- Humana (Fairfax, VA)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
- CenterWell (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... contracting and in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing… more
- Evolent (Richmond, VA)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications -...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Richmond, VA)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- CenterWell (Hampton, VA)
- …a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary care team, ... partnership to optimize patient care and business outcomes. The Associate Medical Director 's Key Responsibilities include: Leadership & Organizational… more
- Evolent (Richmond, VA)
- …MD provider is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Richmond, VA)
- …MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Sunrise Senior Living (Charlottesville, VA)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place...NAME** The Colonnades **Job ID** 2025-234942 **JOB OVERVIEW** The Director of Nursing is responsible for providing leadership and… more
- Baylor Scott & White Health (Richmond, VA)
- … senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key ... **Job Summary** The Director , Denial Resource Center is responsible for the...improved utilization of appropriate patient care services. Collaborates with medical , clinical, HIM and other BSWH departments to ensure… more