- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... policy procedures and processes to help support best member outcomes. Oversees and manages ...Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance… more
- Centene Corporation (Richmond, VA)
- …efficiency to support timely and compliant claims outcomes. + Leads utilization management team on performance, improvement, and career growth path ... including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of… more
- Humana (Richmond, VA)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge… more
- Genesis Healthcare (Woodstock, VA)
- …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Humana (Richmond, VA)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Richmond, VA)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support .… more
- Humana (Richmond, VA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... value based care, population health, or disease or care management . Medical Directors support Humana values, and...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Richmond, VA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Evolent (Richmond, VA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support . ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a… more
- Humana (Richmond, VA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more