- Prime Therapeutics (Raleigh, NC)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Elevance Health (Durham, NC)
- **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... will be responsible for utilization review case management for North Carolina Medicaid . May be responsible for developing and implementing programs to improve… more
- Prime Therapeutics (Raleigh, NC)
- …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
- CVS Health (NC)
- …Risk Adjustment Analytics team! In this role you will serve as a hybrid project manager and subject matter expert in Medicaid Risk Adjustment Medicaid ... Knowledge of government-regulated healthcare programs such as Medicare or Medicaid - Knowledge of health insurance concepts - Experience...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Elevance Health (Hendersonville, NC)
- …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... **$5,000 SIGN ON BONUS** **LOCATION** **: W** **e are seeking a Manager to cover** **Haywood/J** **ackson/Swain counties.** **Residency in one of these counties… more
- Elevance Health (Goldsboro, NC)
- \#HealthyBlueCareTogetherCFSP **IDD Specialty Care Manager Lead** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a statewide ... Medicaid Plan designed to support Medicaid -enrolled infants,...role with the field care managers for the CFSP program with the advisors supporting the care managers with… more
- Humana (Raleigh, NC)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care… more
- Elevance Health (Marion, NC)
- …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... as required by law._ The Lead OB Specialty Care Manager RN is responsible for coordinating operations and workflows...activities in support of the North Carolina Foster Care program (CFSP). Manages overall healthcare costs for the foster… more
- Gentiva (Burlington, NC)
- …clinical excellence meets heart? If so, you could be the next Hospice Patient Care Manager on our team. At Gentiva Hospice, we believe every day is an opportunity to ... personal and life more comfortable. As a Patient Care Manager , you'll play a vital leadership role in guiding...state of employment * Graduate of an accredited nursing program * Minimum of 3 years of direct patient… more
- Gentiva (Henderson, NC)
- …**Lead Compassion. Inspire Excellence. Elevate Hospice Care.** We are seeking a RN Senior Manager of Patient Care to join our hospice team. Reporting directly to the ... you will play a vital role in maintaining a high-performing hospice program by managing patient care activities, supervising clinical staff, and ensuring compliance… more