- Elevance Health (NC)
- …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... Counties in Region 5. You should live within this area .** **HOURS** **: Standard business hours, Monday through Friday.**...an accommodation is granted as required by law._ **The Manager Care Management, Foster Care** ( Manager I… more
- HCA Healthcare (Marion, NC)
- …Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Nurse Manager Progressive Care with Mission Hospital McDowell, you can be a ... manager in an organization that is devoted to giving!...and accountable for daily operations of a designated clinical area - Med/Surg, SD, ICU. Advocates and allocates resources… more
- Humana (Raleigh, NC)
- …licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare Sales Field ... the field in the Nashville,** **Chattanooga, and Knoxville** **TN area working with your team and meeting members face...and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of… more
- Humana (Raleigh, NC)
- …community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent and abusive ... practices. The Manager , Fraud and Waste works within specific guidelines and...tactical operations for projects and initiatives involving own departmental area . Requires cross departmental collaboration, and conducts briefings and… more
- Cardinal Health (Raleigh, NC)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning ... preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems… more
- Lundbeck (Charlotte, NC)
- Psychiatry Account Manager - Charlotte East, NC Requisition ID: 6914 Location: Charlotte, NC, US **Territory:** **Charlotte East, NC** **- Psychiatry** Target city ... on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio,...incorporating "total office" account management. **Local Market & Therapeutic Area Expertise** - Gather and validate key trends and… more
- UNC Health Care (Rocky Mount, NC)
- …or may concentrate on one aspect of case management, depending on the area assigned. In collaboration with the Interdisciplinary Patient Care Team, coordinates the ... and continued stay reviews for private insurance companies, Medicare and Medicaid , in accordance with utilization review guidelines. Tactfully and effectively… more
- Gilead Sciences, Inc. (Raleigh, NC)
- …unnecessary delays._ **_This is a field-based role supporting the Virginia and Raleigh, NC area : candidates must be able to travel 50% of the time with overnights ... pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid )._ + _An understanding of local and state policy changes'… more
- Elevance Health (Asheville, NC)
- …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... is granted as required by law._ The Clinical Care Advisor (Special Programs Case Manager I) is responsible for providing consultation to the case for members with… more
- Elevance Health (Bryson City, NC)
- …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... sociology, social work, nursing or another relevant human services area . + Two (2) years of experience working directly...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more