- Humana (Virginia Beach, VA)
- …Care Priority Population criteria _(adults, pediatrics populations at risk for chronic medical conditions & high social needs)._ + Strong advocate and respect for ... a variety of electronic information applications/software programs including electronic medical records. + Exceptional oral and written communication and… more
- Humana (Richmond, VA)
- …Coding Educator is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with providers to enhance ... guidelines + Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission, and related processes… more
- CenterWell (Richmond, VA)
- …value-based care, Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management, health plans / insurance, ... health plans, health systems, Medicare, accountable care, population health, medical group management / practice management, or Management Service Organizations… more
- CenterWell (Richmond, VA)
- …are excited to offer the role of Virtual Physician Collaborator for CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary ... are excited to offer the role of **Virtual Physician Collaborator for CenterWell Medical Group** , a new virtual care delivery group within CenterWell Senior Primary… more
- CenterWell (Richmond, VA)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... Home Health. + Bilingual We offer tangible and intangible benefits such as medical , dental and vision benefits, 401k with company matching, tuition reimbursement, 3… more
- CenterWell (Richmond, VA)
- …+ Excellent patient counseling skills and the ability to communicate complex medical information to patients and healthcare providers + Disease state education for ... certification in geriatric pharmacy or pharmacotherapy + Familiarity with electronic medical record (EMR) systems + Demonstrated ability to identify and implement… more
- Humana (Richmond, VA)
- …for all employees, starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits + Health Savings Accounts + ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Humana (Richmond, VA)
- …skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Humana (Richmond, VA)
- …close Stars gaps, educate members, and support follow-up of members' unmanaged medical , behavioral, and SDOH needs. The department is organized to focus on ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- CenterWell (Richmond, VA)
- …your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including ... physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients… more