- Prysmian Group (Claremont, NC)
- **Come Join the Prysmian Claremont Fiber Team!** "Voted one of the Best Companies in the World to Work!" by Time Magazine in 2023. **Why work at Prysmian Claremont ... Dependent Scholarships + Health and Wellbeing Program with HSA Company Contribution + Local Area Food Trucks + 6%...shipments (this includes delivery of fiber shipments to the cable plant and XFS, acceptance of shipments by the… more
- Humana (Raleigh, NC)
- …approximately 40 measures covering preventive care screenings, health condition management , health outcomes, patient experience, and plan operations. Location: ... if in Louisville area then hybrid The HEDIS Condition Management team is seeking a passionate and organized teammate...upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and… more
- Humana (Raleigh, NC)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies...have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors… more
- Humana (Raleigh, NC)
- …and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that...have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors… more
- Humana (Raleigh, NC)
- …our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and ... EST + Required to work **every 5th Saturday** + Required to work **1 company holiday in 2025** **Job Description:** The Staff Utilization Management Pharmacist… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, ... of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently...have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless… more
- Humana (Raleigh, NC)
- …3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time management ... Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards knowledge is a… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality ... ASN to address beneficiary concerns and needs. **The Care Management Support Assistant 3 responsibilities include:** + Assist ASN...upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more