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27 Jobs in Norfolk, VA

  • Associate Medical Director

    Norfolk, Virginia
    ... Clinical Operations Associate Medical Director Carelon Medical Benefits Management ... Associate Medical Director responsible for supporting the medical management staff ensuring timely and ...
  • Medical Oncology Medical Director - Utilization Review

    Norfolk, Virginia
    ... Clinical Operations Medical Director Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical ...
  • UM Medical Director - Cardiology

    Norfolk, Virginia
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Neurosurgery

    Norfolk, Virginia
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • Medicare Medical Director Clinical Programs

    Norfolk, Virginia
    ... .** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and ...
  • UM Medical Director - Orthopedic Surgery

    Norfolk, Virginia
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Norfolk, Virginia
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Interventional Pain

    Norfolk, Virginia
    ... Clinical Operations Associate Medical Director **Carelon Medical Benefit Management ... and oncology._ The Clinical Operations Medical Director is responsible for supporting ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Norfolk, Virginia
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • National Medical Director - Total Cost of Care, Post Acute

    NORFOLK, Virginia
    ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Norfolk, Virginia
    ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ...
  • National Medical Director - Physiatry, Post Acute Solutions

    NORFOLK, Virginia
    ... Medical Director for Post Acute Care Solutions** . This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ...
  • Health Benefits Executive Director

    Norfolk, Virginia
    ... Health Benefits Executive Director Location: This position will work a hybrid ... . The Health Benefits Executive Director is responsible for leading the development and ...
  • Infusion and Pharmacy/Specialty Pharmacy Compliance Director

    NORFOLK, Virginia
    ... Infusion and Pharmacy/Specialty Pharmacy Compliance Director Location: This ... Compliance Director** will be responsible for directing foundational and strategic compliance ...
  • Pharmacy Quality Assurance Specialist

    NORFOLK, Virginia
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven ...
  • LTSS Service Coordinator-RN Clinician

    Norfolk, Virginia
    ... permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on ...
  • LTSS Service Coordinator- RN Clinician

    Norfolk, Virginia
    ... through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician ...
  • LTSS Service Coordinator- RN Clinician (Suffolk/Isle of Wight County)

    Norfolk, Virginia
    ... through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician ...
  • Nurse Medical Management I-1

    Norfolk, Virginia
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Provider Contract / Cost of Care Analyst Senior

    NORFOLK, Virginia
    ... , ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators ... control costs; Projecting cost increases in medical services by using analytic techniques for PMPM ...
  • Provider Contract/Cost of Care Consultant Senior

    Norfolk, Virginia
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... . Provides advice, analytic and consultative support to Medical Directors and management on cost of care ...
  • Nurse Medical Management II

    Norfolk, Virginia
    ... Nurse Medical Management II At Federal Health Products and Services - FHPS , a ... Medical Management II** is responsible for collaborating with healthcare providers and members to ...
  • Reviewer - Therapy Services

    NORFOLK, Virginia
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
  • Nurse Case Mgr II (US)

    NORFOLK, Virginia
    ... care management plan and modifies as necessary. Interfaces with Medical Directors and Physician ...
  • Telephonic Nurse Case Manager II

    NORFOLK, Virginia
    ... effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and ...
  • LTSS Service Coordinator - RN Clinician

    Norfolk, Virginia
    ... -contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter ...
  • LTSS Service Coordinator - RN Clinician

    Norfolk, Virginia
    ... -contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter ...
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