- Humana (Richmond, VA)
- …will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ ... part of our caring community and help us put health first** Humana is a $90 billion (Fortune 40)...**Key Responsibilities** **:** + Lead an operational team of Medical Directors to review authorizations and ensure… more
- GE Aerospace (Charlottesville, VA)
- …state filing calendar and ensure timely filing of all state filings for the insurance companies + Preparation and/or review state insurance premium tax ... Specialist to join our US Tax team for the insurance business unit of GE Aerospace called ERAC ERAC,...to close on August 10, 2025. Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to… more
- CenterWell (Lynchburg, VA)
- …teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working ... part of our caring community and help us put health first** + Develops, plans, implements, analyzes, and organizes...+ Assesses staff education needs based on own the review of clinical documentation in addition to feedback and… more
- Concentrix (Richmond, VA)
- …minimum wage). Benefits available to eligible employees in this role include medical , dental, and vision insurance , comprehensive employee assistance program ... Job Title: Spanish Bilingual Licensed Insurance - Sales Agent, P&C (Remote) Job Description **Must...((Neurodiversity), Women in Tech, OneEarth Champions, and more o Health and wellness programs with trained partners to help… more
- Sedgwick (Richmond, VA)
- …review process including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering training materials and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE**...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- Evolent (Richmond, VA)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Evolent (Richmond, VA)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Highmark Health (Richmond, VA)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...**PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities + Responsible for communicating review… more
- Evolent (Richmond, VA)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure… more
- Datavant (Richmond, VA)
- …**Processing medical records along with by taking calls from patients, insurance companies, and attorneys to provide medical records status** **Documenting ... Entry and Release of Information experience** **Full Benefits: PTO, Health , Vision, and Dental Insurance and 401k...gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are… more