Managed Care Jobs in Raleigh
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Search Results - Managed Care Jobs in Raleigh
Prisma Health-Raleigh-
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-Raleigh-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-Raleigh-
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-Raleigh-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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Abbott-Raleigh-
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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Rudish Health-Raleigh-appcast.io-
managed care, Medicare Advantage, Medicaid, and government purchasing.
• Forward-thinking, decisive, and able to anticipate market needs and provide strategic direction three to five years ahead.
• Demonstrated sales, business development, solution...
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Universal Background Screening-Raleigh-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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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...
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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...
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Merck Sharp & Dohme (MSD)-Raleigh-
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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DataStaff, Inc.-Raleigh-
the Managed Care Transition Project. The role involves leading automation testing efforts for a critical in-house developed system, including assessing testability of requirements, developing test cases based on Business Requirements and Software Design...
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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...
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DataStaff, Inc.-Raleigh-
Automation Testing Lead to support the Managed Care Transition Project. The role involves leading automation testing efforts for a critical in-house developed system, including assessing testability of requirements, developing test cases based on Business...
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Opal Autism Centers-Raleigh-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-Raleigh-
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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