- Baylor Scott & White Health (Richmond, VA)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, ... maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. **SALARY** The… more
- Humana (Richmond, VA)
- …necessary. Adhere to established guidelines and procedures to ensure consistency and compliance . * Advocate for our agile development approach and our North Star ... with the organization's strategy and long-term goals. * Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
- Deloitte (Mclean, VA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice,...for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions… more
- University of Virginia (Charlottesville, VA)
- …COPD, CHF, CKD, dementia, etc.), preventive health services, immunizations, Medicare wellness visits, and urgent same-day evaluation/treatment. + Prescribes and ... and access to community resources. + Serves as a clinical resource and consultant for primary care, geriatrics, and urgent care topics to colleagues, nursing staff,… more
- Humana (Richmond, VA)
- …and help us put health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. ... Leveraging risk management and compliance frameworks, they will identify and analyze potential risks...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Richmond, VA)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- ChenMed (Richmond, VA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- ChenMed (Richmond, VA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable center and market leadership to ensure compliance with guidelines along with participating in risk and… more
- Humana (New Castle, VA)
- …meet the member's needs. + Meets requirements for contractual and regulatory compliance . + Follows established guidelines/procedures. **Use your skills to make an ... coordination experience. + Lactation experience, preferably as a certified lactation consultant . + Experience with health promotion, coaching and wellness. +… more
- University of Virginia (Charlottesville, VA)
- …driving restrictions, end-of-life decisions). + Serves as an expert consultant in neurosciences for inpatient services, emergency department, and outpatient ... health information in accordance with HIPAA and institutional policy. + Ensures compliance with national clinical standards and quality metrics (AAN, AANP, Joint… more