- Cardinal Health (Raleigh, NC)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Elevance Health (Bryson City, NC)
- **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with you!** ... thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator** is responsible for the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Novant Health (NC)
- …degree, required. Graduate Degree, preferred. Minimum of three years of experience in Managed care contracting, operations, or Government payors (ie, Mcr, Mcd). ... revenue from commercial and government contracts including performance and value-based care incentives. The Payor Intelligence team provides thought leadership and… more
- Indeed (Charlotte, NC)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Novant Health (Charlotte, NC)
- …consultants, and executive level staff to answer internal operations management questions about managed care contracts. The manager fosters and maintains ... Manager , Payor Strategy and Relationship Management is a professional advisor supporting managed care contracts with health plans, payors, employer groups and… more
- UNC Health Care (Raleigh, NC)
- …closed-loop handoffs with external care teams + Provide warm handoffs to managed care partners or community navigators **4. Complex Case Rounds (Weekly)** + ... support to a network of 6 owned and 10 managed hospitals.** **This position is a 40 hour per...of case management, utilization review and discharge planning. The Care Manager must be highly organized professional… more
- Elevance Health (Sylva, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Manager Care Management ( Manager I GBD Special Programs) is ... + Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable to accommodate LCSW-A,… more
- Humana (Raleigh, NC)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- Elevance Health (Goldsboro, 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
- AmeriHealth Caritas (Greensboro, NC)
- **Role Overview:** The Care Manager (RN/LCSW) assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Care Manager (RN/LCSW) is responsible for engaging...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- UNC Health Care (Kinston, NC)
- …nursing, BSN required. EXPERIENCE + o Recent clinical experience in healthcare management, managed care , and an understanding of the current healthcare climate ... The Manager provides efficient and effective delivery of patient care through case management process. Works toward desirable patient outcomes with MD,… more
- LifePoint Health (Hickory, NC)
- …reduce expense and capture revenue appropriately from admission through discharge. * Coordinates care and services within the case managed population. * Educates ... * Educates and mentors all staff in UR standards and LOS topics. * Coordinates care and services within the case managed population. *_Benefits -_* Wide range of… more
- CDM Smith (Manteo, 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
- Healthfirst (NC)
- …Qualifications:** + **Masters degree in a related discipline** + **Experience in managed care , case management, identifying alternative care options, ... York State Department of Health (NYSDOH) regulations governing medical management in managed care ** + **Relevant clinical work experience** + **Intermediate… more
- Gentiva (Lillington, NC)
- …with all company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...+ We maintain a drug-free workplace Keywords: hospice RN manager , patient care manager senior,… more
- Corcentric (NC)
- As a Senior Customer Success Manager (CSM), you will serve as a trusted advisor to our customers, ensuring ongoing success with our platform-based solutions, ... join us at Corcentric. As a Senior Customer Success Manager , O2C you will: + Serve as a client...great if you also have: + Order-to-Cash (O2C) and/or Managed Services functional domain knowledge and experience. + Accounting… more
- Brighton Health Plan Solutions, LLC (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
- CAI (Raleigh, NC)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- CenterWell (Pink Hill, NC)
- …you to sit on-site at our Kinston, NC branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... implements, analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including… 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