- Humana (Richmond, VA)
- …our caring community and help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a ... and leading teams, and working in matrixed environments. The Associate Director , Medicaid Provider...subject matter expert on provider relations and provider engagement/performance improvement. + Provide oversight of… more
- Humana (Richmond, VA)
- …are best suited for this role. The Associate Director , Medicaid Implementation (Business Project Management) will provide oversight to the development of ... put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Implementation (Business...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security ... frameworks to ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Richmond, VA)
- …and business messages to state officials (including Governor's Office, Medicaid , legislators, regulatory agency leaders, attorneys general (as appropriate) and ... and goals, especially for our state/local government procurement opportunities The Director , State Affairs influences public and government policy at all state… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Director , IFG Brokerage Sales develops and maintains relationships with downline agencies and key ... of how organization capabilities interrelate across the function or segment. The Director , IFG Brokerage Sales focuses on national sales targets and works… more
- Humana (Richmond, VA)
- …load balancing and collaboration + Escalations unable to be resolved by the Associate Director of Product Management or Principal + Oversee the product ... part of our caring community and help us put health first** The Director , Product Management conceives of, develops, delivers, and manages products for customer use.… more
- Humana (Richmond, VA)
- …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...Effectively lead a high-performing team of associates consisting of Associate Directors, Lead Architects, Tech Leads, and more. +… more
- BrightSpring Health Services (Richmond, VA)
- …fairly and objectively, in consultation with the Human Resources Department and the Director of Operations. + Directs the hiring and training of personnel and ... as assigned or requested. Qualifications + Graduate of an accredited diploma, Associate , Baccalaureate or Master's School of Nursing or other applicable field of… more
- Public Consulting Group (Richmond, VA)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the ... PCG services. This position may report to either a SBS COE Client Success Director or a Client Success Lead. **Duties and Responsibilities** _Clients_ + Own and… more
- HCA Healthcare (Richmond, VA)
- …Integrity Charge Review Analyst for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry ... and collaborates with the Revenue Integrity Clinical Analysts and/or Facility Director to resolve identified issue. + Monitors total charges associated with… more