- BrightSpring Health Services (Conover, NC)
- …monitoring operations to ensure compliance with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as ... related services/training programs on a routine basis in cooperation with Operations management; monitoring both skilled and non-skilled healthcare services +… more
- Elevance Health (Durham, NC)
- …not limited to: + In collaboration with the CFSP Statewide System of Care Director , manage the ongoing compliance and daily operations of ongoing external ... partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants,...providing direct support to the CFSP System of Care Director around the development and ongoing management of one… more
- Public Consulting Group (Raleigh, NC)
- …**Organizational Relationships** **Reports directly to the ASO Project Manager / Sr. Director of Operations ** **Key Qualifications and Education Requirements** + ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- Danaher Corporation (Raleigh, NC)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... Communicate regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer… more
- Cardinal Health (Raleigh, NC)
- …and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine ... services and/or hospital (technical) services. This position will also support the Director with transactional audit diligence and integration planning, as well as… more
- Cardinal Health (Raleigh, NC)
- …in Payors, PBMs, Specialty Hubs, Patient Services, Patient Assistance Programs, Medicaid , and Pharmacy Operations . . Exceptional communication, executive ... of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible… more
- Gentiva (Burlington, NC)
- …Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery ... high-quality, compliant hospice services. This leadership role involves managing clinical operations , coordinating care, and developing staff to uphold the highest… more
- Humana (Raleigh, NC)
- …Louisville, KY / Remote **Department:** Technology Solutions **Reports To:** Director , Technology Solutions **Position Overview:** Humana is seeking an accomplished ... and resilience of critical systems. + Collaborate with Product, Operations , and Compliance teams to define requirements and deliver...contractors who live and work from home in the state of California will be provided payment for their… more
- Humana (Raleigh, NC)
- …including executives, HR, and external partners + Partners with the Associate Director to represent the program in executive forums, to define and provide ... reports, fostering collaboration, accountability, and alignment with organizational goals. ** Operations & Vendor Management** **:** + Respond to inquiries from… more