- CVS Health (NC)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
- PruittHealth (Fayetteville, NC)
- …Senior Vice President Clinical Services and the hospice regional team to provide compliance support services to hospice agencies. The consultant is responsible ... program evaluation, education and monitoring functions to determine agency compliance with all regulatory groups and make recommendation/suggestions for improvement.… more
- Prime Therapeutics (Raleigh, NC)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
- Humana (Raleigh, NC)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… 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, ... discharge planning. * Participates in ongoing inservice education. * Acts as a consultant to agency personnel. * Coordinates care provided to patients and families… more