• Senior Policy Governance Professional

    Humana (Raleigh, NC)
    …will work closely with established functions inside utilization management ( Medical Director, clinician decision making teams, quality audits, prior authorization ... years + experience working with CMS Compliance Regulations + Experience working with medical directors in some capacity ie Committees, projects. + 3 or more years'… more
    Humana (08/27/25)
    - Related Jobs
  • Telephonic UM Administration Coordinator

    Humana (Raleigh, NC)
    …orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy, Medical Directors and other Departments. + During downtime make calls to UM Nurses, ... + Experience with the CarePlus Platform. + Proficient and/or experience with medical terminology and/or ICD-10 codes. + Member service + Experience with Utilization… more
    Humana (08/25/25)
    - Related Jobs
  • Substance Treatment and Recovery Program…

    Veterans Affairs, Veterans Health Administration (Wilmington, NC)
    …five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - ... are utilized to the extent feasible in all therapeutic interventions. - Consults with medical center staff on a wide variety of patient care issues to include… more
    Veterans Affairs, Veterans Health Administration (08/21/25)
    - Related Jobs
  • Client Service Associate 2

    Public Consulting Group (Raleigh, NC)
    …build and maintain business relationship with clients. + Proficiency in MS Office products, including PowerPoint, Excel and Word. + Research and project management ... years similar work experience **Supervisory Responsibility** + None **Working Conditions** + Office Setting **The above is intended to describe the general contents… more
    Public Consulting Group (08/15/25)
    - Related Jobs
  • Supervisor Business Analytics

    Public Consulting Group (Raleigh, NC)
    …issues, provide solutions, and drive positive change. + Proficiency in MS Office products, including PowerPoint, Access, Excel, Word and other databases + Effective ... + Remote position, with the need to occasionally travel to client and office settings + Strong preference for individuals living within the northeast region, where… more
    Public Consulting Group (06/07/25)
    - Related Jobs
  • Consultant

    Public Consulting Group (Raleigh, NC)
    …work with a diverse range of people + Demonstrated expertise in MS Office products, particularly PowerPoint, Excel and Word + Travel Required: 25-50%; mostly local ... in account management or business development is preferred **Working Conditions** + Office Setting + Some travel required \#LI \#LI-KA1 \#EDU **The above is… more
    Public Consulting Group (06/07/25)
    - Related Jobs
  • Clinic Manager - Non Licensed

    HCA Healthcare (Asheville, NC)
    …for the education requirement. EXPERIENCE: + Five years of clinical experience in a medical office setting is required including 2 years in a clinical management ... you will need: EDUCATION: + Graduate from a recognized training facility for medical assistants, and course-work in health care office management are preferred.… more
    HCA Healthcare (07/31/25)
    - Related Jobs
  • Physician (Section Chief Psychiatrist) Mental…

    Veterans Affairs, Veterans Health Administration (Asheville, NC)
    …program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications To qualify for this position, you must meet the basic ... (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by...This can be found in the local Human Resources Office . Physical Requirements: Physical and mental status of individuals… more
    Veterans Affairs, Veterans Health Administration (07/19/25)
    - Related Jobs
  • Benefits Verification Representative

    CVS Health (Raleigh, NC)
    …from Raleigh, NC** because you may also be asked to come into the office for IT/ Technical issues, Performance Review/Evaluation, etc. Training allows our new team ... during our business peaks. We offer a comprehensive benefits package which includes medical , dental, vision insurance as well as a wide-ranging list of supplemental… more
    CVS Health (06/30/25)
    - Related Jobs
  • Financial Underwriting Representative

    Humana (Raleigh, NC)
    …to detail + Excellent communication and interpersonal skills + Proficiency with Microsoft Office Suite + Less than 2 years of project, process experience + Must ... **Work At Home / Internet Information:** To ensure Home or Hybrid Home/ Office employees' ability to work effectively, the self-provided internet service of Home… more
    Humana (08/27/25)
    - Related Jobs