Managed Care Jobs in North Carolina
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Search Results - Managed Care Jobs in North Carolina
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...
Centene Corporation-Raleigh
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...
appcast.io -
2 similar jobs: Greensboro, Charlotte
UnitedHealth Group-Asheville
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...
Centene Corporation-Raleigh
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...
appcast.io -
2 similar jobs: Charlotte, Greensboro
Luke Staffing-Goldsboro (NC)
Registered Nurse license in North Carolina (no licensure portability for non-personal services)
• Case Management Certification: Must be certified or certification-eligible in relevant specialty such as Certified Managed Care Nurse (CMCN) through American Board...
Centene Corporation-Charlotte
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...
appcast.io -
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...
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...
DataStaff, Inc.-Raleigh
certification.
• Preferred experience with Managed Care, Medicaid, Medicare, or Accountable Care Organizations.
• Preferred experience with understanding of Population Health interventions and outcomes.
This opportunity is available as a W2 position...
Universal Background Screening-Raleigh
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...
mindmatch.ai -
STANDARDS BASED SOLUTIONS CONSULTIN-Chapel Hill (NC)
and its Programs and Services positively and professionally, always
12. Perform other duties as assigned
Qualifications:
1. 18 years of age or older
2. General knowledge of managed care billing
3. Excellent written and verbal communication skills
4. ..
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...
1 similar job: Cambridge
UnitedHealth Group-Raleigh
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...
DataStaff, Inc.-Raleigh
and tailor quality improvement work to Medicaid Managed Care and Medicaid Direct populations, entities, processes, and accountability structures.
Skills:
• Previous leadership experience in quality improvement
• Advanced analytical capabilities, including...
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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