Manager Healthcare Payer Jobs in Glen Allen

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

Job Information Humana RN- Field Care Manager (Home Care) Part-Time -Richmond, VA in Richmond Virginia Description Senior Bridge/Humana is seeking passionate, RN Home Care Nurse professional and leaders dedicated to delivering ..

Description SeniorBridge/Humana is seeking passionate, RN Home Care Nurse professional and leaders dedicated to delivering the highest quality in-home care management programs to complex chronically ill patients enrolled in large health ..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description Responsibilities The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that ..

SeniorBridge is a private pay homecare agency and rated one of the best homecare companies in Central Virginia! We are a unique kind of homecare service. All of our caregivers have ..

**Job ID** 2022-160060 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Glen Allen Virginia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..

Job Information Humana Lead Product Manager - Healthcare API in Glen Allen Virginia ... Virginia Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Westat is an employee-owned corporation providing research services to agencies ..

**Job ID** 2022-158330 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

Job Information Humana Manager, Utilization Management RN - Remote ... Glen Allen Virginia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

Performance Improvement Consultant - Healthcare Revenue Cycle Services Overview of ... project and serves as project manager between, business office management and ... experience in front/middle and back-end healthcare revenue..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Glen Allen Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... Clinical Analytics and Trend Program Manager in Glen Allen Virginia Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Richmond Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

**Job ID** 2022-158329 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..