- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
- Centene Corporation (Richmond, VA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of ... manages Utilization Operations specific to the daily operations of Utilization Management including timeliness, quality and performance outcomes, provider… more
- Capital One (Richmond, VA)
- …to be regularly worked. Remote (Regardless of Location): $205,400 - $234,400 for Director , Product Management McLean, VA: $226,000 - $257,900 for Director ... , Product Management Richmond, VA: $205,400 - $234,400 for Director , Product Management Candidates hired to work in other locations will be subject to the… more
- Elevance Health (Richmond, VA)
- …experience, which would provide an equivalent background. **Preferred Qualifications:** + Utilization management experience preferred. For candidates working in ... services to drive affordability and improve member outcomes. The **Medical Director Associate- CarelonRx** supports pharmacy prior authorization reviews to… more
- CVS Health (Richmond, VA)
- …members across Aetna. **Expectations and Responsibilities:** * Serve as the principal utilization management reviewer for cases related to Applied Behavior ... Director , Aetna Medicaid, this role is responsible for utilization , quality, and fraud, waste, and abuse reviews for...Attend and actively participate in clinical meetings with care management and utilization management teams,… more