NewCLINICAL DOCUMENTATION IMPROVEMENT SPEC-Outpatient-Remote Duke UniversityCLINICAL DOCUMENTATION IMPROVEMENT SPEC-Outpatient-RemoteDurham, NCRemote20%) 3. Education: Routinely provides education to physicians, advanced practice providers and other key healthcare providers regarding the need for accurate, specific, and complete clinical documentation in the patients medical record. They work collaboratively with ambulatory physicians and advanced practice providers to communicate opportunities and educate members of the patient care team regarding documentation guidelines, coding requirements and service-line specific requirements.
HEDIS Clinical Quality Analyst (Full Time, Remote, North Carolina Based) AllianceHEDIS Clinical Quality Analyst (Full Time, Remote, North Carolina Based)Morrisville, North CarolinaRemoteThe HEDIS Clinical Quality Analyst provides clinical direction, guidance, training, and quality oversight for all things related to the clinical aspect of Healthcare Effectiveness Data and Information Set (HEDIS). Graduation from an accredited school of nursing with a Registered Nurse (RN) license or Licensed Practical Nurse (LPN) and five (5) years of healthcare experience in HEDIS clinical quality and process improvement.
(Remote) VP of R&D Harris Computer Systems(Remote) VP of R&DRaleigh, NCRemoteAs a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. You'll work alongside experienced professionals, including a professional services team comprised of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a customer-centric perspective to every challenge.
Remote Safety Observer-DUHS Patient Attendant Safety Aide Float Pool Duke UniversityRemote Safety Observer-DUHS Patient Attendant Safety Aide Float PoolDurham, NCRemoteThe largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Participate in review of activities and processes for work area; assist in implementing changes to effect continual improvement in services provided; comply with regulatory and legal requirements.
NewUM Program Integrity Specialist (Full-time Remote, North Carolina Based) AllianceUM Program Integrity Specialist (Full-time Remote, North Carolina Based)Morrisville, North CarolinaRemote$69,592–$90,469 / yearBachelor’s degree in education, instructional design, training and development, organizational development, healthcare administration, public health, behavioral health, human services, nursing, social work, psychology, counseling, or a related healthcare, human services, or education field and five (5) years of experience developing, implementing, maintaining, or evaluating training programs, learning plans, onboarding curricula, competency-based education, staff development initiatives, or role-based learning pathways. This role partners with UM leadership, the Clinical Education Team, subject matter experts, and other internal stakeholders to assess training needs, develop learning pathways, maintain training materials, support learning platform content, and evaluate training effectiveness.
Clinical Quality Analyst (Full-time Remote, North Carolina Based) AllianceClinical Quality Analyst (Full-time Remote, North Carolina Based)Morrisville, North CarolinaRemoteMaster’s degree in Health, Psychology, Sociology, Social Work, or another relevant Human Services field from an accredited college/university with a North Carolina Clinical license (LCSW, LCMHC, LMFT, LPA) and three (3) years of experience providing care management to individuals in the following populations; Traumatic Brain Injuries (TBI), Intellectual/Developmental Disabilities (I/DD), Mental Health/Substance Use Disorders (MH/SUD), Severe Mental Illness (SMI), or Physical Health (PH). Graduation from an accredited school of Nursing with a Registered Nurse (RN) license and three (3) years of experience providing care management to individuals in the following populations; Traumatic Brain Injuries (TBI), Intellectual/Developmental Disabilities (I/DD), Mental Health/Substance Use Disorders (MH/SUD), Severe Mental Illness (SMI), or Physical Health (PH).
Facility Revenue Manager, Ambulatory Surgery Centers - Remote, M-F Duke UniversityFacility Revenue Manager, Ambulatory Surgery Centers - Remote, M-FDurham, NCRemoteCharge capture methodology validation/updates - specific tasks dependent on charge capture method employed: update charging preference lists; work with Maestro Care application owner to update flowsheets; create/update orderable; confirm linked chargeable; work with PRMO coding Staff to ensure awareness of new services/charge codes; Develop creative solutions. Actions to be taken to achieve resolution include: Assemble cross-functional team within PRMO (if applicable), Develop Revenue cycle-related project plan, maintain comprehensive issues lists with time lines and responsibilities clearly assigned, escalate issues through PRMO Senior Operational Leaders that require significant cross-departmental resources.
Provider Enrollment Specialist (Full Time, Remote, North Carolina Based) AllianceProvider Enrollment Specialist (Full Time, Remote, North Carolina Based)Morrisville, North CarolinaRemoteThe Provider Enrollment Specialist ensures that all providers in the Alliance Health Network are enrolled in NCTracks with an active Medicaid Health Plan and a valid taxonomy for the service requested; reviews Provider Action Database to identify any providers for exclusion from the network. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Vice President, Commercial Strategies and Initiatives (Remote) Aledade IncVice President, Commercial Strategies and Initiatives (Remote)Durham, NCRemoteIf you are a visionary healthcare strategist looking to lead high-performing teams, scale transformative products across independent primary care practices, and directly influence how care is delivered at scale, this role offers an unmatchable opportunity to make a lasting impact. Strategic Initiative Leadership & Operational Execution: Lead the end-to-end operationalization and scaling of core strategic initiatives, specifically focusing on the deployment, integration, and optimization of Aledade Complete and Patient Choice Services.
Director of Sales Engineering & Effectiveness, Remote Aledade IncDirector of Sales Engineering & Effectiveness, RemoteDurham, NCRemoteThe Director will lead, coordinate and assign Deal support / customization for key accounts to the Sales Engineers; collaborate with Marketing team to inform segment specific campaigns and share learnings; evaluating ACO performance and assessing ROI and sales performance of initiatives using Salesforce CRM and other workflow and analytical tools. This leader is a strong operator & manager of SMEs foremost, able to run cross-functional weekly meetings, performance reviews, plus manage special projects & deliverables for executives, particularly GEL("Growth Executive Leadership" team) & Glue.
Sales Manager, Fleet NW - US/Northwest (Remote) KempowerSales Manager, Fleet NW - US/Northwest (Remote)Durham, North CarolinaRemoteNew Logo Acquisition & Pipeline Strategy: Identify, qualify, and capture complex, multi-site fleet opportunities, executing consultative sales strategies that solve critical fleet challenges like load management, uptime, and total cost of ownership (TCO). Cross-Functional Solution Alignment: Partner closely with internal technical, product, utility, and service teams to align hardware, software, and commissioning requirements with customer site constraints and utility interconnection realities.
Sales Manager, Fleet SE - US/Southeast (Remote) KempowerSales Manager, Fleet SE - US/Southeast (Remote)Durham, North CarolinaRemoteNew Logo Acquisition & Pipeline Strategy: Identify, qualify, and capture complex, multi-site fleet opportunities, executing consultative sales strategies that solve critical fleet challenges like load management, uptime, and total cost of ownership (TCO). Impact: Direct ownership of the North American fleet revenue engine with a seat at the table to shape complex, multi-site EV charging deployments and influence our expanding North American footprint.
NewRemote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere Berry StreetRemote Registered Dietitian or CNS - Flexible Hours, Work from AnywhereRaleigh, NCRemoteBerry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.
NewCertification & Compliance Project Specialist :: Raleigh, NC (Remote) ARK Solutions, Inc.Certification & Compliance Project Specialist :: Raleigh, NC (Remote)Raleigh, NCRemoteThe Specialist will collaborate with various stakeholders to achieve successful MMIS/CMS Certification, protect federal funding, and strengthen statewide Medicaid systems. Seeking for a Certification & Compliance Project Specialist to support and drive the execution of the Medicaid Enterprise Systems (MES) certification strategy.
Remote Behavioral Medical Director, Eastern Region Centene Corporation GroupRemote Behavioral Medical Director, Eastern RegionNCRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
NewApplications Configuration Specialist (Full-time Remote, NC Based) AllianceApplications Configuration Specialist (Full-time Remote, NC Based)Morrisville, North CarolinaRemoteThe Applications Configuration Specialist will function as a subject matter expert on core business functions, processes, workflows, application configurations, and product support for the business units utilizing healthcare management software. Graduation from a Community College or Technical School with a degree in Computer Science or a related field and five (5) years of experience with increasing responsibilities in configuration management and/or supporting information technology in a healthcare setting.
(Remote) Manager, Account Follow-Up Services Harris Computer Systems(Remote) Manager, Account Follow-Up ServicesNorth Carolina, NCRemoteAs a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms.
Software Support Analyst (Full-Time Remote, North Carolina Based) AllianceSoftware Support Analyst (Full-Time Remote, North Carolina Based)Morrisville, North CarolinaRemoteThe Software Support Analyst will function as a subject matter expert on core business functions, processes, workflows, configuration and product support for the business units utilizing the Alliance Claims System. Bachelor’s degree in computer science, information technology, or related field or bachelor’s degree related to the functional unit supported and two (2) years of experience with analysis, design, development, and testing of applications or reports and dashboards.
Cloud Data Architect (Full-time Remote, NC Based) AllianceCloud Data Architect (Full-time Remote, NC Based)Morrisville, North CarolinaRemoteBachelor’s degree in computer science or related field and at least five (5) years of experience working as a Cloud Data Architect with direct involvement and responsibilities for architecting an enterprise-scale data Lakehouse or data warehouse on a Microsoft Azure cloud platform, preferably in a healthcare setting. Develop enterprise data management strategies including data lake/warehouse implementations, data movement, and data services.
NewInsurance Sales Representative (Remote/Hybrid | Local Territory) The Compass Business GroupInsurance Sales Representative (Remote/Hybrid | Local Territory)Hillsborough, North CarolinaRemoteOur mission-driven team thrives on service, integrity, and results empowering you to make a meaningful impact while building a successful career. At Compass Business Group , we help protect families, teams, and small businesses through supplemental insurance solutions.