thrive at work. The Operations Manager will be responsible for leading a talented multi-level… more
- Amgen (Richmond, VA)
- …stakeholders on disease state awareness and product information to support optimal patient care . As a SAM, you will drive product utilization while identifying and ... strong relationships with a range of stakeholders across the patient care ecosystem-including physicians, nurses, office staff, case managers, infusion centers, and… more
- Erickson Living (Richmond, VA)
- …Life, Health, Dental, Eye, 401K, etc. Join our team as an Assistant General Manager of Dining Services, where you'll lead a talented team of professionals, oversee ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Elevance Health (Richmond, VA)
- …+ 5+ years of clinical practice experience, with transition into payer, managed care , or healthcare leadership preferred. + Experience advising medical ... ** Manager , Medical Director - Transformation Initiatives** Location: This...+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management… more
- HCA Healthcare (Richmond, VA)
- …is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the ... and operational metrics to ensure that financial and operational risks are properly managed . + Works with the division operations team and CCU team on practice… more
- CVS Health (Richmond, VA)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- Elevance Health (Richmond, VA)
- …Experiences:** + MBA preferred + Pharmacy Benefit Management (PBM), Health or managed care experience preferred + Healthcare product experience highly preferred ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The **Product Manager ** ** Senior** role involves comprehensive… more
- CVS Health (Richmond, VA)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Richmond, VA)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Richmond, VA)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences** : + Managed care or healthcare experience preferred. + Behavioral health ... **Marketing Manager ** **Location:** This role requires associates to be...within a commuting distance from an office. The **Marketing Manager ** thinks strategically and end-to-end using data and insights… more
- Pacific Northwest National Laboratory (Richmond, VA)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more
- The Cigna Group (Richmond, VA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting** serves as an integral member of...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Microsoft Corporation (Richmond, VA)
- …culture every day and we need you as a **Critical Environment Technician Manager .** Microsoft's Cloud Operations & Innovation (CO+I) is the engine that powers our ... cloud services. As a CO+I Critical Environment Technician Manager , you will perform a key role in delivering...millions of servers. Our foundation is built upon and managed by a team of subject matter experts working… more