• Medical Director -- Claims

    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 ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Medical Director - Florida

    Humana (Richmond, VA)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (12/14/24)
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  • Medical Director - National Medicare…

    Humana (Richmond, VA)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Director , Medical Affairs - NYC…

    Merck (Richmond, VA)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Director , Risk Management

    Western Digital (Richmond, VA)
    …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
    Western Digital (12/27/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Richmond, VA)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (01/07/25)
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  • Director Healthcare Economics & Trend…

    Baylor Scott & White Health (Richmond, VA)
    claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
    Baylor Scott & White Health (12/21/24)
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  • Actuarial Director , Medicaid Trend…

    Humana (Richmond, VA)
    …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
    Humana (01/03/25)
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  • Director , Community Health - Primary…

    Bon Secours Mercy Health (Richmond, VA)
    …+ **Minimum Years and Types of Experience:** 5-10 years of experience with medical practice management or clinical operations oversight. + Demonstrates the ... and clinicians are recognized for clinical and operational excellence. + This Director , Community Health is responsible for day-to-day operations of the community… more
    Bon Secours Mercy Health (11/19/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Richmond, VA)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Advanced Practice Provider (NP/PA/App) - Cancer…

    University of Virginia (Charlottesville, VA)
    …and credentialing dependent on specialty. * Works in conjunction with the medical director , administrative management , nursing and other interprofessional ... authorities, in a timely manner. * Meets quality standards as determined by the Medical Director and/or UVA Health System. * May serve on select committees… more
    University of Virginia (12/04/24)
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  • PT Per Diem UPG Only Endodontist

    University of Virginia (Charlottesville, VA)
    …and credentialing and depending on specialty. + Works in conjunction with the medical director , administrative management , office manager and nursing staff ... to facilitate patient management through the health care system. + Exercises independent...authorities. + Meets quality standards as determined by the Medical Director and/or UVA Health System. +… more
    University of Virginia (12/11/24)
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  • UVA Health Surgical Care Riverside…

    University of Virginia (Charlottesville, VA)
    …UVA health system locations as needed. + Works in conjunction with the medical director , administrative management , office manager and nursing staff ... to facilitate patient management through the health care system. + Exercises independent...standards as determined by the Chair of the Department, Medical Director and/or UVA Health System, UVA… more
    University of Virginia (12/06/24)
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  • Sales Administrator

    Fujifilm (Richmond, VA)
    …Sales Administrator for Latin America and the Caribbean will report to the Director of Sales for ID/Optical Devices/ EID. The primary responsibility of this position ... be to support sales for Latin America and Caribbean accounts currently under management by FNAC. Achieve the division sales plan, provide weekly and monthly detail… more
    Fujifilm (01/07/25)
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  • Advanced Practice Provider - VAD/Heart Transplant…

    University of Virginia (Charlottesville, VA)
    …call every 16 weeks. With call pay. * Works in conjunction with the medical director , administrative management , nursing and other interprofessional team ... authorities, in a timely manner. * Meets quality standards as determined by the Medical Director and/or UVA Health System. * May serve on select committees… more
    University of Virginia (12/29/24)
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  • Advanced Practice Provider (NP/PA/APP) Hospitalist

    University of Virginia (Charlottesville, VA)
    …care, anesthesia, and pharmacy support * Works in conjunction with the medical director , administrative management , nursing and other interprofessional ... onboarding, newly hired hospitalist APPs will build toward the management of 7-9 patients representing a broad spectrum of...manner. * Meets quality standards as determined by the Medical Director and/or UVA Health System. *… more
    University of Virginia (12/07/24)
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  • Advanced Practice Provider (NP/PA/CNM/APP) OB-GYN…

    University of Virginia (Charlottesville, VA)
    …to recruit patients. Summary of Expectations: * Work in conjunction with the medical director , administrative management , nursing and other interprofessional ... physicians and CNMs * Perform postpartum patient rounding and management of postpartum patients including, but not limited to...manner. * Meet quality standards as determined by the Medical Director and/or UVA Health System. *… more
    University of Virginia (11/09/24)
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  • Advanced Practice Provider (NP/PA/App) - Inpatient…

    University of Virginia (Charlottesville, VA)
    …but future plans (Day/Night rotator) * Works in conjunction with the medical director , administrative management , nursing and other interprofessional ... onboarding process, newly hired APPs will build toward the management of 6-8 patients representing a broad spectrum of...manner. * Meets quality standards as determined by the Medical Director and/or UVA Health System. *… more
    University of Virginia (01/07/25)
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  • Advanced Practice Provider (NNP/PA/App) - NICU…

    University of Virginia (Charlottesville, VA)
    …robust orientation for the novice provider. * Works in conjunction with the medical director , administrative management , nursing and other interprofessional ... ICU team are responsible for the assessment, diagnosis, and management of the critical ill infant in a setting...manner. * Meets quality standards as determined by the Medical Director and/or UVA Health System. *… more
    University of Virginia (10/24/24)
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  • Advanced Practice Provider (NP / PA / App)…

    University of Virginia (Charlottesville, VA)
    …and cover letter with your application. * Works in conjunction with the medical director , administrative management , nursing and other interprofessional team ... position offers the opportunity to bill for evaluation and management services, making it an attractive prospect for skilled...manner. * Meets quality standards as determined by the Medical Director and/or UVA Health System. *… more
    University of Virginia (10/15/24)
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