- Centene Corporation (Raleigh, NC)
- …from home anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of ... regulatory requirements associated with the Medicare materials and sales compliance . Participates in...review of difficult or detailed member and prospective member communications against regulations to ensure compliance . +… more
- Humana (Raleigh, NC)
- …Enterprise Observability engineering team is looking for a well versed and experienced Senior Software Engineer-Splunk. As a Senior Engineer, you should be ... Splunk AWS; editing and maintaining Splunk configuration files and apps. As a Senior software engineer, you will provide support for the full system engineering… more
- CenterWell (Durham, NC)
- …Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary… more
- CenterWell (Raleigh, NC)
- …Guidance to individual clinicians about patient terminations, in collaboration with compliance . + Manage behavioral concerns pertaining to assigned clinicians. + ... Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients. + Willingness and ability to learn/adapt to practice… more
- Evolent Health (Raleigh, NC)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a… more
- CenterWell (Raleigh, NC)
- …seeing consistency in the content. The Copywriter 2 (VSP/PT) collaborates with Legal and Compliance for both our Medicare and Medicaid lines of business. The ... (VSP/PT) develops creative, clear-written material in support of the organization's communications strategies. The Copywriter 2 (VSP/PT) is responsible for the bulk… more
- Highmark Health (Raleigh, NC)
- …integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures a high degree of development, ... share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing… more