- CVS Health (Raleigh, NC)
- …to process referrals, including answering clinical questions and collecting appropriate clinical/ medical data needed to perform clinical assessments and reviews as ... criteria within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on… more
- VF Corporation (Greensboro, NC)
- …leverage and implement business intelligence tools, capabilities and best practices. * Review and help prepare presentations for executive leadership teams, Board of ... a competitive compensation package, and a strong benefits package that includes medical , dental, vision, and 401(k). Our commitment extends beyond this and into… more
- UNC Health Care (Smithfield, NC)
- …and/or medical records requests. 7. AR Reduction & Quality Review Projects: Identifies and project manages higher-level AR Reduction projects. Assists management ... carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in conjunction with appropriate resources… more
- Sharecare (Raleigh, NC)
- …. **Job Summary:** The Quality Control Specialist is responsible for reviewing electronic medical records and conducting quality control on each record to ensure we ... quality work at all times. **Essential Job** **Functions:** + Review electronic records for HIPAA compliance, compliance with request...determine if there is a legal right to release medical records based on HIPAA rules and regulations. +… more
- Novant Health (Winston Salem, NC)
- Job Summary Join Novant Health as a Pharmacy Technician! Forsyth Medical Center, Winston-Salem Schedule - 7on / 7off schedule, 20:30-07:00 , Wednesday - Tuesday * ... schedule, 20:30-07:00 , Wednesday - Tuesday + Responsibilities + Review , clarify, document and verify home medications with the...for verification such as patient's family, caregiver, pharmacy or medical provider within 24 hours of admission + Use… more
- Ryder System (Raleigh, NC)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... all relevant laws and regulations as well as related medical and legal terminology + Requires strong claim technical...apply using the internal application process. _Job Seekers can review the Job Applicant Privacy Policy by clicking here… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and strategy and gain a ... develops systems for Clinical vendor management and vendor oversight. + **Management Review :** Establish and maintain a system to ensure R&D Management Reviews are… more
- Datavant (Raleigh, NC)
- …and other prevalent EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, ... will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or… more
- Novant Health (Wilmington, NC)
- …in Wilmington, NC. Work Schedule: 7:00am-3:00pm Location: New Hanover Regional Medical Center, 2131 South 17th Street, Wilmington, North Carolina 28401 Department: ... compliant policies, procedures and protocols; supervision of the section, timely review of quality control and process management; instrument maintenance and problem… more
- HCA Healthcare (Spruce Pine, NC)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more