- CenterWell (Raleigh, NC)
- …analyze all governmental requests, including but not limited to ADR's, CERTS, RAC 's, ZPIC's, SMRC's, and all other revenue-driven denials and requests. Guides and ... Monitors and responds to all requests related to revenue recovery including but not limited to Government and private...Medicare Advantage plans, ADR requests, Denials, Appeals, TPE, RCD, RAC , ZPIC, CERT, etc. responses are preferred. + Excellent… more
- LifePoint Health (Rutherfordton, NC)
- …discharge plans.5. Follows up with any denials through the appeals process; including RAC chart audit reviews. Emergency Department (ED) Case Management1. Serves ... and assure documentation meets Medicare requirements to reduce the risk related to RAC 's.5. Documentation in the medical records is completed in the appropriate time… more
- Deloitte (Charlotte, NC)
- …Qualifications + Experience with Oracle database management (installation, patching, upgrades, backup/ recovery , sizing, tuning, RAC , storage) + Familiarity with ... hybrid environments with a focus on performance, high availability, disaster recovery , and geographically distributed networks. + Project Leadership: Plan and manage… more
- Chiesi (Cary, NC)
- …sciences or related field required. Advanced degree and/or Regulatory Affairs Certification ( RAC ) credential required. No matter where your path starts at Chiesi, it ... leads to inspiring possibilities. Your future is our focus, and we are committed to nurturing your development in our dynamic, friendly environment with access to resources and training every step of the way. We provide top-class benefits, including… more
- ThermoFisher Scientific (Morrisville, NC)
- …pharmaceutical/CRO industry preferred. Additional qualifications in medical writing (AMWA; EMWA; RAC ) advantageous, but not required. _In some cases an equivalency, ... consisting of a combination of appropriate education, training and/or directly related experience, will be considered sufficient for an individual to meet the requirements of the role._ **Knowledge, Skills, Abilities:** Excellent verbal and written… more
- ThermoFisher Scientific (Greenville, NC)
- …projects is preferred. Additional qualifications in medical writing (AMWA; EMWA; RAC ) advantageous. In some cases, an equivalency, consisting of a combination ... of appropriate education, training and/or directly related experience, will be considered sufficient for an individual to meet the requirements of the role. **Knowledge, Skills, and Abilities:** + Excellent data interpretation and medical writing skills,… more
- Truist (Charlotte, NC)
- …Manage and coordinate the resource approval process in coordination with finance and the RAC . 16. Partner across the teams to define and scope projects and complete ... RFPs to contractually execute on those program across Truist. 17. Partner across the leadership team to define and execute on the Data, Analytics, AI, Gen AI and Technology strategy for Truist. **QUALIFICATIONS** Required Qualifications: The requirements… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …preparation of global regulatory submissions (IND, CTA, NDA or BLA, MAA). - RAC certification a plus. **Skills** - Strong oral and written communication skills. - ... Solid working knowledge and understanding of the drug development process, laws, regulations, and guidelines including FDA, ICH, etc. - Able to successfully interpret and apply regulatory intelligence to work output. - Ability to lead teams, prioritized work,… more
- Highmark Health (Raleigh, NC)
- …entities in response to external coding audits conducted by the Medicare Administrative Contractor , the RAC , MIC, ZPIC, etc. Determine appeal action, prepare ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and… more