- 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
- Evolent (Richmond, VA)
- …+ 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, MSK Surgery you will be a specialty...MD review process to reflect appropriate utilization and compliance with… more
- Travelers Insurance Company (Richmond, VA)
- …Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as ... regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel. + Investigate, develop, and evaluate action… more
- Bon Secours Mercy Health (Midlothian, VA)
- …development, financial performance and compliance with Accreditation Council for Graduate Medical Education (ACGME), Residency Review Committees (RRC), and Bon ... proficiency including word-processing and spreadsheet applications and knowledge of electronic medical record. Should be able to navigate technology effectively and… 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
- 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, Physical Medicine and Rehab you will be...MD review process to reflect appropriate utilization and compliance with… more
- CRC Insurance Services, Inc. (VA)
- …by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment, ... (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** The Producer Development Coordinator is responsible… more
- Elevance Health (Norfolk, VA)
- … medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy ... **Clinical Operations Associate Medical Director** **Interventional Pain** **Carelon Medical ...term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Fujifilm (Richmond, VA)
- …Budget conscious **Salary and Benefits** + Up to $180,000- $190,000 depending on experience. + Medical , Dental, Vision + Life Insurance + 401k + Paid Time Off ... be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc.,… more