- Chesapeake Regional Healthcare (Chesapeake, VA)
- …TPL (Third Party Liability) claims and conditional billing + Current knowledge of Medicare Transmittal, Change Requests and the ability to understand and ... The Medicare Billing and Follow-up Representative are responsible for...with systems , payers , and processes to the manager in a timely manner . Education and Experience… more
- Prime Therapeutics (Richmond, VA)
- …Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely with designated business areas, Legal, and other ... response strategies for regulatory changes or new laws/regulations to assist designated business area with regulatory change management efforts + Provide direct,… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on...in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially… more
- Humana (Richmond, VA)
- …customer, and business requirements where they can lead and manage change , remove roadblocks, and communicate clearly to multiple functional teams across digital ... and help us put health first** The Lead Product Manager conceives of, develops, delivers, and manages products for...portfolio and operations, technical, and business stakeholders. They will need to understand and work… more
- Somatus (Mclean, VA)
- …CMS guidelines. This role provides guidance and oversight to all lines of business including Commercial, Medicaid, Medicare , and Special Need Plans (SNPs). The ... and mental well-being + Community engagement opportunities + And more! The Sr. Manager , Quality, reporting to the AVP, Quality, is responsible for supporting the… more
- Humana (Richmond, VA)
- …supported by our sourcing process. The IT Procurement team works closely with the business (IT and non-IT) across the enterprise to optimize the Humana's bottom line ... expiring contracts, software assessments, consolidating the IT supply base, alongside run-the- business initiatives). As the IT Procurement Lead (Senior Category … more
- Humana (Richmond, VA)
- …health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and requirements ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...Substance Abuse Disorder (SUD) patients. + Experience with behavioral change , health promotion, coaching and wellness. + **Must reside… more
- Kestra Medical Technologies, Inc (Roanoke, VA)
- …patients and their care teams harmoniously monitor, manage, and protect life. A Territory Manager is responsible for securing new business and managing a sales ... addition to direct sales responsibilities for a given territory, the Territory Manager provides training, on-going product service and support, and assistance in the… more
- Cardinal Health (Richmond, VA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... accordance with the program business rules and HIPAA regulations. This role involves care...CRM system, and this role will require resiliency to change as we will be working in a system… more
- Elevance Health (Norfolk, VA)
- ** Business Information Consultant** **Location:** Ideal candidates will live or be willing to relocate to within 50 miles of our Pulse Point location in 5800 ... **Work Hours:** Monday to Friday, 8:00 am to 5:00 pm The ** Business Information Consultant** develops specifications and requirements for the submission of health… more