Director Healthcare Compliance Jobs in North Carolina

Director, Contracting & Network Development','1199846','!*!Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.Oversee provider contracting activities ..

SYSTEM EXECUTIVE DIRECTOR PHYSICIAN REVENUE CYCLE','EXE0015B','!*!This position is ... employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a ... coding, billing policy, regulatory, and compliance policies of public..

PHARMACIST - REVENUE INTEGRITY PROGRAM','PHA006S2','!*! Position:  Pharmacist / Revenue Integrity ProgramLocation:  Lenovo Building / MorrisvilleHours:  Full Time, 32 hrs/wk; DaysPosition Summary: The Revenue Integrity pharmacist will join the Pharmacy Revenue Integrity ..

REGIONAL ADMINISTRATOR I - VIRTUAL CARE','OTH01Q6K','!*!Job Summary: UNC Health Virtual Care Team is seeking a highly motivated leader who will support the planning, start-up, implementation and on-going operations of Virtual Care ..

HCS DIRECTOR PATIENT ACCESS - MEDICAID ELIGIBILITY','OTH01Q2C','!*!Manage Medicaid eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for quality assurance. Plans, develops, implements and monitors comprehensive Medicaid ..

Description The Director, Health Services utilizes clinical nursing ... and/or benefit administration determinations. The Director, Health Services requires an in-depth ... segment. Responsibilities The SC Medicaid Director, uses clinical knowledge,..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director provides medical..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Charlotte North Carolina ... North Carolina Description The Associate Director, Compliance Nursing reviews utilization management activities ... waste, and abuse. The..

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

Description Responsibilities The Associate Director for ACD Audit , at ... ACD Audit , at the director of the Director of Payment Integrity, will create ... optimizing operational processes. The..

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal, compliance, and regulatory requirements and programs. ... all requirements of the FMCNA..

MEDICAL DIRECTOR FAMILY PRACTICE - VIRTUAL CARE','OTH01Q6A','!*!Purpose: ... - VIRTUAL CARE','OTH01Q6A','!*!Purpose: The Medical Director of UNC Health’s Virtual Services ... about transforming the future of healthcare. This position partners with..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... Responsibilities Job Profile The Medical Director actively uses..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... variable factors. Responsibilities The Medical Director actively uses..

HCS DIRECTOR INFORMATION TECHNOLOGY - CLINICAL APPLICATIONS','INF003C0','!*!Responsible for the overall planning, organizing, and execution of all Information Technology functions for the health system as it relates to Clinical Applications used in ..

Description The Medical Director actively uses their medical background, ... within a context of regulatory compliance, and work is assisted by ... work. Responsibilities Title: Commercial Medical Director Location: Work..

MANAGER OPHTHALMIC - CAROLINA CROSSING','MAN002FG','!*!UNC Eye Centers is seeking an Ophthalmic Manager, COT with exceptional interpersonal skills and leadership competences to manage and coordinate subspecialty work assignments and work flows in ..

Description The Director, Provider Reimbursement is responsible for ... team of associates. Responsibilities The Director, Provider Reimbursement develops and executes ... and surveillance techniques to ensure compliance with government regulations...

... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... in accordance with all legal, compliance, and regulatory requirements and programs. ... all requirements of the FMCNA..

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..

Description The Medical Director relies on medical background and ... reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Title: Medical Director Location: Work..