- Cardinal Health (Richmond, VA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Indeed (Richmond, VA)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The ARTS Care Manager (Field Care Manager , Behavioral Health 2) performs primarily ... with members with substance use disorders (SUD). The ARTS Care Manager serves as the primary point...additional community resources . Knowledge of ASAM levels of care . Managed Care Experience.… more
- Humana (Richmond, VA)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… 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)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments...Illness (SPMI) and/or Substance Abuse Disorder (SUD) patients + Managed Care Experience + Case Management Certification… more
- Elevance Health (Richmond, VA)
- …unless an accommodation is granted as required by law The **Behavioral Health Care Manager II - Virginia** is responsible for managing psychiatric and ... broad range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. However, for states that do not… more
- Capital One (Richmond, VA)
- Senior Manager - Learning, Delivery (Hybrid) The **Senior Manager of Learning, Delivery** is responsible for leading a Learning Delivery team which includes ... that are in alignment with our experience, intent and well- managed standards, and contribute to solving key business needs....role is for you. We're looking for a Senior Manager to lead and support our evolving team on… 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
- CAI (Richmond, VA)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… 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
- 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)
- …Nursing, Behavioral Health, Long term Care , etc.) + 1+ years Managed Care experience. + Position requires proficiency with computer skills which ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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
- Microsoft Corporation (Richmond, VA)
- As a Microsoft Data Center Technician Manager , you will lead a team of technicians, providing expert guidance on performing hardware deployments, diagnostics on ... our cloud services. As a CO+I Data Center 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
- Microsoft Corporation (Richmond, VA)
- As a Microsoft Data Center Inventory & Asset Technician Manager , you will lead a team of Inventory & Asset Management technicians responsible for inbound/outbound ... millions of servers. Our foundation is built upon and managed by a team of subject matter experts working...across boundaries; Help the team adapt and learn. + Care - Attract andretaingreat people; Know each individual's capabilities… more