- UNC Health Care (Hendersonville, NC)
- **Description** **Our team is growing! Pardee BlueMD, a part of the Pardee UNC Health Care organization, is a primary care physician practice network organized as a ... Federally Qualified Health Center (FQHC). Our full-time positions offer a range...a range of benefits, including medical, vision and dental insurance , retirement savings, paid time off, and more. Come… more
- Highmark Health (Raleigh, NC)
- …+ 2-3 years Experience with regulatory audits and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the Healthcare Industry + 3 - 5 ... This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- CVS Health (Mooresville, NC)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...with the patient's total healthcare team, and proactively resolving insurance and/or medication issues + Proactively offering and delivering… more
- Elevance Health (Winston Salem, NC)
- …the child welfare system so that they receive seamless, integrated, and coordinated health care. **How you will make an Impact:** + Creates and maintains databases ... analysis. + Partner with care management, quality, provider network, and clinical operations teams to recommend strategies that optimize member outcomes and resource… more
- CVS Health (Jacksonville, NC)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...with the patient's total healthcare team, and proactively resolving insurance and/or medication issues + Proactively offering and delivering… more
- Elevance Health (Winston Salem, NC)
- …provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve as a ... develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and develops opportunities… more
- Elevance Health (Durham, NC)
- …+ Knowledge of SAS. + Knowledge of systems capabilities and Healthcare business operations . + ASC X12 837 EDI experience. + Intermediate Microsoft Excel experience. ... preferred. + Experience with Medicaid data preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Novant Health (Charlotte, NC)
- …of a small fleet of Event Medicine vehicles. This includes annual maintenance, insurance , and repairs. + Collaborate with Novant Health departments such as ... Job Summary Novant Health is seeking a dedicated Nurse Manager to...Event Medicine department. This role involves overseeing the daily operations of the department, ensuring the delivery of high-quality… more
- Elevance Health (Durham, NC)
- …Management/Anesthesia Appeals** is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost effective ... provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve as a… more
- Novant Health (Charlotte, NC)
- …position requires a wide range of expertise and experience in health insurance payment mechanisms, negotiations, contract language and adjudication, ... Job Summary The purview of Novant Health 's Revenue & Relationship Management team is leading...leaders, consultants, and executive level staff to answer internal operations management questions about managed care contracts. The manager… more