- Elevance Health (Winston Salem, NC)
- …requests from physicians' offices and ensures compliance with Medicare and Medicaid requirements; inform relevant parties of all prior authorization determinations. ... of the internship + Currently enrolled in a Pharmacy program at an accredited college or university. + A...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Raleigh, NC)
- …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in leading teams (both direct… more
- UNC Health Care (Chapel Hill, NC)
- …for the daily operational processes of the UNC Health Care System Revenue Integrity Program . This position will rep ort to the Health Care System Manager ... ICD, Revenue Codes, modifiers, billing, regulations and guidelines (Medicare, Medicaid , third-party billing rules, coverage, payment, and compliance) required.… more
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