- Evolent (Richmond, VA)
- …make denial determinations as a specific case warrants. + Converses with medical office staff in order to obtain additional pertinent clinical history/information; ... NCQA and health plans required timeframes. + Documents all communication with medical office staff and/or treating provider. + Practices and maintains the principles… more
- Humana (Richmond, VA)
- …Adjustment Representative 2 will contact and schedule with provider offices to return medical records timely. This role includes remote access retrieval from ... **Become a part of our caring community and help us...groups as well as administrative retrieval tasks. Virginia The Medical Records Retrieval Specialist ensures accurate and properly supported… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a ... variety of medical records and assigns appropriate procedural terminology and ...**Use your skills to make an impact** **WORK STYLE:** Remote /work at home. While this is a remote… 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)
- …a remote position. **Scheduled weekly hours** **:** 40 hours (full- time ): four 10-hour workdays per week, either Friday-Monday or Thursday-Sunday schedule. ... **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health… 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...protect member PHI / HIPAA information This is a remote position Travel: While this is a remote… more
- Fujifilm (Richmond, VA)
- …+ Medical , Dental, Vision + Life Insurance + 401k + Paid Time Off *\#LI- REMOTE **EEO Information** Fujifilm is committed to providing equal opportunities ... are hiring a Senior Counsel to be an integral part of the legal team providing support to the... of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex...requires an in-depth evaluation of variable factors. **Become a part of our caring community and help us put… 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 Medical Director relies on medical background and reviews health claims. The ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more