- Evolent (Raleigh, NC)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Robert Half Finance & Accounting (Durham, NC)
- …to improve financial systems and processes for greater efficiency. * Ensure compliance with regulatory requirements and internal policies. * Present financial ... team to foster growth and high performance Requirements * Proven experience in a senior financial leadership role, such as VP or Director of Finance. * Expertise in… more
- Sumitomo Pharma (Raleigh, NC)
- …encounters is considered confidential. ** Compliance ** : Achieve and maintain Compliance with all applicable regulatory , legal and operational rules and ... + Proven track record of enabling data-driven decision-making at a senior leadership level + Strong analytical background, strategic thinking and problem-solving… more
- Synchrony (Charlotte, NC)
- …**Model and Framework Ownership** + Maintain ACL policies and procedures, ensuring compliance with regulatory standards and effective integration of quantitative ... Current Expected Credit Losses (CECL) estimation process, ensuring financial compliance while anticipating challenges. The Allowance for Credit Losses (ACL)… more
- Evolent (Raleigh, NC)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Zimmer Biomet (Charlotte, NC)
- …contracts meet legal and Paragon 28 requirements for accurate pricing and compliance . The Director will lead the execution of regional National Accounts strategy, ... planning, and special projects, collaborating closely with internal teams and senior leadership to drive revenue growth and operational excellence. **How You'll… more
- Sumitomo Pharma (Raleigh, NC)
- …encounters is considered confidential. ** Compliance ** : Achieve and maintain Compliance with all applicable regulatory , legal and operational rules and ... for key stakeholders, including brand leadership, cross-functional partners, and senior management while adapting communication style based on audience. +… more
- Affordable Care (Morrisville, NC)
- …contracting. + Deep understanding of payor requirements, credentialing processes, and regulatory compliance . + Strong leadership presence with the ability ... closely with credentialing and legal teams to reduce cycle times and improve compliance . + Establish and monitor credentialing KPIs, ensuring readiness for new site… more
- Evolent (Raleigh, NC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Architect Healthcare Integration - EMR/FHIR Specialist** **What You'll Be Doing** **Drive ... into technical solutions + Design integration architectures that maintain HIPAA compliance and protect patient privacy + Implement robust security frameworks for… more
- ThermoFisher Scientific (Morrisville, NC)
- …& migrate spend from incumbent, poor performance suppliers. + Ensure compliance with internal controls, regulatory requirements, and sustainability goals ... cost savings, supplier consolidation, sourcing from low-cost regions, contract compliance , risk mitigation, supplier performance optimization, and encouraging innovation… more