• Claims Manager II

    Novant Health (Winston Salem, NC)
    Job Summary The Claims Manager is responsible for analyzing, negotiating and resolving claims , including professional and general liability, for all Novant ... and staff. + Coordinates investigation and analysis of incidents and legal claims filed against Novant physicians and entities. Assist and supervises legal… more
    Novant Health (09/18/25)
    - Related Jobs

  • Manager II Grievance & Appeals

    Elevance Health (Durham, NC)
    ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The ** Manager II Grievance & Appeals** responsible for...as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits,… more
    Elevance Health (10/02/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Winston Salem, NC)
    **Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II ** is responsible for identifying issues and/or entities that may pose… more
    Elevance Health (09/06/25)
    - Related Jobs

  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Durham, NC)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... eliminate and prevent unnecessary medical-expense spending. The **Clinical Fraud Investigator II ** is responsible for identifying issues and/or entities that may… more
    Elevance Health (10/03/25)
    - Related Jobs

  • Investigator II

    Elevance Health (Durham, NC)
    …in order to recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible for identifying and developing ... data and claim systems for review of facility, professional and pharmacy claims + Effectively establish rapport and on-going working relationship with law… more
    Elevance Health (09/30/25)
    - Related Jobs

  • Electronic Warfare Range Site Manager

    UIC Government Services and the Bowhead Family of Companies (Stumpy Point, NC)
    **Overview** Electronic Warfare Range Site Manager (PTR-2024-21974): Bowhead seeks to network withElectronic Warfare Range Site Managers for an upcoming/potential ... problem areas. After scheduled hours of operations, the site manager is required to be available within 2 hours,...5 years + Dept of Labor Electronic Technician Level II or AF 5-level equivalent experience + Expert knowledge… more
    UIC Government Services and the Bowhead Family of Companies (09/09/25)
    - Related Jobs

  • Operations Manager

    Mass Markets (NC)
    …of the position + Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
    Mass Markets (09/11/25)
    - Related Jobs

  • Manager of Accounting

    Mass Markets (NC)
    …of the position + Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
    Mass Markets (07/16/25)
    - Related Jobs

  • Senior Scheduler

    HNTB (Raleigh, NC)
    …RFP development to aid in pursuit development. + Provides schedule support for claims analysis (eg, using contractor claims , delay cost estimates, time impacts, ... sequencing into the schedule. + Leads the planning effort alongside Project Manager , collaborates and makes recommendations to project management team in planning… more
    HNTB (09/11/25)
    - Related Jobs

  • Coding Auditor Educator-Inpatient

    Highmark Health (Raleigh, NC)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
    Highmark Health (09/20/25)
    - Related Jobs