- 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
- Elevance Health (Richmond, VA)
- …experience, which would provide an equivalent background. **Preferred Qualifications:** + Utilization management experience preferred. For candidates working in ... services to drive affordability and improve member outcomes. The **Medical Director Associate- CarelonRx** supports pharmacy prior authorization reviews to… more
- The Goodyear Tire & Rubber Company (Danville, VA)
- Reporting to the Director Americas Manufacturing, Commercial & Aero, the Manufacturing Director will plan, organize and direct the plant operations within a ... large tire manufacturing environment (1000 associates) in Danville, VA. As Manufacturing Director this individual will be expected to deliver results that meet… 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
- TekSynap (Radford, VA)
- …components including XenApp, NetScaler Gateway, Citrix Storefront, and Citrix Director . + Execute system hardware and software implementations; maintain detailed ... performance and security posture. + Track system performance metrics, generate utilization reports, and identify areas requiring corrective action. + Recommend and… more