The Claims Specialist will manage a caseload of pending insurance claims with minimal supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of the insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution; settling claims in a

Regulatory Compliance Lead and manage corporate wide implementation of new or revised regulatory requirements. Read, analyze, and develop an in depth knowledge of the regulation to determine requirements/mandates. Compliance Subject Matter Expert on regulations within assigned area of responsibility. Provide oversight, recommendations, and direction team members. Assist L

BioCryst Pharmaceuticals is seeking an experienced Medical Science Liaison (MSL) to join our US Medical Affairs team. As a field based MSL you will be a true scientific, medical expert and an extension of BioCryst Medical Affairs. You will build and facilitate strategic peer to peer relationships with key Health Care Providers (HCP) in the assigned region. You will be pro

ViiV Healthcare is a global specialty HIV company, the only one that is 100% focused on researching and delivering new medicines for people living with, and at risk of, HIV. ViiV is highly mission driven in our unrelenting commitment to being a trusted partner for all people living with and affected by HIV. Our aim is to think, act, and connect differently through a focus

As a leading global contract research organization (CRO) with a passion for scientific rigor and decades of clinical development experience, Fortrea provides pharmaceutical, biotechnology, and medical device customers a wide range of clinical development, patient access and technology solutions across more than 20 therapeutic areas. With over 19,000 staff conducting opera

map out processes and protocols to achieve goals motivate and lead teams adjust quickly to a rapidly changing health care marketplace work for an organization that rewards success and fosters a culture of promotion Job Responsibilities Develope business management goals and objectives that lend to growth and prosperity Drive productivity and efficiency by leading the work

At HearingLife, we're committed to empowering our Team Members to excel in their roles from day one. We believe in providing a comprehensive onboarding program designed to equip individuals with the knowledge and skills necessary for success. As a leader in the hearing healthcare industry, we pride ourselves on fostering a supportive and collaborative work environment whe

The utilization management coordinator LPN role is to ensure that health care services are administered with quality, drug cost efficiency, and compliant with payer policy. By continuously reviewing and auditing patient treatment files, the utilization nurse will ensure that patients won't receive treatment/procedures without pre authorization from payer obtained. Communi

OF POSITION A Client Service Center Specialist demonstrates a commitment to delivering distinctive service. This position will be responsible for assisting clients with their financial needs or by directing calls to the appropriate associate(s). The Client Service Center is open 24 hours a day 7 days a week with current exceptions being Easter and Christmas. PRIMARY RESPON

Provide clinical leadership in an inter disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence Maintain a functional and collaborative relationship with the DRG Integrity Specialist to achieve shared company goals Comply with medical and federal guidelines at all times Reso

Job Location Southminster Charlotte, NC   Description Our Nurse Manager Benefits include Competitive pay 6% matching on our 403B retirement plan Employee Assistance Program Onsite employee Meal Benefit Sharonview Federal Credit Union Employee On site fitness, consignment and pharmacy Bi weekly pay direct deposit Nurse Manager Job Duties/ Responsibilities The Nurse Man

The Director prioritizes, plans, organizes, develops, and directs the overall operation of the Cardiovascular Services Department(s) in accordance with current federal, state, and local standards, guidelines, industry standards, and regulations that govern the organizational enterprise. These efforts will be directed by the Chief Administrative Officer to ensure that the

Administers assigned contracts of moderate scope and complexity to ensure fulfillment of contractual obligations. Defines requirements, generates and provides input for proposals, negotiates pricing and terms, monitors contract performance and ensures compliance with contract requirements. Determines customer contractual requirements for new products and/or systems (i.e.

Genesys empowers more than 7,500 organizations in over 100 countries to improve loyalty and business outcomes by creating the best experiences for customers and employees. Through Genesys Cloud, the #1 AI powered experience orchestration platform, Genesys delivers the future of CX to organizations of all sizes so they can provide empathetic, personalized experiences at sc

LOCATION Remote must live in or near Rockingham County GENERAL STATEMENT OF JOB The Mental Health/Substance Use ("MHSU") Care Manager ("MHSU Care Manager") is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients ("members") to ensure that these individuals receive appropriate assessment and services. The