- Humana (Richmond, VA)
- …team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review ... quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will...as well as a focus on collaborative business relationships, value- based care, quality metrics, population health, and disease or… more
- Evolent (Richmond, VA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Richmond, VA)
- …+ Provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Richmond, VA)
- …and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...MD review process to reflect appropriate utilization and compliance with… more
- Evolent (Richmond, VA)
- …and provides clinical rationale for standard and expedited appeals. . Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member...MD review process to reflect appropriate utilization and compliance with… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more
- Evolent (Richmond, VA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the ... reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...MD review process to reflect appropriate utilization and compliance with… more
- Humana (Richmond, VA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex ... clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- HCA Healthcare (Low Moor, VA)
- …lives. We are committed to giving back to the extended community that we call home . We offer a full range of medical specialties from emergency medicine to ... provides satisfaction and personal growth, we encourage you to apply for our Medical Technologist opening. We promptly review all applications. Highly qualified… more
- HCA Healthcare (Fredericksburg, VA)
- …satisfaction and personal growth, we encourage you to apply for our Lead Medical Technologist opening. We promptly review all applications. Highly qualified ... **Description** **Introduction** Do you have the career opportunities as a Lead Medical Technologist you want with your current employer? We have an exciting… more