- WTW (Charlotte, NC)
- …in delivering tailored management services to a portfolio of captive insurance companies. Captive Solutions spans multiple business segments-including Corporate Risk ... as well as interacts with clients, prospects, regulators and external service providers. ** Insurance ** + Liaison with insurance broker and reinsurance brokers as… more
- Concentrix (Raleigh, NC)
- …and competencies. Benefits available to eligible employees in this role include medical , dental, and vision insurance , comprehensive employee assistance program ... Job Title: Program Ready Trainer- Licensed Insurance Job Description The Program Ready Trainer II (PRT) is a temporary training role that is designed to introduce… more
- GuideOne Insurance (Charlotte, NC)
- …eligible salary + Free basic life and AD&D, long-term disability and short-term disability insurance + Medical , dental and vision plans to meet your unique ... consulting at the highest level of technical underwriting authority. You will fully review both new and/or renewal program business, assess risk of coverage, prepare… more
- Humana (Raleigh, NC)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex… more
- CRC Insurance Services, Inc. (NC)
- …by the division of CRC Group offering the position. CRC Group offers medical , dental, vision, life insurance , disability, accidental death and dismemberment, ... **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Analyzes and processes claims...time management, and detail skills 6. Extensive knowledge of insurance and CRC processes 7. Ability to maintain a… more
- Humana (Raleigh, NC)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Humana (Raleigh, NC)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Highmark Health (Raleigh, NC)
- …and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may ... DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of...outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;… more
- USAA (Charlotte, NC)
- …comprehensive medical , dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program with paid holidays ... strategic advisor, bridging Corporate Affairs with the Property & Casualty and Life Insurance business lines at USAA. You will counsel internal clients on effective… more
- Elevance Health (Winston Salem, NC)
- …+ Serves as a resource and consultant to other areas of the company; particularly the Medical Review and Appeals areas + May be required to represent the company ... ** Medical Director- Medicare Fee for Service** Location: This...fee for service and assisting nurses as needed with review of claims. Works with other Medicare Administrative Contractor… more