Utilization Review Specialist $60,000 jobs in Cary, NC

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Financial Specialist, Senior - Pharmacy, 340B
Raleigh, NC 27601 (Central area)
Position Information The Financial Specialist, Sr. Performs ongoing internal audits and review of applicable reports to ensure program integrity, compliance and...
Social Work Manager (Hospital)
Connections Healthcare Staffing
Raleigh, NC
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...
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Nurse Care Manager
Durham, NC 27703
1-2 years of utilization management experience a must. Complete an initial member assessment on all new enrolled members, including a medical record review...

Triangle Springs - Utilization Review Specialist

Raleigh, NC 27601 (Central area)
Utilization Review Specialist (Full-time). Triangle Springs " Utilization Review Specialist. Triangle Springs - Utilization Review Specialist Location:....

Operations Specialist 2 / Operations Specialist 1 - Drug Saf...

Durham, NC
Preparation of material for submission of secondary review. Contribute to achievement of departmental goals e.g. utilization realization and productivity...

Operations Specialist 2

Durham, NC
Preparation of material for submission of secondary review. Contribute to achievement of departmental goals e.g. utilization realization and productivity...

Technical Specialist

Raleigh, NC
Ability to diagnose Database issues such as deadlocks, memory & CPU utilization issues. Technical Specialist also lead specialized support desk projects to...

Clinical Documentation Improvement Specialist-Technical Writ...

Grace Federal Solutions LLC
Durham, NC 27705
Case management or utilization review and acute care clinical experience is preferred. Communicate with coders, compliance specialists and/or clinical...
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Financial Specialist, Senior - Pharmacy, 340B

Raleigh, NC 27601 (Central area)
Position Information The Financial Specialist, Sr. Performs ongoing internal audits and review of applicable reports to ensure program integrity, compliance and...

Supervisor, Customer Success Team

Raleigh, NC
Runs standard reports and reviews them regularly. Members of your team will include 15-30 Customer Success Specialists who will also work closely with a...

Supervisor, Project Administration

Cary, NC 27518
Lead and manage the performance of Project Specialists. Create consistent process and procedures for project closeouts, including review of cancelled costs,...

Bilingual Sales Support Specialist I

Durham, NC 27713
Bilingual Sales Support Specialist I. Price Approvals, Configurations, Credit Checks, Item Master updates, RPQs, CMR updates, Maintenance Assurance Reviews,...

PHARMACIST - 340B PROGRAM

Chapel Hill, NC 27517
Assesses opportunities for cost savings and businessimprovements in 340B contract pharmacy utilization. Routinely monitors monthly and annual reports on 340B...
Mgr, Case Management - MSW required
Raleigh, NC 27601 (Central area)
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...
Sr. Salesforce Analyst - CRM
Provide performance feedback for the mid-year and year-end review of the Customer Support Organization Process Lead and Operation Specialists....
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