• Medical Director - Medicaid N. Central

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
    Humana (10/25/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. ... data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    CenterWell (11/06/25)
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  • Health Services Manager (IC) - Payment Policy…

    CVS Health (Raleigh, NC)
    …key member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor and will research and ... business needs and accomplish goals. This is a fully remote position. Eligible candidates may live anywhere in the...leaders to develop deliverables on policy priorities + Provide medical coding and payment policies deliverables for… more
    CVS Health (11/19/25)
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  • Trauma Registrar I

    Novant Health (Charlotte, NC)
    …(preferred): + Knowledge of AIS Injury coding + Knowledge of ICD10 coding + Previous use of EPIC electronic medical record system Why Choose ... II Trauma Center at Novant Heath! Department: Trauma Location: Remote for candidates who reside in AL, FL, GA,...Center. Performs data abstraction and collection from the electronic medical record, data entry into the trauma database, and… more
    Novant Health (11/13/25)
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  • Senior Field Reimbursement Manager - South East

    Danaher Corporation (Raleigh, NC)
    …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics....Value and Access team. This position will be a remote position ideally located in the South East part… more
    Danaher Corporation (10/15/25)
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  • Risk Adjustment Analyst - HIM OP CDI

    UNC Health Care (Chapel Hill, NC)
    …care setting **Knowledge/Skills/and Abilities Requirements:** * *Strong knowledge of medical record documentation requirements and coding guidelines in ... The Risk Adjustment Coordinator will be responsible for analyzing and auditing medical records retrospectively as requested by insurance companies as required by the… more
    UNC Health Care (10/30/25)
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  • Lead I&C Software Support Engineer

    GE Vernova (Wilmington, NC)
    …geographic differential of 110%, 120%, or 130% of salary in certain areas. Healthcare benefits include medical , dental, vision, and prescription drug coverage; ... in software testing, development, and deployment. + 3 years of experience with coding conventions, unit testing and integration testing of software. + 3 years of… more
    GE Vernova (10/24/25)
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  • RN Care Manager - Health Alliance

    UNC Health Care (Morrisville, NC)
    …health services organization. The mission of this team is to transform healthcare delivery on behalf of more than 7,200 providers by offering patient-centered ... creative solutions that improve patient care and help make healthcare more affordable. We are in search of a...level of patients based on various factors such as medical conditions, social determinants of health, and behavioral health… more
    UNC Health Care (11/15/25)
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  • Associate Director Access Marketing…

    Grifols Shared Services North America, Inc (Research Triangle Park, NC)
    …B, Centers for Medicare and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current Procedural ... an international team working to improve the future of healthcare ? Do you want to enhance the lives of...for the role based in Research Triangle Park or remote is $165,000 to $215,000 per year. Additionally, the… more
    Grifols Shared Services North America, Inc (11/19/25)
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  • Senior Ansible Community Engineer

    Red Hat (Raleigh, NC)
    …as the team is based on the US East Coast and Europe, we do accept remote applicants from countries where Red Hat is registered to do business. **What will you do** ... **Ansible Galaxy** and **Automation Hub** . + Promote good coding practices and assist both the Ansible community and...eligible for bonus, commission, and/or equity. For positions with Remote -US locations, the actual salary range for the position… more
    Red Hat (10/22/25)
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