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.
NewFinance Operations Supervisor UnipharFinance Operations SupervisorNorth CarolinaThe Finance Operations Supervisor is responsible for overseeing the day-to-day finance operations function for Uniphar US, including Accounts Payable, Accounts Receivable, billing, collections, cash application, payroll administration oversight and related transaction controls. Uniphar provides outsourced and specialized services to its clients, leveraging strong relationships with 200+ of the world’s best-known pharmaco-medical manufacturers across multiple geographies, enabled by our cutting-edge digital technology and our highly expert teams.
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.
Manager, Revenue Integrity *hybrid* WakeMed Health & HospitalsManager, Revenue Integrity *hybrid*Raleigh, North CarolinaLicensure: Certified Professional Coder Preferred Registered Health Information Administrator Preferred Certified Coding Specialist Preferred Registered Health Information Technician Preferred Project Management Professional Preferred Education: Bachelor's Degree Healthcare Or Accounting Or Finance Required Experience: 3 Years Leadership Required 1 Year Project Management Required 5 Years Healthcare Required 7 Years Health Information Management Preferred 7 Years Accounting/Finance - Revenue Cycle Preferred By partnering with clinical, operational, and financial leaders, the Manager drives process improvements that enhance revenue cycle performance and support the organization's financial health.
NewFinance Operations Supervisor Uniphar plcFinance Operations SupervisorNorth Carolina, NCThe Finance Operations Supervisor is responsible for overseeing the day-to-day finance operations function for Uniphar US, including Accounts Payable, Accounts Receivable, billing, collections, cash application, payroll administration oversight and related transaction controls. Uniphar provides outsourced and specialized services to its clients, leveraging strong relationships with 200+ of the world's best-known pharmaco-medical manufacturers across multiple geographies, enabled by our cutting-edge digital technology and our highly expert teams.
Physician, Oncologist - Malignant Hematology WakeMed Health & HospitalsPhysician, Oncologist - Malignant HematologyRaleigh, North CarolinaOverview: WakeMed Physician Practices, a leading multi‑specialty medical group with more than 500 physicians, NP/PA, is seeking Board‑Eligible/Board‑Certified Hematology & Medical Oncology physicians, with particular interest in malignant hematology, to join our rapidly expanding oncology program in Raleigh, North Carolina. We also host a well-attended monthly malignant hematology case conference, led by our malignant hematologist and joined by hematopathologists, medical oncologists/hematologists, and hematology/oncology NP/PA providers to review complex cases and align on best practices.
OTR Occupational Therapist Pediatrics FYZICAL KidsOTR Occupational Therapist PediatricsDurham, NCFull timeExperience: A minimum of 3 years of experience as a pediatric Occupational Therapist is preferred, but newer practitioners and/or clinicians who are newer to this setting are also welcome to apply! Applicants should demonstrate proficiency in documentation, including justification of therapeutic need, medical necessity, efficient coding, and client results.
COTA Certified Occupational Therapy Assistant Pediatrics FYZICAL KidsCOTA Certified Occupational Therapy Assistant PediatricsDurham, NCFull timeExperience: A minimum of 3 years of experience as a pediatric COTA is highly preferred, but newer practitioners and/or clinicians who are newer to this setting are also welcome to apply! Applicants should demonstrate proficiency in documentation, including justification of therapeutic need, medical necessity, efficient coding, and client results.
Medicare Risk Adjustment Manager (Southeast) CVS Health CorpMedicare Risk Adjustment Manager (Southeast)NC$54,300–$119,340 / yearThe role drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record collection, provider collaboration and data sharing, general coding education and related activities, as well as other activities as assigned. 7+ years of experience in risk adjustment, clinical quality, or healthcare quality improvement required; experience supporting provider‑based or value‑based initiatives preferred.
Workflow Manager Pharmacovigilance Operations, US Remote Fortrea IncWorkflow Manager Pharmacovigilance Operations, US RemoteDurham, NCRemote$80,000–$105,000 / yearFortrea is seeking a Workflow Manager, Pharmacovigilance Operations (Specialist II, PSS) is responsible for supporting and overseeing Clinical Safety and Pharmacovigilance Services (PSS) operations associated with safety data collected from clinical trials and post-marketing programs. Summary of Responsibilities: Manage the receipt and processing of all adverse event reports reported either spontaneously from any source or solicited from a clinical trial including safety database entry, AE review, write patient narratives with coding, follow-up of missing information, lists assessment against appropriate label (For Marketed products, if applicable).
Agentic AI Software Developer Ethos Risk ServicesAgentic AI Software DeveloperRaleigh, NCRemoteFull timeThis role translates business requirements into structured specifications, oversees AI-assisted development workflows, and ensures the quality, security, and performance of AI-generated code. They have strong SQL experience, preferably PostgreSQL, and experience on development teams leveraging AI-assisted workflows, including reviewing and validating AI-generated code.
Physician, Pulmonology WakeMed Health & HospitalsPhysician, PulmonologyRaleigh, North CarolinaOur organization places a high value on quality, caring and compassionate physicians and we are committed to providi ng state-of-the- art health care to our patients and the community we serve. . Our group provides comprehensive pulmonary care through multiple outpatient pulmonary clinics as well as an inpatient pulmonary consult service across the WakeMed Hospital system.
Gastroenterology Hospitalist, Physician WakeMed Health & HospitalsGastroenterology Hospitalist, PhysicianRaleigh, North CarolinaOur organization places a high value on quality, caring and compassionate physicians and we are committed to providi ng state-of-the- art health care to our patients and the community we serve. . Physician reports directly to the Director of their assigned division and understands and supports the mission values, and management of WakeMed Physician Practices and WakeMed.
Physician, Urology (Pediatric Specialist) WakeMed Health & HospitalsPhysician, Urology (Pediatric Specialist)Raleigh, North CarolinaOur organization places a high value on quality, caring and compassionate physicians and we are committed to providi ng state-of-the- art health care to our patients and the community we serve. . Physician reports directly to the Director of their assigned division and understands and supports the mission values, and management of WakeMed Physician Practices and WakeMed.
Physician, Oncology - Sarcoma/Melanoma WakeMed Health & HospitalsPhysician, Oncology - Sarcoma/MelanomaRaleigh, North CarolinaThe ideal candidate is comfortable managing a broad range of oncologic and benign hematologic conditions and thrives in a multidisciplinary environment working closely with:Surgical oncology, olorectal surgery, Hepatobiliary surgery, Breast and thoracic surgery, Gastroenterology, Radiation oncology, Dermatology (partnered practices), Radiology and pathology. We are seeking a Board ‑ Eligible/Board ‑ Certified Hematology & Medical Oncology physician with a clinical interest or current practice specializing in cutaneous malignancies (including melanoma, non‑melanoma skin cancers) and sarcoma to join our rapidly expanding oncology program in Raleigh, NC .
ERCP/EUS Specialist - Advanced Gastroenterologist WakeMed Health & HospitalsERCP/EUS Specialist - Advanced GastroenterologistRaleigh, North CarolinaLicensure: Licensed Medical Physician And Board Certification in Area of Practice Required Education: Doctorate Medicine Required Experience: Fellowship/Internship/Residency - Related Area Required Physician reports directly to the Director of their assigned division and understands and supports the mission values, and management of WakeMed Physician Practices and WakeMed.
Physician, Hospitalist WakeMed Health & HospitalsPhysician, HospitalistRaleigh, North CarolinaWork with a team of experienced and highly skilled physicians, physician assistants, and nurse practitioners that are committed to the Wake Way as we pursue improving the health and well-being of our community by providing outstanding and compassionate care to all. Licensure: Licensed Medical Physician And Board Certification in Area of Practice Required Education: Doctorate Medicine Required Experience: Fellowship/Internship/Residency - Related Area Required