- Cardinal Health (Raleigh, NC)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Elevance Health (Durham, NC)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Durham, NC)
- \#HealthyBlueCareTogetherCFSP **IDD Specialty Care Manager Lead** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... is granted as required by law. The **IDD Specialty Care Manager Lead** is responsible for coordinating...coordination, discharge planning or behavioral health experience in a managed care setting preferred. + Travels to… more
- Elevance Health (Durham, NC)
- …not be considered for employment, unless an accommodation is granted as required by law._ The Manager Care Management, Foster Care ( Manager I GBD Special ... coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (Raleigh, NC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Elevance Health (Durham, NC)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management...Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members… more
- Elevance Health (Durham, NC)
- …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- Elevance Health (Durham, NC)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with… more
- Humana (Raleigh, NC)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- Lilly (Durham, NC)
- …and maintenance of departmental training matrixes and scheduling training for personnel managed . The Sr. Manager will be required to utilize technical ... better for people around the world. **Position Title:** Sr. Manager - QC Chemistry and Device (Night Shift) **Job...as a key presenter and tour lead for areas managed . + Coach and develop team, including one-on-one meetings,… more
- CDM Smith (Durham, NC)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …staff. The ideal candidate will have a strong clinical background within a managed care setting including a high-level understanding of prior authorization ... About The Role The Manager , Utilization Management (UM) will manage the Utilization...+ Bachelor's degree in nursing, (or equivalent experience within managed care environment) + 5 or more… more
- Ensono (Raleigh, NC)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... RELIABILITY, COLLABORATION, CURIOSITY, PASSION** At Ensono, we are reinventing managed services with our **Envision Operating System** -a software-first platform… more
- Black & Veatch (Cary, NC)
- **Senior Manager of Cloud Engineering** Date: Oct 7, 2025 Location: Cary, NC, US Overland Park, KS, US Company: Black & Veatch Family of Companies **Together, we own ... Black & Veatch is seeking a dynamic, experienced **Cloud Engineering Manager ** to lead a high-performing team delivering secure, resilient, and scalable… more
- Amgen (Raleigh, NC)
- …in public or private third-party access arena or pharmaceutical industry in managed care , clinical support, and/or sales + Strong medical reimbursement ... lives of patients while transforming your career. **Field Reimbursement Manager - Raleigh, NC** **What you will do** Let's...us** As we work to develop treatments that take care of others, we also work to care… more
- CVS Health (Raleigh, NC)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Raleigh, NC)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Durham, NC)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences** : + Managed care or healthcare experience preferred. + Behavioral health ... **Marketing Manager ** **Location:** This role requires associates to be...within a commuting distance from an office. The **Marketing Manager ** thinks strategically and end-to-end using data and insights… more
- Cook Medical (Raleigh, NC)
- …physicians, hospitals, and outpatient facilities by establishing relationships with these health care providers. The District Manager will be customarily and ... Overview The District Manager 's primary duty is to sell medical devices...exhibits* Maintain timely expense reports* Keep current on the managed health care environment* Educate customers, through… more
- UMB Bank (Raleigh, NC)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more