- UNC Health Care (Morrisville, NC)
- …to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its contracted payers ... of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting...negotiation, implementation, and management of: commercial fee-for-service and value-based managed care payer contracts ; Medicare… more
- Sedgwick (Raleigh, NC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL… more
- Cardinal Health (Raleigh, NC)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- Humana (Raleigh, NC)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Raleigh, NC)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Raleigh, NC)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …Staff (EHRA NF) Vacancy ID: NF0009457 Position Summary/Description: The Deputy Director oversees the operational and administrative functions of the NC ... Collaboratory, directly supporting the Executive Director in managing a statewide research enterprise funded by...but not limited to, opioid remediation, K-12 education, foster care reform, water quality, disaster recovery, energy innovation, and… more
- Humana (Raleigh, NC)
- …on average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Organon & Co. (Raleigh, NC)
- …**Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems Structure… more
- Compass Group, North America (Durham, NC)
- …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership, ... and 17,000 professional food service team members. **Job Summary** The Associate Director of Food and Nutritional Services will assist in the responsibility for… more
- Compass Group, North America (Raleigh, NC)
- …food cost controls, and presentation + Knowledge of P&L accountability and contract - managed service experience is desirable + ServSafe(R) certified a plus ... professional food service team members. **Job Summary** **The Sr. Director of Dining Services** is responsible for overseeing the...the day to day Foodservice operations in an acute care setting. You will manage and lead a team… more
- Highmark Health (Raleigh, NC)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- Merck (Raleigh, NC)
- …or high influence customers in Public Health, Large Group Practices, Hospitals/Systems, or Managed Care Organizations + Ability to build and develop customer ... Thinking, Interpersonal Relationships, Key Account Planning, Lateral Leadership, Leadership, Managed Care Marketing, Market Research, Profit Planning {+… more