• Dispute Resolution Reviewer

    St. George Tanaq Corporation (Raleigh, NC)
    Dispute Resolution Reviewer III Fully...Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer III (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
    St. George Tanaq Corporation (06/25/25)
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  • Dispute Resolution Reviewer I

    St. George Tanaq Corporation (Raleigh, NC)
    Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer I (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
    St. George Tanaq Corporation (05/07/25)
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  • Field Service Engineer

    Ford Motor Company (Raleigh, NC)
    …necessary + Participate in calibration, peer review , and continuous improvement efforts ** Dispute Resolution & Legal Case Support** + Serve as a Subject ... **Technical Hotline and Dispute Resolution Analyst** We are the movers of the world and the makers of the future. At Ford, we roll up our sleeves every day to… more
    Ford Motor Company (07/26/25)
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  • Behavioral Health Provider Contract Negotiation…

    CVS Health (Raleigh, NC)
    …**Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage dispute resolution and settlement ... contract relationships. + Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo and group… more
    CVS Health (07/23/25)
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  • Director of Provider Services - Medicaid

    Humana (Raleigh, NC)
    …Carolina's Managed Care Contractual requirements for provider relations, such as claims dispute resolution within specified timeframes. + Work closely with ... teams on claims processing, reporting, contracting/credentialing, network adequacy, provider dispute resolution issues, and provider performance tracking and… more
    Humana (07/29/25)
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  • Representative II, Customer Care Order Placement

    Cardinal Health (Raleigh, NC)
    …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** Responsible for answering inbound calls from ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
    Cardinal Health (07/03/25)
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  • Representative, Customer Service - New Patient…

    Cardinal Health (Raleigh, NC)
    …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Job Summary_** The Representative II, Customer Service ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
    Cardinal Health (07/29/25)
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  • Contracts and Commercial Sr Manager

    CBRE (Raleigh, NC)
    review , and submission of proposals as they relate to contracts. + Contractual Dispute Resolution : Lead the resolution of contract disputes, claims, and ... processes, and standards within the job discipline. + Contract Review & Risk Assessment: Review and assess...discipline. + Contract Review & Risk Assessment: Review and assess client-proposed amendments to standard contract terms… more
    CBRE (06/11/25)
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  • Senior Representative, Customer Service Operations

    Cardinal Health (Raleigh, NC)
    …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . + Collects and reviews customer feedback, complaints, recalls ... customer business through contract administration, customer orders, and problem resolution . The Senior Representative, Customer Service Operations is responsible for… more
    Cardinal Health (07/22/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Raleigh, NC)
    …you will manage negotiations, conduct high-level reviews and analysis, and manage dispute resolution and settlement negotiations of contracts, with large and ... and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement… more
    CVS Health (07/19/25)
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