• Vice President, Growth - Payer

    Evolent (Raleigh, NC)
    …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... **:** The **VP,** **Growth** **-** **Pay** **e** **r** will lead strategic partnerships with health plans. + Develop and...cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers… more
    Evolent (09/15/25)
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  • VP Consolidated Business Office

    Novant Health (Charlotte, NC)
    …collections, specialty billing, denials, appeals, defense audits, partner for payer strategy with our Managed Care team, and lead our Institute and Regional ... with suppliers and other organizationsPayer Strategy & Reimbursement PerformanceCollaborate with Managed Care and Revenue Integrity teams to monitor payer… more
    Novant Health (08/16/25)
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  • Provider Network Account Executive II

    AmeriHealth Caritas (Greensboro, NC)
    …Provider Services position. + 5 to 10 years of experience in the managed care /health insurance industry, with strengths in provider complaint resolution, ... new AEs + Support of Value-Based Contracting (VBC) negotiations; lead in VBC relationships; may lead negotiations...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
    AmeriHealth Caritas (09/30/25)
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  • Clinical Advisor

    Humana (Raleigh, NC)
    …+ Advanced Degree (such as MSN, MBA, MHA, MPH). + Experience in managed care , health plan operations, or Medicare Advantage programs (including various ... initiatives, including root cause analysis, best practices to close care gaps. **Use your skills to make an impact**...to internal and external stakeholders. + Demonstrated ability to lead through influence and collaborate across teams. + Thrive… more
    Humana (10/07/25)
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  • Deputy General Counsel, Litigation - REMOTE

    Prime Therapeutics (Raleigh, NC)
    …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... member of the legal department's leadership team. **Responsibilities** + Lead and mentor a team of attorneys and support...False Claims Act, with a focus on PBM and managed care operations + Experience engaging with… more
    Prime Therapeutics (07/19/25)
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  • VP Government Programs - REMOTE

    Prime Therapeutics (Raleigh, NC)
    …area of study + 15 years of relevant work experience in PBM, pharmacy, health plan and/or managed care with a minimum of 8 years in Medicare and/or Medicaid in a ... interest, concern or opportunity + Act as a thought leader in national meetings where the company`s Medicare product...strategy to drive growth in government programs (Medicare and/or Managed Medicaid) + Proven track record of leadership with… more
    Prime Therapeutics (10/08/25)
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  • Clinical Account Director - Remote

    Prime Therapeutics (Raleigh, NC)
    …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... in cooperation with Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs + Other...clinical and/or managed care setting Must be eligible to… more
    Prime Therapeutics (10/01/25)
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  • Associate Director Access Marketing…

    Grifols Shared Services North America, Inc (Research Triangle Park, NC)
    …the industry trends * Understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels * ... teams to expand key initiatives and strategies to the managed markets customer base, which consists of payers, GPOs,...and clinical teams to integrate evidence into messaging . Lead competitive access positioning analysis to inform strategy and… more
    Grifols Shared Services North America, Inc (10/02/25)
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  • Insurance Strategy Lead

    Humana (Raleigh, NC)
    …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
    Humana (09/17/25)
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  • RN Sr. Clinical Manager

    Gentiva (Lillington, NC)
    … care experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and organizational skills + ... **Overview** ** Lead Compassion. Inspire Excellence. Elevate Hospice Care .** We are seeking a Senior Patient Care RN Manager to join our hospice team.… more
    Gentiva (10/06/25)
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