- 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 Medical ... contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana… more
- St. George Tanaq Corporation (Richmond, VA)
- Dispute Resolution Reviewer III Fully Remote*GA Job Type Full- time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... seeking a **Dispute Resolution Reviewer III (DRR III)** to support a contract with our federal client. The DRR...must be based in US Eastern, Central or Mountain Time Zones. **Responsibilities** + Reviews medical records/ case … more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and ... clinical judgment and refers to internal stakeholders for review depending on case findings. + Educates providers on utilization and medical management processes. +… more
- Live Nation (Bristow, VA)
- …to be able to deliver on target diversion and budget goals. This is a seasonal, part - time position for show days. Hours per week will vary depending on show ... to progressive benefits like student loan reimbursement and adoption/fertility support it's no wonder we are certified as a...our common ground. There has never been a better time to join Live Nation. WHO ARE YOU? Passionate… more
- Live Nation (Bristow, VA)
- …and therefore all Venue Sustainability Crew at the venue. This is a seasonal, part - time position with varied hours depending on show schedule and business needs ... to progressive benefits like student loan reimbursement and adoption/fertility support it's no wonder we are certified as a...our common ground. There has never been a better time to join Live Nation. WHO ARE YOU? Passionate… more
- Humana (South Boston, VA)
- **Become a part of our caring community and help us put health first** Humana Healthy Horizons in Virginia is looking for Care Coaches (Care Coach 1) who will assess ... planning (Informal caregiver, coach, PCP, etc.). + Provides specialized support for members with a focus on addressing health...(2) years of prior experience in health care and/or case management. + One (1) year of experience working… more
- Amentum (Charlottesville, VA)
- …activities. The Training Specialist (Lead) plans, identifies, and coordinates part - time instructor and subject matter expert (SME) support and manages ... is responsible for designing, developing, and implementing all training requirements in support of a Department of Defense (DoD) customer for the CBRN-HST TO… more
- Novo Nordisk (Petersburg, VA)
- …Join Team Novo Nordisk and help us make what matters. The Position Provide operational support as part of a cross-functional IT Infrastructure team, as well as ... serious chronic diseases, such as diabetes & obesity. Being part of Novo Nordisk allows our employees to embark...distraction. Ability to travel up to 10% of the time . (% can change on a case -by-… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …location:** United States, Virginia, Fairfax **Position ID:** J0425-1081 **Employment Type:** Full Time US - CGI Federal roles - What we do matters ... a Salesforce Architect with proven experience who can be part of a team in a dynamic and changing...additional * Knowledge and understanding of Salesforce capabilities including: Case Processing, Case Assignment, Skill-based Routing, Workload… more
- CenterWell (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Patient Services Coordinator is directly responsible for scheduling visits and ... calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more