- Evolent Health (Richmond, VA)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- Summary The Supervisory Acquisition Utilization Specialist serves as a liaison and advisor on contract related services focusing on critical clinical and healthcare ... acquisition and support services required by project managers, program managers, upper management and stakeholders on all aspects of procurement for a wide variety… more
- Elevance Health (Richmond, VA)
- …be willing to obtain a compact nursing license for this position. + Utilization Management experience for prior authorizations is strongly preferred. + Previous ... **: Monday through Friday, 10:30 am - 7:00 pm EST** The **Licensed Utilization Review II** responsible for working primarily with healthcare providers to help ensure… more
- CVS Health (Richmond, VA)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- EAB (Richmond, VA)
- …commercial team including skills coaching, staff career management /pathing, pipeline management , service strategy and utilization management , and ... page. The Role in Brief: Managing Director, Seramount Relationship Expansion Team Lead The Managing Director is responsible for directing, developing and maintaining… more
- Humana (Richmond, VA)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- Summary This position serves as the Lead Medical Support Assistant (MSA) for the Surgical Care Service within the Richmond VA Health Care System. As a Lead MSA, ... their families, and other eligible patients. Promotes veteran registration for and utilization of My HealtheVet (MHV).As first line contact with patients and staff,… more
- Elevance Health (Richmond, VA)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Humana (Richmond, VA)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Merck (Richmond, VA)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- HCA Healthcare (Hopewell, VA)
- …want to join an organization that invests in you as a Mental Health Professional Lead ? At TriCities Hospital, you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Behavioral Health Team Lead like you to be a part of our...other parties as appropriate regarding behavioral services . Performs utilization review as assigned . Develops department goals/objectives and… more
- CoStar Realty Information, Inc. (Richmond, VA)
- …consolidated summary of all opportunities and background of client needs/expectations to management to continue the enhancement of the lead qualification ... Manager, Member Services Lead Qualification Job Description **Company Intro** CoStar Group...and procedure for the team members. + Oversee the utilization of internal tools to produce timely and accurate… more
- The Cigna Group (Richmond, VA)
- **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market that assists in the growth and development of the provider network. ... that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst's responsibilities include: + Most likely to have responsibility… more
- Amazon (Chester, VA)
- …we're looking for, please consider applying. About the Role: As a Control Systems Lead , you will lead service technicians on the team with maintaining, ... expertise in material handling and electronic control systems to maximize building utilization of systems - Monitor MHE metrics and partner with Controls Technicians… more
- GAF (Richmond, VA)
- …a financial budget, strategic project execution (fleet growth) regulatory compliance, and utilization metrics. The Director of Asset Management will create a ... service lease to a hybrid (majority owned) fleet. + Lead the asset utilization drive and work...or 10+ years of experience in asset lifecycle, maintenance management and asset utilization leadership + 7+… more
- Capital One (Richmond, VA)
- …4 (12074), United States of America, Richmond, Virginia Manager, Process Management At Capital One, we're building a leading information-based technology company. ... built to power our own successful digital transformation. As a Manager, Process Management supporting Capital One Software, you will help manage and support the… more
- Evolent Health (Richmond, VA)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...Management Operations. + This individual will not only lead a production team but will also work closely… more
- EAB (Richmond, VA)
- …visit our careers page. The Role in Brief: Associate Director, Relationship Management , EAB Seramount EAB Seramount Associate Directors, Relationship Management ... for strengthening and directing executive member relationships, promoting partner utilization and engagement, and driving revenue growth through retention and… more
- Marriott (Richmond, VA)
- …used to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more