- 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
- Humana (Raleigh, NC)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Raleigh, NC)
- …adapt and the courage to innovate **Additional Information** Typically reports to a 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 ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- AdventHealth (Hendersonville, NC)
- …compliance with external accreditation standards, state and federal laws and Medicare conditions of Participation. The Director ensures administrative interface ... specialty shops, art galleries and unique restaurants The role you'll contribute: The Director manages the functions required to support the market-wide medical … more
- Grifols Shared Services North America, Inc (Research Triangle Park, NC)
- …and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing ... access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS)… more
- Humana (Raleigh, NC)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… 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
- Gentiva (Goldsboro, NC)
- …Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse ... Practitioner, you will:** + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by… more
- Scotland Health Care System (Laurinburg, NC)
- …administrative documents, and ensure compliance files are maintained. - File corporate and compliance-related documents (eg, board meetings, Medicare approvals, ... SPN Coordinator also provides direct administrative support to the Executive Director of Physician Services & Network Operations, ensuring efficient scheduling,… more
- HCA Healthcare (Asheville, NC)
- …their work closely with the HCA Clinical Services Group, the Market Chief Medical Officer, Performance Improvement, and the Director of Case Management. ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… 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