Managed Care Jobs in Charlotte
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Search Results - Managed Care Jobs in Charlotte
Prisma Health-Charlotte-
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
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Centene Corporation-Charlotte-appcast.io-
into actionable business and technology plans.
• Partner across lines of business, clinical, operational, and technology teams to improve data exchange across core managed care workflows.
• Establish governance, performance measures, and risk controls to support...
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UnitedHealth Group-Charlotte-
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
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Centene Corporation-Charlotte-appcast.io-
outcomes and regulatory readiness.
The role requires 10+ years in healthcare interoperability and 5+ years leading large-scale initiatives within managed care, with deep knowledge of FHIR, HL7, and CMS requirements. Remote/hybrid options available.
#J...
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Community Alternatives, Inc.-Charlotte-
representatives throughout the authorization process.
What You’ll Do
• Request, obtain, and maintain service authorizations from Medicaid, managed care organizations, private insurance, and other payer sources.
• Track authorization dates, approved units...
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360X Staffing-Charlotte-
an accredited Medical School. M.D./D.O. degree is required and board certification in a relevant field. At least four (4) years of postgraduate clinical experience and two (2) or more years of managed care and utilization management experience are required...
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Abbott-Charlotte-
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
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Universal Background Screening-Charlotte-mindmatch.ai-
Managed Care, Education, and Professional Services.
About the Role
The Account Executive is responsible for selling Universal Background Screening’s employment screening, drug testing, and occupational health solutions to organizations. The primary focus...
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Merck Sharp & Dohme (MSD)-Charlotte-
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
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HealthCare Support-Charlotte-
years of experience in PBM, managed care, or health plan environments.
• Demonstrated experience leading projects, mentoring others, or managing clinical teams.
• Strong knowledge of formulary management, utilization management, specialty pharmacy...
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UnitedHealth Group-Charlotte-
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
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NITYA Software Solutions, Inc.-Charlotte-
Automation Testing to support the Managed Care Transition Project.
This position is responsible for the following activities related to a critical system being developed in-house at the State:
Responsibilities
• Experience assessing the testability...
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Gardner Skelton PLLC-Charlotte-
an accomplished healthcare attorney who has devoted her career to advocating for independent medical practices, physicians, and others in the healthcare industry. Heather's background includes in-house experience with a managed care organization, years spent...
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Opal Autism Centers-Charlotte-workable.com-
reducing billing backlogs or resolving aged revenue.
• Knowledge of commercial insurance, Medicaid, and managed care billing requirements for ABA services.
• Advanced Microsoft Excel and reporting skills.
Benefits
• Remote work
• Competitive hourly...
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SCAN Health Plan-Charlotte-
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
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