• Manager Payor Contracting

    Novant Health (Charlotte, NC)
    …healthcare economic trends. **This is a Remote Position Responsibilities + Commercial Managed Care Payor Contract Negotiations + Specialty Contracting ... Manager, Payor Strategy and Relationship Management is a professional advisor supporting managed care contracts with health plans, payors, employer groups and… more
    Novant Health (08/13/25)
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  • Advisor, Payer Rules & Credentialing

    Cardinal Health (Raleigh, NC)
    …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... policies and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct… more
    Cardinal Health (10/14/25)
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  • CFSP Managed Care Coordinator-…

    Elevance Health (Bryson City, NC)
    **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...CFSP Program, as required by applicable state law and contract . **How you will make an impact:** + Provide… more
    Elevance Health (10/07/25)
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  • Software Engineer - OpenShift Managed

    Red Hat (Raleigh, NC)
    …Lifecycle team. This team is responsible for provisioning and lifecycling Managed OpenShift services across major cloud platforms, including Amazon Web Services ... for developing and shipping reliable production-ready features and enhancements for managed Red Hat OpenShift platforms. Success in this position requires excellent… more
    Red Hat (10/02/25)
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  • Medical Specialist II- Ophthalmology…

    Regeneron Pharmaceuticals (Charlotte, NC)
    …history of high sales performance + Experience with reimbursement programs, government programs, managed care , formulary and contract negotiation To be ... considered for this opportunity, you must have a BA/BS in science or business (master's degree a plus). A minimum of 5 years' specialty sales experience in the Pharmaceutical or Biotechnology industry. Buy and Bill experience. Ophthalmology with relevant… more
    Regeneron Pharmaceuticals (10/14/25)
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  • Senior Director, Management Contract

    Hilton (Raleigh, NC)
    …ever\-growing portfolio\! **What will I be doing?** As a Senior Director Management Contract Services, you will partner with owners and investors to grow Hilton's ... managed and franchised hotel portfolio\. On the Owner Relations and Management Contract Services team reporting to the Vice President, Owner Relations and… more
    Hilton (09/16/25)
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  • Hospital Contract /Negotiation Director…

    The Cigna Group (Charlotte, NC)
    …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
    The Cigna Group (10/02/25)
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  • Commercial Claims Analyst-Non Governmental

    UNC Health Care (Kinston, NC)
    …AR days. To prevent time from delay of processing claims. 4. **Reviews commericial, managed care contact data frequently.** 1. 1. Records are maintained for ... 1. 1. Accounts are verified for correct reimbursement with contract terms. 2. Payments and adjustments are posted the...accurate billing and reimbursement for managed care contracts. 2. Reviews and disseminates… more
    UNC Health Care (10/10/25)
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  • CFSP Delegated Care Management Monitor (DSS…

    Elevance Health (Asheville, NC)
    …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. + Experience with oversight and monitoring ... ensuring compliance with the service delivery of the delegated care management partner(s) who are in contract ...delegated care management partner(s) who are in contract with Healthy Blue. Partners may include AMH Tier… more
    Elevance Health (09/17/25)
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  • Manager I Care Management…

    Elevance Health (Sylva, NC)
    …+ Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable to accommodate LCSW-A, ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… more
    Elevance Health (10/11/25)
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