- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Raleigh, NC)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- CVS Health (Raleigh, NC)
- …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** +… more
- Humana (Raleigh, NC)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Novant Health (Charlotte, NC)
- …in physician transactions, including physician employment, independent physician arrangements, call director and medical director arrangements + Excellent ... Job Summary The Director Assistant General Counsel, Strategic Partnerships role provides...Civil Monetary Penalties Law, fraud and abuse laws, and Medicare Conditions of Participation in connection with clinical, strategic,… more
- Signature Healthcare (Roanoke Rapids, NC)
- …Plan of Care for each resident in coordination with the physician, Medical Director , nursing staff, and outside consultants (ie, nursing, dietary, ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...Modern Healthcare's "Best Places to Work!" Overview The ideal Director of Nursing Candidate is very detailed orientated, organized,… more
- PruittHealth (Rocky Mount, NC)
- …financial needs and services including providing written explanation of Medicare , Medicaid and Insurance benefits to prospective patients/families when necessary, ... approaching death of the patient. * Documents in the medical record all services. * Provides bereavement services to...to patients and families under the direction of the Director of Health Services. * Other duties as assigned… more