- Humana (Richmond, VA)
- …provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS and ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Humana (Richmond, VA)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Datavant (Richmond, VA)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- CVS Health (Richmond, VA)
- …risk mitigation strategies. Applies deep expertise in compliance, business operations, analytics , and communication to develop and execute strategies that support ... Minimum of 3 years of progressive experience in audit, compliance, or related healthcare operations. + Proven ability to develop and execute detailed project plans… more
- Humana (Richmond, VA)
- …is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As Strategy Advancement Advisor, you ... product design, plan footprint, marketing and sales performance, membership analytics , customer/provider satisfaction and more. You will proactively identify new… more
- Humana (Richmond, VA)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
- Sanofi Group (Charlottesville, VA)
- …Medical Groups, PBGs, FQHCs and state Awardees. We are an innovative global healthcare company that helps the world stay ahead of infectious diseases by delivering ... model, strategic goals and objectives, and their position within the healthcare environment including value-based health care, their competitors, and financial… more
- Humana (Richmond, VA)
- …and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of ... ideas and actions to drive follow-up actions + Partners closely with finance, analytics , and operators to optimize, track, and report out on internal and external… more
- Merck (Richmond, VA)
- …is viewed as demonstrating value and better health outcomes to healthcare professionals and their patients. **The primary activities include:** + Communicates ... which could include professional sales, experience in marketing, military or healthcare /scientific field that is not sales related (pharmaceutical, biotech, or… more
- Guidehouse (Arlington, VA)
- …primary research interviews with clinicians, thought leaders, and executives in the healthcare industry and related fields; managing and mentoring junior staff; and ... career path and continue to deepen their knowledge in the field of healthcare and the practice of consulting. As Senior Consultants hone their project management… more