• Pharmacist - Clinical Advisor

    CVS Health (NC)
    …we do it all with heart, each and every day. **Position Summary** The Health Plan Clinical Advisor is a client facing role that manages the clinical ... medical directors, CMO as well as other senior health plan leaders. The Health Plan Clinical Advisor should be able to manage at least 2 and up to 4 market… more
    CVS Health (10/08/25)
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  • Clinical Advisor

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** As Regional Clinical Advisor , you serve as a key member of the regional clinical team ... Medicare Advantage program to support improving the health of members. The Clinical Advisor requires close collaboration with regional leadership and… more
    Humana (10/07/25)
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  • Clinical Care Advisor - Behavioral…

    Elevance Health (NC)
    \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Behavioral Health (BH) and BH Crisis** **$2,500 SIGN ON BONUS** _We are partnering with North Carolina ... employment, unless an accommodation is granted as required by law. The ** Clinical Care Advisor - Behavioral Health (BH) and BH Crisis** is responsible for… more
    Elevance Health (07/25/25)
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  • Clinical Care Advisor - Complex…

    Elevance Health (Hickory, NC)
    \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Complex Medical** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize ... employment, unless an accommodation is granted as required by law. The ** Clinical Care Advisor - Complex Medical** is responsible for the Children and Families… more
    Elevance Health (09/10/25)
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  • Lead Clinical Care Advisor

    Elevance Health (NC)
    …for employment, unless an accommodation is granted as required by law. The **Lead Clinical Care Advisor - Transition of Care Management** is responsible for ... of follow-up care. + Facilitate health rounds with other clinical centered professionals to ensure whole person health. +...preferred. + Experience serving in a leadership role with clinical staff is preferred. + Experience working with Children,… more
    Elevance Health (09/24/25)
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  • Licensed Clinical Care Case Advisor

    Elevance Health (Asheville, NC)
    …considered for employment, unless an accommodation is granted as required by law._ The Clinical Care Advisor (Special Programs Case Manager I) is responsible for ... field, or a degree in nursing 3 years of clinical experience with substance abuse/substance abuse disorder treatment. +...in a managed care setting preferred. + Experience providing clinical education to members and stakeholders within the area… more
    Elevance Health (08/30/25)
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  • RWD/ Clinical Pharmacy Analytics…

    The Cigna Group (Raleigh, NC)
    …access and patient support programs. **How you'll make a difference:** The Real World Data Advisor position is a key role to the enterprise and will be supporting a ... translate those into actionable insights. **Role Summary:** The Real World Data Advisor position is an opportunity for an analytics professional to provide… more
    The Cigna Group (09/18/25)
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  • Medical Director-Cardiology Appeals

    Elevance Health (Durham, NC)
    …quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost ... Medical Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** +...responses to members and providers. + Provide guidance for clinical operational aspects of a program. + May conduct… more
    Elevance Health (10/01/25)
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  • Behavioral Health Medical Director-Psychiatrist…

    Elevance Health (Durham, NC)
    …quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost ... timely and consistent responses to members and providers. + Provides guidance for clinical operational aspects of a program. + Conduct peer-to-peer clinical more
    Elevance Health (09/10/25)
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  • Utilization Management Medical Director- NC…

    Elevance Health (Durham, NC)
    …quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost ... timely and consistent responses to members and providers. + Provides guidance for clinical operational aspects of a program. + Conducts peer-to-peer clinical more
    Elevance Health (08/29/25)
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