• Managed Care Contracts…

    UNC Health Care (Morrisville, NC)
    …to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its contracted payers ... of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting...negotiation, implementation, and management of: commercial fee-for-service and value-based managed care payer contracts ; Medicare… more
    UNC Health Care (01/02/26)
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  • Managed Care Client Service…

    Sedgwick (Charlotte, NC)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL… more
    Sedgwick (12/16/25)
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  • Medical Director - Medicaid (remote)

    Humana (Raleigh, NC)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
    Humana (01/01/26)
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  • Director - Security

    UNC Health Care (Rocky Mount, NC)
    …With a steadfast commitment to elevating community health through exceptional care , we prioritize excellence, compassion, and innovation, ensuring every individual ... Private Protective Services (PPS) {NC General Statue 74C}. The Director of Security is the administrative head of the...of evidence and ensures that evidence is stored and managed in accordance with all applicable standards and legal… more
    UNC Health Care (11/20/25)
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  • Medical Director - IP Claims Management

    Humana (Raleigh, NC)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Raleigh, NC)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Raleigh, NC)
    …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (11/15/25)
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  • Regional Payer Account Director - Mid…

    Organon & Co. (Raleigh, NC)
    …**Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems Structure… more
    Organon & Co. (11/25/25)
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  • Project Director

    Stantec (Charlotte, NC)
    When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
    Stantec (10/14/25)
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  • Director & Asst General Counsel- M&A

    Novant Health (Charlotte, NC)
    …legal advice regarding relationships and transactions with hospitals, physicians, vendors, managed care companies, government and employers. + Prepares, reviews, ... What We Offer The Director Assistant General Counsel, M&A role provides legal...the impact and application of federal and state health care laws and regulations, including reimbursement requirements, Stark, HIPAA,… more
    Novant Health (11/07/25)
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