MEDICAL RECORDS CODER II Duke UniversityMEDICAL RECORDS CODER IIDurham, NCRemoteMust hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding. RHIA certification- no experience required RHIT certification- no experience required CCS certification- one year of coding experience required CPC or HCS-D certification- two years of coding experience required.
Medical Records Coder II-Inpatient Duke UniversityMedical Records Coder II-InpatientDurham, NCRemoteMust hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding. All Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington.
Charge Capture Analyst *hybrid* WakeMed Health & HospitalsCharge Capture Analyst *hybrid*Raleigh, North CarolinaFull timeLicensure: EPIC Certification in Area of Responsibility Preferred Education: High School Diploma or Equivalent Required Associate's Degree Preferred Bachelor's Degree Preferred Experience: 4 Years Accounting/Finance - Coding Required - Or 2 Years Accounting/Finance - Billing Required Works with Revenue Cycle, Finance, and clinical departments to analyze coding and billing processes to ensure accurate and optimal revenue capture by developing trending, modeling, and other assessment tools.
Medicaid Risk Adjustment Market Manager CVS Health CorpMedicaid Risk Adjustment Market ManagerNC$54,300–$145,860 / yearPartner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthNC$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
Sr. Patient Navigator ValerisSr. Patient NavigatorMorrisville, North CarolinaBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Serves as the single point of contact and provides personalized case management for patients, caregivers, and healthcare providers (HCPs), including delivery of benefit investigations, prior authorization tracking, and appeal support.
Decision Scientist - Clinical Informatics (Clinical Data Standards) CVS Health CorpDecision Scientist - Clinical Informatics (Clinical Data Standards)NC$64,890–$158,620 / yearA&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses. Collaborate with data engineering teams to inform data pipeline development, ensuring clinical data is ingested, transformed, and stored in ways that support downstream analytics needs.
NewSenior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)NC$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.
Director, Market Access Strategy, Access Optimization Lead (Oncology) GSK plcDirector, Market Access Strategy, Access Optimization Lead (Oncology)Durham, NCThe Director partners across pricing and contracting, account teams, patient experience, trade and distribution, access marketing, access analytics, HEOR / value evidence, finance, policy, medical, and brand teams to align on the integrated strategic plan and ensure execution against the most critical access priorities. Partner with pricing and contracting, analytics, HEOR, patient experience, account teams, and trade/channel teams to evaluate choiceful tradeoffs across investments, GTN implications, customer strategies, and launch/lifecycle priorities.
Sr. Patient Navigator Valeris IncSr. Patient NavigatorMorrisville, NCBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Key Responsibilities: Serves as the single point of contact and provides personalized case management for patients, caregivers, and healthcare providers (HCPs), including delivery of benefit investigations, prior authorization tracking, and appeal support.
Senior Post-Market Pharmacovigilance Specialist (Remote) MMSSenior Post-Market Pharmacovigilance Specialist (Remote)Raleigh, NCRemoteWith a global footprint across four continents, MMS not only maintains an industry-leading customer satisfaction rating but also fosters a collaborative and inclusive work environment where employees can thrive. We support the pharmaceutical, biotech, and medical device industries with our proven scientific approach to complex trial data and regulatory submission challenges.
NewExpert Implementation Consultant-2 Veradigm IncExpert Implementation Consultant-2NC$92,972–$129,231 / yearThis role plans and executes multi-department onboarding for enterprise and multi-site clients, mentors other Implementation Consultants, and serves as a trusted advisor to client leadership, escalating only genuine scope or design questions upstream. At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve.
Medical Director - ENT CVS Health CorpMedical Director - ENTNC$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Senior SAP EWM Consultant, Eli Lilly Infosys LtdSenior SAP EWM Consultant, Eli LillyRaleigh, NCMust have good knowledge in following WM areas: WM Master Data, Inbound / Outbound delivery processing, Transfer Orders, Cycle Counts, Inventory reconciliation, Shipping and Transportation Management, Mobile Data Entry and RF units, Physical Inventory, RF Transactions, HU Management, Transportation Units, Production Integration. 2250741No5439237910.00.008/25/2026Senior SAP EWM Consultant, Eli LillyIn the assigned Job Role of Package Consultant 2, your Area Of Responsibility will be as below: Participate in requirements gathering with stakeholders across business units and assist in validating specifications to ensure alignment with business objectives and ERP capabilities.
DIR - HIM/MEDICAL RECORDS University Health Services IncDIR - HIM/MEDICAL RECORDSRALEIGH, NCOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. QUALIFICATIONS Education: Associate's Degree (RHIT) or Bachelor's Degree (RHIA) in Health Information Management Experience: A minimum of three (3) years' supervisory experience in health information management is required, with direct experience in a health care psychiatric facility preferred.
Medicare Pricing Analyst Wisconsin Physicians Service Insurance CorpMedicare Pricing AnalystNCRemoteThe Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.
NewCertified Oncology Data Analyst I Novant Health IncCertified Oncology Data Analyst INCRemotePreferred: Experience with Electronic Registry Systems Inc. registry software, Epic, Webplus (NC Data Reporting portal), QPort (Commission on Cancer quality portal); working knowledge of MS Office (Excel, Word, Outlook, Teams). Ability to communicate effectively with tact and diplomacy with Medical Staff, Novant Departments, private physician practices, and non-Novant facilities to obtain patient information resolve staging or coding issues.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DONC$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Dental Hygienist - $5000 Signing Bonus! Guardian Dentistry PartnersDental Hygienist - $5000 Signing Bonus!Cary, North CarolinaThe ideal candidate will be responsible for providing high-quality dental care and ensuring patient comfort during their visits. If you are passionate about promoting oral health and providing exceptional patient care, we encourage you to apply for this rewarding opportunity as a Dental Hygienist in our practice.
Dental Hygienist Guardian Dentistry PartnersDental HygienistDurham, North Carolina$50–$60 / hourTriangle Restoration Dentistry Triangle Restoration Dentistry in Durham is seeking a Dental Hygienist to work 2 Fridays per month from 9am-2pm. If you are passionate about promoting oral health and providing exceptional patient care, we encourage you to apply for this rewarding opportunity as a Dental Hygienist in our practice.