Healthcare Risk Manager Jobs in North Carolina

... ROCKINGHAM','AUD000IH','!*!The Director of Quality and Risk Management is responsible for the ... plans, implements and oversees the Risk Management Program including, reporting, management ... and ensures adherence to all..

... CLINICAL NURSE II - HIGH RISK ANTEPARTUM UNIT 3 WOMENS','WOM001UR','!*!Clinical Nurse ... Nurse II needed for High Risk Antepartum Unit - 3 Women's ... unit that cares for high..

RN PATIENT SERVICES MANAGER III - CHILDREN'S HEMATOLOGY/ONCOLOGY/BMTU AND INTERMEDIATE CARE','NUR00RCT','!*!RN Patient Services Manager III- Children's Hematology/Oncology/BMTU and Intermediate CareThis is a full time, exempt position that is eligible for State ..

CARE MANAGER (PER - UNCH CARE MANAGEMENT','OTH01Q5K','!*!The ... and discharge planning. The Care Manager must be highly organized professional ... necessary meet with the Utilization Manager (UM) and SW after..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

... ongoing compliance with all FMS risk management initiatives. Provides opportunities for ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..

Job specifications are intended to present a descriptive list of the range of duties performed by employees.  Specifications are not intended to reflect all duties performed within the job. SUMMARY Bering ..

Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..

... ongoing compliance with all FMS risk management initiatives. Provides opportunities for ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..

Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

DIRECTOR PERFORMANCE IMPROVEMENT - PERFORMANCE IMPROVEMENT/PATIENT SAFETY','OTH01PLI','!*!Responsible for overseeing and directing the development, management, and implementation of the organization's quality improvement strategy in partnership with the senior leadership team. Ensures alignment ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..

RN PATIENT SERVICES MANAGER I - UNC COVID VACCINE CLINIC','NUR00RJ8','!*!Job Summary:This position is responsible for: ensuring that appropriate care and services are available to patients and families, ensuring adequate and appropriate ..

Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..

Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..

... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..

EXECUTIVE MEDICAL DIRECTOR - UNC PHYSICIANS NETWORK TRIANGLE WEST','ALL00001','!*!The Executive Medical Director supports the Chief Medical Officer (CMO) for UNC Physicians Network. As Executive Medical Director, this position provides professional guidance ..

MANAGER RAPID RESPONSE SERVICES - VIRTUAL ... RESPONSE SERVICES - VIRTUAL CARE','OTH01Q7B','!*!The Manager of Rapid Response Services (RSS) ... Hospital is a dynamic, experienced healthcare administrator/operations leader passionate about transforming..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..

Job ID 21000H1MAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Charlotte North Carolina Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..