• Medical Director - Mid West Region

    Humana (Raleigh, NC)
    …by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient or post-acute care… more
    Humana (08/08/25)
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  • Director, Prospective + Concurrent Risk Adjustment…

    Datavant (Raleigh, NC)
    …combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be accountable for ensuring our products deliver ... customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases that… more
    Datavant (08/08/25)
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  • Senior Systems Engineer - IAM

    Ensono (Raleigh, NC)
    …Interchange (EFI), Next Generation Desktop (NGD), Electronic File Interchange (EFI), and the CMS Identity Management System (IDM). **Why Ensono?** Ensono is ... and FIPS 140-2, as applicable. + Maintain and renew certifications required for system access and management , ensuring continued compliance and eligibility. +… more
    Ensono (08/07/25)
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  • Senior Nurse Consultant Mock Survey

    PruittHealth (Raleigh, NC)
    …care. **KEY RESPONSIBILITIES:** 1. Conduct facility-wide mock surveys aligned with CMS and state regulatory standards, including clinical, environmental, and life ... readiness calls, trainings, and clinical leadership meetings. 10. Stay connected with CMS regulations, interpretive guidance, and best practices in long term care… more
    PruittHealth (07/22/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Charlotte, NC)
    …machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . **RECORD KEEPING:** + Complete and document ongoing ... HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/Medicare Services ( CMS )-approved state and/or national certification requirements within the required… more
    Fresenius Medical Center (08/27/25)
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  • Lead Commercial Mortgage Loan Administration…

    Wells Fargo (Charlotte, NC)
    …**CIB Lending Operations Group** . This role will support **Commercial Mortgage Servicing** ( CMS ) roles across the platform. This role will also assist with training ... on CMS Systems and processes for all levels of new...within a Commercial Mortgage Servicing space. + Commercial Asset Management and/or Credit Analyst experience. + Cash Management more
    Wells Fargo (08/26/25)
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  • Medicare Sales Specialist Hourly + Commission

    CVS Health (Raleigh, NC)
    …+ Ensuring that the relevant information is captured in Customer Relationship Management system (CRM) + Other duties as assigned. **Accountabilities** : ... high compliance commitment and standards with a robust knowledge with respect to CMS and states regulations. + Ability to multitask, and effective use of computer… more
    CVS Health (08/22/25)
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  • Client Relationship Analyst

    Carrington (Raleigh, NC)
    …performing ad hoc analysis, and assisting in loan servicing transfers, change management , process improvement and client relations activities. Work with all levels ... of management (including senior executive levels) and non- management ...to ensure alignment between investor loan servicing guidelines and CMS servicing operations. + Perform loan data analysis to… more
    Carrington (08/22/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Durham, NC)
    …dialysis machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all blood spills are immediately ... slips/invoices + Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING CONDITIONS:** The… more
    Fresenius Medical Center (08/21/25)
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  • Product Manager, Risk Adjustment Coding Data…

    Datavant (Raleigh, NC)
    …Coding products, driving client data standardization, data integrations, database management , and optimization within business verticals for downstream use. You ... The ideal candidate combines deep healthcare data expertise with strong product management skills, and thrives at the intersection of product, data integration,… more
    Datavant (08/20/25)
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