• Maternal-Child Health RN Field Care Manager

    Humana (Warrenton, VA)
    …first** Humana Healthy Horizons in Virginia is seeking a RN, Field Care Manager Nurse 2 (Maternal-Health) who will assess and evaluate high acuity member's needs ... who are pregnant and postpartum. The RN, Field Care Manager Nurse 2 (Maternal-Health) work assignments are varied and...at Humana's secure website.** Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (08/22/25)
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  • RN, Field Care Manager

    Humana (Richmond, VA)
    …Healthy Horizons in Virginia is seeking RN, Field Care Managers (Field Care Manager Nurse 2) to perform telephonic and face-to-face assessments and evaluations of ... aged, blind and disabled (ABD)member population. The RN, Field Care Manager supports achieving and/or maintaining optimal wellness by guiding members/families toward… more
    Humana (08/22/25)
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  • Cloud FinOps Manager

    General Dynamics Information Technology (Fairfax, VA)
    …Seize your opportunity to make a personal impact as a **Cloud FinOps Manager ** supporting the _Center for Medicare and Medicaid (CMS) Cloud Products ... GDIT, people are our differentiator. As a Cloud FinOps Manager you will assist in leading our Cloud FinOps...residents preferred; Deep understanding of FinOps principles + **Location:** Remote working 100% - Working Hours: Monday-Friday 9am to… more
    General Dynamics Information Technology (08/08/25)
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  • Telephonic UM Administration Coordinator

    Humana (Richmond, VA)
    …and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for services the ... in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** Additional...your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (08/25/25)
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  • Utilization Management Nurse

    CenterWell (Richmond, VA)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing… more
    CenterWell (08/02/25)
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  • Senior Product Owner

    CenterWell (Richmond, VA)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to… more
    CenterWell (08/23/25)
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  • Complex Care Strategy Advancement Advisor

    CenterWell (Richmond, VA)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the ... cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value...markets or team on-sites Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    CenterWell (07/19/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Richmond, VA)
    …Alternate locations may be considered. This position will work a hybrid model ( remote and office). The ideal candidate will live within a commutable distance from ... end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare / Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you… more
    Elevance Health (08/14/25)
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  • Salesforce Developer

    General Dynamics Information Technology (Fairfax, VA)
    …work depends on a Salesforce Developer joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is 100% remote with ... solution in production environments + Collaborating with Solutions Architects, Development Manager , Development Team, Business Analysts, CMS, and other Agile team… more
    General Dynamics Information Technology (08/15/25)
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  • Sr Salesforce Developer

    General Dynamics Information Technology (Fairfax, VA)
    …depends on a Sr. Salesforce Developer joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is 100% remote with ... solution in production environments. + Collaborate with Solutions Architects, Development Manager , Development Team, Business Analysts, CMS, and other Agile team… more
    General Dynamics Information Technology (06/06/25)
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