- CVS Health (Raleigh, NC)
- …Lead Clinical Psychologist, this position will focus on utilization, quality, and review of fraud, waste, and abuse for individual Aetna member cases. ... **Expectations/Responsibilities:** + Review and prepare cases for medical necessity ...for ABA prior authorization clinical team and the health plan medical directors. + Attend and participate in clinical… more
- UNC Health Care (Smithfield, NC)
- …cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... policies. Responsibilities: 1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new...identify new admissions. Conduct and document assessment and a plan of care in Epic (TM) per departmental guidelines.… more
- UNC Health Care (Raleigh, NC)
- …cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... policies. Responsibilities: 1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new...identify new admissions. Conduct and document assessment and a plan of care in Epic (TM) per departmental guidelines.… more
- Bowman (Raleigh, NC)
- …of service and cost allocation analyses, fiscal policy review , economic/financial feasibility analyses and financial modeling/quantitative analysis. ... senior staff to ensure application of sound professional judgement. Review work produced by junior staff for quality assurance....vision, life, and disability insurance + 401(k) retirement savings plan with company match + Paid time off, sick… more
- Sunrise Senior Living (Raleigh, NC)
- …Monitoring, Process, and Systems** + Set up ongoing procedures to collect and review information needed to assist in billing and accounting support services to meet ... Maintain and organize audit materials and information for audit review . + Complete and verify accuracy of payroll and...such a bonus will depend on the employee's position, plan /program offered by Sunrise at the time, and required… more
- S&P Global (Raleigh, NC)
- …IAM for applications and Infrastructure components. + Perform periodic access review and certifications. + Engineer and implement IAM solutions for Infrastructure ... + Engineer solutions in SailPoint for access management and review . + Review and Manage AWS IAM...compensation, this role is eligible for an annual incentive plan . This role is eligible to receive additional S&P… more
- Cardinal Health (Raleigh, NC)
- …and rebates are accurate and reasonable upon being setup in SAP Vistex. + Review true-up entries posted during the month for accuracy. + Perform continual subledger ... maintenance. + Prepare/ review balance sheet reconciliations. + Perform month-over-month accrual analysis...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
- City of Durham (Durham, NC)
- …works, utilities, stormwater, and transportation facilities/projects as well as review of public development projects. Provide advanced, professional engineering and ... development of design and technical specifications, construction and development plan reviews and inspections; makes decisions regarding infrastructure acceptance… more
- CenterWell (Lincolnton, NC)
- …immediate and long-term therapeutic goals, in setting priorities, and in developing patient Plan of Care (POC). + Monitors cases to ensure documentation is following ... + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and...year This job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- TD Bank (Charlotte, NC)
- …appropriate. **Summary about the group** : **U.S. Compliance Complaint/Marketing Review team reviews marketing materials and complaints, tracks remediation efforts ... Business Oversight Analyst** **will own assigned complaints and marketing material review , run stakeholder meetings, research and review all complaints,… more