- Evolent (Raleigh, NC)
- …**What You'll Be Doing:** As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make ... and denials, giving clinical rationale, while providing optimum customer service through professional/accurate communication and maintaining NCQA and health plans… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed ... to mitigate Humana's costs and trend while improving our member 's health outcomes and costs. + Help facilitate and...related field + Experience in Formulary strategy/development and CMS Part D guidance + Experience in analysis and problem-solving… more
- Walmart (Laurinburg, NC)
- …assigned to this job. The full Job Description can be made available as part of the hiring process. **Benefits ; Perks:** Beyond competitive pay, you can receive ... enforces and provides direction and guidance to Associates on proper Customer service approaches and techniques to ensure Customer needs complaints and issues are… more
- Amentum (Durham, NC)
- …and reports cost savings for documentation. **What impact you'll make:** As a member of the Maintenance team you will thrive in a collaborative environment. In ... this role, you'll play a critical part in maintaining, troubleshooting, and optimizing a variety of...we want to hear from you. The scope of service includes the maintaining, development, execution, and continuous improvement… more
- CenterWell (Raleigh, NC)
- **Become a part of our caring community and help us...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A ... dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information _Humana values personal identity...into your official application on Humana's secure website._ _As part of our hiring process for this opportunity, we… more
- HCA Healthcare (Asheville, NC)
- …communities. As a Registered Nurse with the CarePartners Float Pool you can be a part of an organization that is devoted to giving back! **This position is eligible ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee… more
- HCA Healthcare (Marion, NC)
- …- Emergency Department PRN with Mission Hospital McDowell you can be a part of an organization that is devoted to giving back! **Benefits** Mission Hospital ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A ... dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages ... or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following… more