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27 Jobs in Richmond, VA

  • UM Medical Director - Orthopedic Surgery

    Richmond, Virginia
    ... independently with oversight from immediate manager. May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ...
  • UM Medical Director - Cardiology

    Richmond, Virginia
    ... manager. May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Richmond, Virginia
    ... manager. May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Richmond, Virginia
    ... independently with oversight from immediate manager. May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ...
  • BH Case Manager I

    Richmond, Virginia
    ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Richmond, Virginia
    ... clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development ...
  • BH Case Manager II (US)

    RICHMOND, Virginia
    ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and ...
  • Clinical Care Manager II (Union) - Michigan Licensed

    Richmond, Virginia
    ... .** Training will be provided for 4 weeks during regular business hours. The Clinical Care Manager is ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a ...
  • Behavioral Health Case Manager I

    Richmond, Virginia
    ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and ...
  • National Medical Director - Total Cost of Care, Post Acute

    RICHMOND, Virginia
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ...
  • Medicare Medical Director Clinical Programs

    Richmond, Virginia
    ... designs, analytics and reporting for clinical quality that drives improved healthcare outcomes ... , performance measurement, and quality improvement, and the clinical understanding for clinical quality programs ...
  • Associate Medical Director - Neurosurgery

    Richmond, Virginia
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • National Medical Director - Physiatry, Post Acute Solutions

    RICHMOND, Virginia
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ...
  • Nurse Medical Management I-1

    Richmond, Virginia
    ... responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ...
  • Go to Market Director

    RICHMOND, Virginia
    ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ... portfolio projects. Creates and presents extremely high quality presentations to executive levels ...
  • National Solution Medical Director - Surgery

    RICHMOND, Virginia
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... , influencing product strategy and design and medical management approaches that impact healthcare quality, cost ...
  • Pharmacy Quality Improvement Specialist

    RICHMOND, Virginia
    ... activities and quality management program activities. *Internal facing title: Process Improvement Consultant ... quality and operational processes as a result of opportunities identified through CAPA program ...
  • Oncology Practice Enablement Clinician

    Richmond, Virginia
    ... clinical domain and industry changes, as well as company core quality/value programs and solutions ... enablement to improve member care quality and value. Serves as a strategic solution lead for Oncology and ...
  • Nurse Medical Management II

    RICHMOND, Virginia
    ... clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective ... promote quality member outcomes, optimize member benefits, and promote effective use of resources for more ...
  • Foster Care Case Manager (Central Region)

    Richmond, Virginia
    ... Hanover Middlesex Petersburg The Foster Care Case Manager is responsible for performing ... access to appropriate quality and cost effective care and modifies plan(s) as needed. Coordinates ...
  • Foster Care Case Manager (West Region)

    Richmond, Virginia
    ... Wythe Pulaski Washington Lee The Foster Care Case Manager is responsible for ... access to appropriate quality and cost effective care and modifies plan(s) as needed. Coordinates ...
  • Foster Care Case Manager (Piedmont Region)

    Richmond, Virginia
    ... Roanoke Rockbridge Danville Lynchburg The Foster Care Case Manager is responsible ... access to appropriate quality and cost effective care and modifies plan(s) as needed. Coordinates ...
  • Foster Care Case Manager (Northern Region)

    Richmond, Virginia
    ... Winchester Rockingham Harrisonburg Culpeper The Foster Care Case Manager is responsible ... access to appropriate quality and cost effective care and modifies plan(s) as needed. Coordinates ...
  • Foster Care Case Manager (Central Region)

    Richmond, Virginia
    ... Amelia Hanover Middlesex Petersburg The Foster Care Case Manager is ... assessment. Supports member access to appropriate quality and cost effective care and modifies plan(s ...
  • Foster Care Case Manager (Piedmont Region)

    Richmond, Virginia
    ... Manager** is responsible for performing case management telephonically and/or by home visits within the ... identified during assessment. Supports member access to appropriate quality and cost effective care and ...
  • Wound Care UM RN

    RICHMOND, Virginia
    ... members total health needs and ensures the highest quality of continuity of care. **How you will ... . Reviews Home based services for clinical appropriateness of the continued care. Performs reviews ...
  • SR HR Business Partner (US)

    RICHMOND, Virginia
    ... , formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and ...
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