- Humana (Raleigh, NC)
- …us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Wolters Kluwer (Raleigh, NC)
- …to help save lives, improve the way we do business, build better judicial and regulatory systems. We help them get it right. **Who We Are: Wolters Kluwer: The world ... place here. (https://youtu.be/OZ2kSzAaXK4?si=sDgZ7DZUbMnBddMq)** **What We Offer: ** The Associate Director , Technology Sales Support role offers growth potential opportunities,… more
- Eliassen Group (Raleigh, NC)
- …http://internalcareers.eliassen.com/7fXdVl + Description + Recommended Jobs **Sr. Director , Client Partnerships** - Remote **Position Summary:** Reporting ... to the EVP, Global Head of Sales, the Director of Client Partnerships is responsible for selling the suite of EGLS consulting and FSP services to key… more
- CenterWell (Lillington, NC)
- …care and outcome planning . + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are… more