- 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 (Cary, 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
- CenterWell (Lillington, NC)
- …you to sit on-site at our Lillington, 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
- CVS Health (Raleigh, NC)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … 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
- Pacific Northwest National Laboratory (Raleigh, NC)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more