• Medical Director - Home

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
    Humana (05/03/24)
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  • Medical Director

    Elevance Health (Richmond, VA)
    ** Medical Director ** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health , Inc. family of companies, it's a ... 8 am - 5 pm MST or PST.** The ** Medical Director ** is responsible for the administration...is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate… more
    Elevance Health (05/23/24)
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  • Behavioral Health Medical

    Humana (Richmond, VA)
    …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
    Humana (04/09/24)
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  • Medical Director - Southeast Region

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/10/24)
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  • Medical Director - Medicaid (VA)

    CVS Health (Richmond, VA)
    …This role supports the Aetna Better Health of Virginia. This Medical Director will be a "Work from Home " position primarily supporting the Aetna Virginia ... personal, convenient and affordable. Position Summary:Ready to take your Medical Director skills to the next level...Health Care Industry. - Active and current state medical license without encumbrances. - MD or DO, Current… more
    CVS Health (04/05/24)
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  • National Medical Director - Total…

    Elevance Health (Richmond, VA)
    …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support experience in the Post-Acute Domain, DME, Home Health , and Wound Care. + Experience… more
    Elevance Health (05/16/24)
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  • Medical Director - North Central…

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... focusing on quality management, utilization management, discharge planning and/or home health or rehab. + Strategic thinking...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (04/25/24)
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  • Medical Director - Florida

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/17/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
    Humana (05/02/24)
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  • Medical Director - Mid West Region

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
    Humana (05/21/24)
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  • Veterinary Medical Director

    BluePearl (Richmond, VA)
    …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in ... and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance… more
    BluePearl (03/07/24)
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  • Director Behavioral Health

    HCA Healthcare (Richmond, VA)
    …and integrity. We care like family! Jump-start your career as a Director Behavioral Health today with Chippenham Hospital. **Benefits** Chippenham Hospital, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...vary by location._** Come join our team as a Director Behavioral Health . We care for our… more
    HCA Healthcare (05/08/24)
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  • Perioperative Supply Chain Director

    Intermountain Health (Richmond, VA)
    …we encourage health for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more than a well-working body: ... and forests, all within hours of where you'll call home . Becoming a part of the Intermountain team means...are paid out based on attainment of selected Intermountain Health Board-approved goals. As the Director of… more
    Intermountain Health (05/12/24)
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  • Division Director of Trauma Operations

    HCA Healthcare (Richmond, VA)
    …integrity. We care like family! Jump-start your career as a(an) Division Director of Trauma Operations today with HCA Healthcare. **Benefits** HCA Healthcare, offers ... a total rewards package that supports the health , life, career and retirement of our colleagues. The...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (05/11/24)
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  • Director , Business Development…

    Cardinal Health (Richmond, VA)
    …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (04/11/24)
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  • Director , Actuarial Services

    Evolent Health (Richmond, VA)
    **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
    Evolent Health (05/11/24)
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  • National Director , Clinical Pharmacy-…

    CenterWell (Richmond, VA)
    …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
    CenterWell (04/28/24)
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  • Associate Director - Network Adequacy

    Humana (Richmond, VA)
    **Become a part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of ... is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular...offers a variety of benefits to promote the best health and well-being of our employees and their families.… more
    Humana (04/24/24)
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  • Director Strategic Analytics

    HCA Healthcare (Richmond, VA)
    …is incentive eligible. **Introduction** Do you have the career opportunities as a Director Strategic Analytics you want with your current employer? We have an ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (03/13/24)
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  • Director , Care Management (Ltss)

    Humana (Richmond, VA)
    …Services and Supports (LTSS) who will lead teams of nurses and behavior health professionals responsible for care management. The Director , Care Management ... **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Virginia is seeking a Director , Care Management of Long-Term… more
    Humana (05/13/24)
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