NewSAP MDG w/ Retail experience Artech LLCSAP MDG w/ Retail experienceCharlotte, NCRemoteSeeking a skilled SAP MM / Vendor Master / Master Data resource to support the following key deliverables: Lead Vendor Master business process design and documentation. Seeking an experienced Master Data Governance and End-to-End Design resource to support: Design and document end-to-end master data process flows .
NewBSW Project Manager Artech LLCBSW Project ManagerCharlotte, NCRemoteScale of Responsibility: " 1-4 BSW contractors " Support buried drop tickets across multiple states " Work in concert with contractors and field personnel to drive an exponential increase in buried service wire installations and growth. Qualifications: " Bachelor s degree or equivalent practical work experience " Customer-centric mindset " Ability to prioritize, organize and accomplish multiple and broad range of initiatives within pressured timeframes.
Property Adjuster Charlotte, NC Erie InsuranceProperty Adjuster Charlotte, NCCharlotte, NCRemoteFull timeAdditional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystCharlotte, NCRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Salesforce Health Cloud Architect TriWest Healthcare AllianceSalesforce Health Cloud ArchitectCharlotte, NCRemoteFull timeTechnical Skills: General knowledge of data communication architectures, design, and support; General knowledge of the technology impacts on business and how to integrate technical plans to support enterprise business function; Business problem-solving skills; Understanding of project management concepts and techniques, including metrics. Works directly with Salesforce Health Cloud development teams, administrators and 3rd party vendor partners to provide expert technical direction, instruction, and leadership around complex technical concepts.
Senior Buyer TriWest Healthcare AllianceSenior BuyerCharlotte, NCRemoteFull timeAssists departments in obtaining pricing and other information from vendors as well as reviews contracts and assists business units in the management of contractual obligations of the vendor to ensure that all terms and conditions are met. Act as SME in support of Procurement, Contract Management, DHA/ VA Contract Modification, Finance and business teams in support of pricing efforts including ROMs, RFIs/ RFPs, contracts, and licensing agreements.
Provider Reimbursement Analyst TriWest Healthcare AllianceProvider Reimbursement AnalystCharlotte, NCRemoteFull timeThis role requires knowledge of healthcare coding and reimbursements, strong analytical skills, ability to work with large multi-dimensional sets, an ability to identify negative and positive trends, and strong communication skills that enable clear communications to leadership regarding findings. • Works closely with Provider Services and Finance leadership and SMEs on process and quality improvement strategies and/or provider education efforts, resulting from claims data analyses and findings.
FP&A Specialist - Budget Planning - AI Trainer MercorFP&A Specialist - Budget Planning - AI TrainerCharlotte, North CarolinaRemoteProduce monthly management reporting packs with variance commentary and profitability analysis using cost allocation methodology. Build bottoms-up annual budgets and multi-year long-range plans with consolidation and approval paths.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementCharlotte, NCRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerCharlotte, NCRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
Senior Accountant - Financial Analysis Sherpa LLC.Senior Accountant - Financial AnalysisCharlotte, NCRemoteNon-Local Candidates: Please note that you are competing with local candidates who don't require relocation expenses and can start quickly, so let us know if you have plans to move to the area soon. Our client, a large, established organization, is seeking a Senior Accountant to support monthly close, financial analysis, contract compliance, and reconciliations related to insurance premiums and fringe benefit expenses.
Content Management Developer (Mobius) The Brixton Group, Inc.Content Management Developer (Mobius)Charlotte, NCRemoteThe Content Management Developer (Mobius) designs, implements, administers, and supports Mobius content management and enterprise archiving solutions. This role translates business requirements into Mobius solutions while maintaining repositories, system performance, data integrity, security, and compliance.
Head of Channel - East RhombusHead of Channel - EastCharlotte, NCRemote$180,000–$220,000 / yearYou''ll work closely with Sales, Marketing, Channel Operations, Channel Marketing, Product and other cross-functional teams to ensure our channel strategy is aligned with broader company goals and that our partners have the resources, enablement, and support needed to succeed. You''ll be responsible for continuing to build and scale our channel business by developing strong relationships with key partners, expanding our partner ecosystem, and building a repeatable channel motion that drives meaningful revenue growth.
Online Research Panel Participant - Charlotte, NC Maxion CorpOnline Research Panel Participant - Charlotte, NCCharlotte, North CarolinaRemoteMaxion Research invites people in Charlotte, NC to join an online research panel and be considered for optional surveys, interviews, focus groups, and product-feedback studies. Research activities may include completing online questionnaires, joining remote discussions, testing concepts, or sharing opinions about products and services.
NewTerritory Director - (Inside Sales) EST Onco360Territory Director - (Inside Sales) ESTCharlotte, North CarolinaRemoteThis position will be home based with minimal travel as required to execute the following: Regional Director Major Responsibilities: •Seeks out opportunities for prescriber experience process improvement and collaborates with Pharmacy OPS and outside sales to achieve prescriber experience improvement and sales goals •Achieves designated call expectations for assigned prescribers with a focus on top targets, key influencers, and pipeline leads •Responsible for identifying, ranking, prospecting, and developing key oncology practice and hospital-based business relationships within targeted regional territory •Assists with sales escalations and communicates routinely with field sales representative partner about details impacting prescriber or patient experience •Supports education and delivery of key messages and product presentations within initiatives (i.e. Selling our Success communication, drug launches, etc.) designed to ensure territory meets performance requirements •Responsible for forwarding calls pertaining to clinical information and questions (i.e., dosing directions, adverse events, counseling, etc.) to Staff Pharmacists •Documents and meticulously makes notations in each patient’s profile and/or CRM regarding every update and aspect of a customer’s/physician’s care or needs •Uses discretion and independent judgment in handling customer complaints received, while documenting and forwarding to appropriate administrative staff. •2 years inside or outside sales experience for pharmacy or other health services-related industry preferred •Oncology sales experience desired but not required •Exceptional probing and consultative communication skills •Familiar with oncology providers, drugs, clinic, and hospital communities •Understanding of oncology drug reimbursement, Managed Care Medical Specialty and PBM drug benefits •Self-motivated and results driven •Highly effective in working objectively with a diverse group of people and must demonstrate communication, organizational, administrative and office skills •Proficient in data entry, verbal skills, computer skills and the ability to learn the department’s software system including CRM •Must be a team player willing to accept and promote organizational goals and function with minimal supervision.
Work From Home - Bilingual Client Services Representative AO Garcia AgencyWork From Home - Bilingual Client Services RepresentativeConcord, North CarolinaRemoteAll interviews will be conducted via Zoom video conferencing (Global Elite Empire Consultants is a third-party recruiter, not an insurance agency) We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. Preferred Qualifications: • Bilingual (Spanish and English) • Excellent communication skills• Leadership capabilities • Self-starter • Positive attitude • Growth mindset .
NewWorkforce Analyst TriWest Healthcare AllianceWorkforce AnalystCharlotte, NCRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
Program Integrity Clinical Spc TriWest Healthcare AllianceProgram Integrity Clinical SpcCharlotte, NCRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Program Integrity Investigator TriWest Healthcare AllianceProgram Integrity InvestigatorCharlotte, NCRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Transition of Care Coordinator RN/LCSW TriWest Healthcare AllianceTransition of Care Coordinator RN/LCSWCharlotte, NCRemoteFull timeThe Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.