- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… 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 ... data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse scope and...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- CenterWell (Henrico, VA)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Virginia is seeking Quality Compliance Professionals who will be ... courses of action. The Quality Compliance Professional 2 will conduct medical records reviews to ensure proper documentation, coding, coordination of care… more
- CenterWell (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are varied and...opportunities + Analyze trends, triage, and answer questions in real- time . + Research and interpret correct coding guidelines and… more
- CenterWell (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Market CMO is an instrumental clinical leader of our primary care team, combining clinical ... + Plan, organize, manage, and supervise the roles of the Center Medical Directors. + Build strong relationships with specialists, hospitalist, SNF and other… more
- Humana (Chesapeake, VA)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Virginia is seeking a RN, Field Care Manager (Field Care Manager ... the field at their home or location of the member's choice, spending quality time assessing their goals, needs and barriers and then connecting our members with… more