Care Management Manager Jobs in Richmond, VA

Lead and optimize prepayment claims auditing programs, ensuring accurate payments and compliance while overseeing a multidisciplinary team and collaborating with internal and external stakeholders...

Explore a critical role enhancing healthcare through quality management and client success. Leverage robust data analysis and cross-functional collaboration to drive impactful healthcare initiatives f...

Unlock your potential by leading the development of client-facing reporting and analytics solutions in life sciences. Drive actionable insights from complex data, enhancing client programs and support...

Lead clinical operations to enhance trial efficiency, mentor teams, and ensure adherence to protocols. Drive insights for decision-making and foster collaboration across stakeholders. Be pivotal in ad...

Shape master scheduling across multiple manufacturing sites, bridging SIOP and execution. Drive operational efficiency, balance resources, and enhance planning capabilities to meet evolving customer d...

Join a dedicated team to oversee template and scheduling optimization, enhance patient care access, and support departments with expert guidance. Utilize data-driven insights to streamline operations...

Lead the charge in transforming patient care by conducting evidence-based medical case reviews and consultant calls, ensuring quality service delivery while collaborating with a diverse team of physic...

Join a team that's building a new quality program to ensure excellence in patient care across diverse partners. Own quality oversight, monitor performance, and drive continuous improvement to elevate...

Empower operational excellence by liaising between teams to analyze and resolve complex technical issues, enhancing data platform performance and driving process improvements for business stakeholders...

Join our team to provide leadership and strategic direction in actuarial processes. Drive compliance, innovation, and develop financial modeling to support key business initiatives and ensure your tea...

Drive client success by managing pharmacy accounts, analyzing data, and providing strategic insights. This role emphasizes relationship building, operational excellence, and proactive problem-solving...

Lead the charge in shaping innovative clinical protocols and QA systems for on-demand care. Drive outcomes and patient safety while collaborating with tech teams to leverage AI in enhancing virtual he...

Shape the future of healthcare by leading value analysis initiatives, optimizing clinical product utilization, and collaborating across teams to enhance patient outcomes and operational efficiency whi...

Develop scalable credentialing processes for provider onboarding and payer relations. This hands-on role ensures compliance and optimizes operations, driving efficiency in a dynamic healthcare environ...

Transform global pharmacovigilance operations by overseeing clinical trial safety, vendor management, and ensuring compliance. Collaborate with cross-functional teams to enhance patient safety and mai...

Partner with us to strategically manage pharmacy contracts, ensuring compliance and network efficiency. Lead negotiations, evaluate vendors, and collaborate across departments to enhance pharmacy serv...

Lead a team of SIU Investigators to combat fraud, waste, and abuse in healthcare. Collaborate with regulatory agencies while enhancing compliance strategies and overseeing health plan policy updates...

Elevate value-based care initiatives by analyzing and scaling delivery of insights to enhance partner EHR workflows, substantially impacting transformation projects across analytics, operations, and i...

Lead complex healthcare technology implementations to enhance access, care coordination, and outcomes for movement-restricted populations, driving success through strong project management and collabo...

Drive compliance excellence by overseeing healthcare regulatory activities, managing governance policies, and collaborating cross-functionally to ensure adherence to regulations and operational readin...

Transform Medicaid risk adjustment through strategic leadership, analytics, and compliance. Lead a diverse team while innovating analytics methodologies and ensuring accuracy in reporting and risk sco...

Advance your career by driving strategic Medicare Advantage decisions, leveraging deep data insights to optimize product offerings and enhance operational workflows with innovative analytics and AI-dr...

Reimagine healthcare payer operations by driving AI strategies and product vision across claims, member management, and benefit configuration, ensuring innovative capabilities deliver measurable value...

Lead the charge in innovative chronic disease management as an Advanced Practice Provider, collaborating with a dynamic team to enhance patient care through digital platforms and personalized treatmen...

Unlock your potential by providing essential reimbursement support and education to healthcare providers. Collaborate with medical teams to enhance patient access and streamline processes in a dynamic...