• Worklife Resource Consultant

    CVS Health (Richmond, VA)
    …Start times between 7:50 am and 11:45 am EST** The Worklife Resource Consultant is part of the Worklife Team and provides education about community resources, ... needs, elder/adult care, and health related needs. + The Resource Consultant assesses resource needs, proposes options and research/screens potential community… more
    CVS Health (06/28/25)
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  • Pharmacy Financial Analyst, Cost of Care…

    Elevance Health (Norfolk, VA)
    **Pharmacy Financial Analyst, Cost of Care - Business Information Consultant ** **Location:** This role requires associates to be in-office **1** day per ... 5:00pm The **Pharmacy Financial Analyst, Cost of Care - Business Information Consultant ** is responsible...to Pharmacy cost of care, pharmacy trends, and other Medicare book of business ' related issues/metrics. **How… more
    Elevance Health (07/25/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Norfolk, VA)
    **Provider Contract/Cost of Care Consultant ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... is granted as required by law. The **Provider Contract/Cost of Care Consultant ** provides analytical support to the Cost of Care and/or Provider Contracting… more
    Elevance Health (08/23/25)
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  • Insurance Strategy Consultant

    Humana (Richmond, VA)
    …Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth ... total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver… more
    Humana (08/29/25)
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  • Ld Dir, PBM Underwriting

    CVS Health (Richmond, VA)
    …Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business . + Conduct market and competitive analyses to understand industry trends, client ... channel, clinical, and other solutions. + Deep understanding of different lines of business (ex. fully insured, ASO, Medicaid, Medicare , Exchanges) to provide… more
    CVS Health (08/09/25)
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  • Salesforce Architect

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …clients and help architect the most efficient solutions that meet our client's business needs. They will work closely with the client domain SME's, Lead Solution ... Alerts * Collaborate with team members and other departments in defining business requirements for optimal use of Salesforce functionality * Proactively identify… more
    CGI Technologies and Solutions, Inc. (07/12/25)
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  • Market CMO

    CenterWell (Richmond, VA)
    …responsibilities as needed and demands a unique blend of clinical management, financial/ business acumen, and strategic partnership to optimize patient care and ... business outcomes. **KEY** **RESPONSIBILITIES** **Leadership & Organizational Management:** +...such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational… more
    CenterWell (06/13/25)
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  • Formulary and Medical Strategies Senior…

    Humana (Richmond, VA)
    …The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the ... Medicaid line of business . Makes decisions on moderately complex to complex issues...to encourage others incollaborativeproblemsolving.Acting as both a broker and consultant regarding resources, you engage others in problem solving… more
    Humana (08/20/25)
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  • Maternal-Child Health RN Field Care Manager

    Humana (Warrenton, VA)
    …and Excel with the ability to use a variety of electronic information applications/software programs including electronic medical records. Excellent keyboard and web ... coordination experience.** **Lactation experience, preferably as a certified lactation consultant .** **Experience with health promotion, coaching and wellness.** **Previous… more
    Humana (08/22/25)
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  • Vice President Client Engagement - Large Plan…

    Prime Therapeutics (Richmond, VA)
    …client needs; align account management activities across all lines of business and develop methodologies, processes and reporting capabilities that inform and ... consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and… more
    Prime Therapeutics (07/02/25)
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