- Elevance Health (Durham, NC)
- ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid.… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... Executive Director works closely with leaders from various departments-case management , physician advisors, revenue cycle, medical staff, nursing, and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... required turnaround times. * Prepares and presents cases to Medical Director (MD) for medical ...Utilization Review process including benefit interpretation, contract language, medical and policy review. * Proficient in MCG and… more
- CREO (Durham, NC)
- JOB DESCRIPTION OVERVIEW The Director , Technology Strategy and Solutions, is a high visibility client-facing leader responsible for a book of business and products ... is approximately 50% business development and 50% services, technical and management consulting project delivery and team leadership. Within CREO's seller-doer… more
- Fujifilm (Holly Springs, NC)
- **Position Overview** As the Senior Director , Process Engineering & Maintenance, this role is responsible for setting the direction and managing central workstreams ... leveraging existing experience as a subject matter expert (SME) and people management capabilities in start-up of Greenfield capital projects and technical projects.… more
- Kyndryl (Research Triangle Park, NC)
- …looking for a dynamic individual like you, who can revolutionize relationship management , drive account growth, and boost profitability. In this role, you'll have ... closely with other sales team members to ensure a seamless account management process. Together, you'll execute every aspect flawlessly, from the initial prospecting… more
- UNC Health Care (Chapel Hill, NC)
- …**Professional Experience Requirements:** * Five (5) years of experience in care management , utilization management , discharge planning, care coordination, ... operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social… more