• National Director, Care Integration Strategy…

    CenterWell (Richmond, VA)
    …enhance/optimize patient outcomes, satisfaction, and operational efficiency. Coordinate quality improvement activities to address high risk, high-utilizers/high-cost ... Episodic Consult (single-use case specific offerings) programs designed to improve quality and reduce costs for high-risk senior populations in full-risk Medicare… more
    CenterWell (08/15/25)
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  • Lead, IT Portfolio Management

    Humana (Richmond, VA)
    …strategy and objectives. + Organize and prioritize projects and programs based on strategic roadmap, budgets, and scheduling changes. + Ensure appropriate ... at a time that is best for your schedule. **Work-At- Home Requirements** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/19/25)
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  • Grievances & Appeals Representative

    Humana (Richmond, VA)
    …Weekend work is required on a rotating basis from 9:00 AM - 5:30 PM EST, based on business needs. + Overtime and holiday work may be required, however is only ... mandatory based on business needs. Voluntary overtime may also be...moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/19/25)
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  • Bilingual Telephonic UM Coordinator

    Humana (Richmond, VA)
    …EST, must have ability to work Nights, Weekends and Holidays based on business needs. **Preferred Qualifications** + Proficient utilizing documentation programs. ... work 1 weekend a quarter. Schedule subject to change based on business needs. As part of our hiring...moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (08/16/25)
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  • Social Services Care Manager

    Humana (Richmond, VA)
    …Must be willing to obtain/maintain social work licensure in multiple states, based on business need **Preferred Qualifications** + Experience working with geriatric, ... NM, OK, NY + Bilingual English/Spanish + Bilingual English/Creole **Work-At- Home Requirements** To ensure Home or Hybrid...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/08/25)
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  • Supervisory Nurse (Clinical) GS-0610-11

    Defense Health Agency (Norfolk, VA)
    **Overview** **About the Position:** The Supervisory Nurse serves as the Medical Home Port Clinic Manager and is responsible for the administrative functions of the ... is located in the Directorate for Primary Care(DPC), Patient Centered Medical Home Port (PCMH), Primary Care Clinic, Branch Health Clinic (BHC)Naval Station Norfolk… more
    Defense Health Agency (07/25/25)
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  • Medicaid Business Intelligence Engineer

    Humana (Richmond, VA)
    …solutions to complex business problems. Manages Big Data and data quality in databricks. Understands department, segment, and organizational strategy and operating ... Engineering or related field **WAH Internet Statement** To ensure Home or Hybrid Home /Office employees' ability to...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/14/25)
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  • Director, Performance Suite Analytics

    Evolent (Richmond, VA)
    …performance and patient health. This role supports capitated risk and value- based strategy development, medical cost management activity, medical economics activity, ... in developing the strategic approach for innovative and in-demand value- based care pursuits + Serving as a strategic partner...estimation of Evolent's ability to reduce cost and improve quality + Leading a team in the analysis and… more
    Evolent (07/09/25)
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  • Senior Business Intelligence Engineer

    Humana (Richmond, VA)
    …that support ETL such as SAS, SSIS, Python or Databricks **Additional Information** **Work-At- Home Requirements** To ensure Home or Hybrid Home /Office ... ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office employees must meet...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/18/25)
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  • Enterprise Transformation Lead

    Humana (Richmond, VA)
    …Process Management or Project Management certification + Experience working in Lucid **Work-At- Home Information** To ensure Home or Hybrid Home /Office ... ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office employees must meet...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (08/16/25)
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