- Prime Therapeutics (Richmond, VA)
- …every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional - Senior - REMOTE **Job Description** Maintains the inventory of clinical ... based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners.… more
- Highmark Health (Richmond, VA)
- …relevant audiences. + High-level of skill in leading interdepartmental and cross-functional strategy development. + Experience with managed care, Medicare and ... have the highest level of integrity and ethics and demonstrate professional representation of the company. **ESSENTIAL RESPONSIBILITIES** + Matrixed working… more
- CenterWell (Richmond, VA)
- …The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in cases ... part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health… more
- ICF (Reston, VA)
- …the team's efforts to generate audience-centered content. This role is a mix of content strategy and UX writing that will be assigned to one of our projects for the ... Centers for Medicare and Medicaid Services. You will work to align...**Key Responsibilities:** + Work to support the vision and strategy established by project leadership in alignment with business… more
- Datavant (Richmond, VA)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic… more
- Humana (Richmond, VA)
- …part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs ... market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Learning Design Professional II supports Humana Military's provider engagement strategy by assisting in ... understanding of services across the East region. The Learning Design Professional II applies foundational instructional design principles and adult learning theory… more
- Elevance Health (Richmond, VA)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare / Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you… more
- CenterWell (Norfolk, VA)
- …Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... years of Healthcare Administration/Leadership experience * Basic knowledge of Population Health Strategy * Familiarity with Medicare * Experience managing a… more
- CenterWell (Richmond, VA)
- …organizational & market priorities, trends, and goals, to develop a clinical strategy to advance clinical talent and performance + Identify physician recruitment ... other providers to form a narrow network of quality service focused on senior population health. + Responsible for medical interpretation, reviews, and decisions as… more