• Account Manager Sr - NC Medicaid

    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
    Prime Therapeutics (09/23/25)
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  • Senior Network Provider Manager , National…

    CVS Health (Raleigh, NC)
    …compassionate. And we do it all with heart, each and every day. **The Medicaid Senior Manager , Network Management:** + Negotiates, executes, conducts high level ... Office suite applications (eg, Outlook, Word, Excel, etc.). + Knowledge of Medicaid programs. + Solid decision-making skills while executing national, regional, and… more
    CVS Health (10/11/25)
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  • Clinical Quality Program Manager

    Elevance Health (Durham, NC)
    …thrive in safe, stable, and nurturing homes._ _\#HealthyBlueCareTogetherCFSP_ **Clinical Quality Program Manager ** **Location** : Durham, North Carolina **Hybrid ... partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants,...is granted as required by law._ The **Clinical Quality Program Manager ** is responsible for serving as… more
    Elevance Health (10/10/25)
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  • Field Reimbursement Manager

    Amgen (Raleigh, NC)
    …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Raleigh, NC** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
    Amgen (10/02/25)
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  • Manager I Care Management…

    Elevance Health (Sylva, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... REQUIRED! **$5,000 SIGN ON BONUS** **LOCATION** **: We are seeking a Manager to cover** **Swain/Graham/Clay/Macon counties.** **Residency in one of these counties is… more
    Elevance Health (10/11/25)
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  • IDD Specialty Care Manager Lead

    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
    Elevance Health (09/17/25)
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  • Bilingual RN Care Manager - Remote,…

    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
    Humana (09/26/25)
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  • CFSP Lead OB Specialty Care Manager RN (DSS…

    Elevance Health (Fayetteville, 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
    Elevance Health (10/11/25)
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  • Senior Field Reimbursement Manager - South…

    Danaher Corporation (Raleigh, NC)
    …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research,...value to our lives. Whether it's a health care program or paid time off, our programs contribute to… more
    Danaher Corporation (10/15/25)
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  • RN Hospice Clinical Care Team Manager

    Gentiva (Belville, NC)
    …Inspire Compassionate Teams.** We are seeking a dedicated RN Patient Care Manager to supervise our hospice team. Reporting directly to the Executive Director ... care and regulatory compliance. **As a Hospice Patient Care Manager , You Will:** + O versee and direct patient...state of employment + Graduate of an accredited nursing program + Minimum of 3 years of direct patient… more
    Gentiva (10/15/25)
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