- Elevance Health (Richmond, VA)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...York.** In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** Senior Healthcare Network Consultant / Senior Network Performance Professional at Humana, you will play a pivotal ... through strategic initiatives and strong relationship-building. Senior Healthcare Network Consultant /Senior Network Performance Professional + **Provider Collaboration** :… more
- Oracle (Richmond, VA)
- …Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients through ... visualization tool like BO or Tableau + Healthcare experience with Medicaid/ Medicare Claims Reporting **Expectations** + Perform other responsibilities as assigned +… more
- Baylor Scott & White Health (Richmond, VA)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH… more
- Sedgwick (Richmond, VA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant | Public Entity | Remote **Are you looking for an impactful job ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Technically skilled… more
- CareFirst (Fairfax, VA)
- …aggressively pursues growth within groups by developing and implementing account specific benefit and financial strategies. + Manages and develops a set of assigned ... underwriting principles; group health/life insurance financial/funding mechanisms; stop loss, medicare advantage, wellness, clinical, managed care and point solutions,… more
- University of Virginia (Charlottesville, VA)
- …COPD, CHF, CKD, dementia, etc.), preventive health services, immunizations, Medicare wellness visits, and urgent same-day evaluation/treatment. + Prescribes and ... and access to community resources. + Serves as a clinical resource and consultant for primary care, geriatrics, and urgent care topics to colleagues, nursing staff,… more
- Aveanna Healthcare (Winchester, VA)
- …between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (PTA, HHA) as applicable. ... healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (OTA,...+ 401(k) with match + Health, Dental and Vision Benefits for employees at 30+ hours + Tuition Discounts… more
- ChenMed (Richmond, VA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...work to develop and improve leadership skills for the benefit of one's patients, their team, their center and… more
- ChenMed (Richmond, VA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...work to develop and improve leadership skills for the benefit of one's patients, their team, their center, and… more