• Program Consultant-DSS Regions 1& 2

    Elevance Health (NC)
    …thrive in safe, stable, and nurturing homes._ _\#HealthyBlueCareTogetherCFSP_ **SIGN ON BONUS-$ 2 ,000** ** Program Consultant-DSS Region 1& 2 ** **Location:** ... _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young… more
    Elevance Health (08/02/25)
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  • Manager , Special Investigation

    CVS Health (Raleigh, NC)
    …years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of… more
    CVS Health (08/01/25)
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  • CFSP Managed Care Coordinator- Region 2

    Elevance Health (Sparta, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... stable, and nurturing homes._ The **CFSP Foster Care/Adoption Care Manager ** is responsible for the overall management of the...within the scope of position in the NC CFSP Program , as required by applicable state law and contract.… more
    Elevance Health (08/11/25)
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  • Manager I Care Management (Lincoln County)…

    Elevance Health (Lincolnton, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... a field role and w** **e are seeking a manager for Lincoln County. You should reside in Lincoln...Participates in cross-functional workgroups created to maintain and develop program . + Evaluates current processes of Special Program more
    Elevance Health (07/11/25)
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  • Patient Care Manager

    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 (08/11/25)
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  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Raleigh, NC)
    …it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct… more
    CVS Health (08/08/25)
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  • Lead Product Manager

    Humana (Raleigh, NC)
    …**Requirements:** + Technical Systems thinker preferably with Cloud experience + Agile Program Manager tools experience expected such as ADO, Jira Align, ... other managers across the department include Executive Leadership. The IT Product Manager works with relevant Humana stakeholders to create, prioritize, and manage… more
    Humana (08/13/25)
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  • Clinical Account Manager - Georgia PDL…

    Prime Therapeutics (Raleigh, NC)
    …passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
    Prime Therapeutics (07/24/25)
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  • Delegated Care Management Monitors (Special…

    Elevance Health (Hickory, NC)
    **Special Program Case Manager II** _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid ... stable, and nurturing homes._ **North Carolina residency is required!** **$ 2 ,000 SIGN ON BONUS** **Locations:** _The selected candidate must...you will work virtually from your home. The **Special Program Case Manager II** is responsible for… more
    Elevance Health (07/17/25)
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  • Clinical Care Advisor - Complex Medical Healthy…

    Elevance Health (Fayetteville, NC)
    \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Complex Medical** **$ 2 ,000 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... statewide Medicaid Plan designed to support Medicaid -enrolled infants,...Polk, Swain, Transylvania, Yancey, Macon, Jackson, Mitchell. + Region 2 counties: Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba,… more
    Elevance Health (08/08/25)
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