- 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)
- …location specific competitive total rewards, wellness incentives and a culture of recognition and performance awards. We are committed to creating an environment ... contracts meet legal and Paragon 28 requirements for accurate pricing and compliance . The Director will lead the execution of regional National Accounts strategy,… 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
- UNC Health Care (Chapel Hill, NC)
- …teams, ensuring security efforts align with organizational goals and regulatory requirements. Additionally, collaborates with local law enforcement, IT, ... safety protocols, and coordinate response efforts during critical incidents. 5. Compliance and Quality Improvement - Develops and implements emergency response… more
- Clean Harbors (Charlotte, NC)
- …stakeholder relationship management, and cross-functional collaboration across logistics, compliance , and risk management. Additionally, the director monitors ... of producing revenues within each LOB. + Conduct complex and sensitive assignments from senior management for the line of business + Performs other duties and tasks… more
- Evolent (Raleigh, NC)
- …delivery.** + Offer **clinical rationale for standard and expedited appeals,** ensuring compliance with UM policies and regulatory requirements. + Collaborate ... with cross-functional teams, including **clinical reviewers, product, management, and senior leadership,** to improve decision-making and care outcomes. + Assist in… more
- Healthy Kids Programs (Sylva, NC)
- …site (profile pages, allergy and medication, children and staff files are in compliance , an effective and consistent substitute plan is in place, children's rosters ... implement new programs as they become available. + Liaise with other departments, senior management, and parents. + Adhere to and consistently enforce the company's… more
- Ensono (Raleigh, NC)
- …user needs and improve service delivery. + Communicate effectively with senior leadership on performance, challenges, and strategic initiatives. + Compliance ... & Risk Management + Ensure adherence to IT policies, security standards, and regulatory requirements. + Manage risk related to end user computing and support… more
- UMB Bank (Raleigh, NC)
- …for the Bank's clients, including consumers, small businesses, and corporates. As the ** Senior Digital** **Product Manager,** you will be a thought leader around the ... develop and expand the go-to market offerings. + Partner with internal departments ( compliance and legal) to ensure that all product features and functionality meet… more
- ManpowerGroup (Charlotte, NC)
- …to ensure compliance with risk management expectations. + Engage in regulatory inquiries and audits, preparing materials and assessing findings for senior ... management updates. **What's Needed?** + Bachelor's degree with 10 or more years of operational and enterprise risk management experience. + Experience managing enterprise and operational risk programs in a large financial institution. + Strong project… more