- Humana (Richmond, VA)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... case-by-case consideration of the Medicare rules, Humana policies and medical necessity. The Medical Director 's...includes computer based review of moderately complex to complex appeals for coverage for drugs using resources outlined above… more
- Humana (Richmond, VA)
- … (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- Director of Real Estate Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5030528) Apply Director of Real Estate Salary $116,320.46 - ... organizations. Works u nder the direction of the Deputy Director of Tax Administration. Other duties include, but are...each year; + Reviews and makes determination on assessment appeals ; + Testifies as expert witness in court on… more
- Sumitomo Pharma (Richmond, VA)
- …seeking a highly motivated and experienced individual for the position of ** Director , Patient Services** . Primary responsibilities include leading and developing a ... strategic framework for patient support services, aligned with brand imperatives. The Director has oversight of patient services operations and manages within the… more
- Somatus (Mclean, VA)
- …the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + Professional ... well-being + Community engagement opportunities + And more! The Director of Quality, reporting to the AVP of Quality,...guidance and oversight to all lines of business including Commercial , Medicaid, Medicare, and Special Need Plans (SNPs). The… more
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