NewCharge Registered Nurse - RN Fresenius Medical CareCharge Registered Nurse - RNFayetteville, NCManages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.
NewRisk Management Regional Manager Builders MutualRisk Management Regional ManagerNorth CarolinaPrimary responsibilities include directing daily field operations of designated Risk Management Consultants, supporting initiatives and directives from the Director of Risk Management, and the implementation and execution of policies and procedures designed to increase departmental efficiencies, provide stellar customer service to all internal and external stakeholders, and improve overall loss results. Your WORK as a Risk Management Regional Manager will make a difference by: Recruit, select, develop, and coach Risk Management Consultants through frequent interaction via field co-travels on selected medium/large accounts and to agents.
Sr Consultant, Risk Management - P&C (Fleet) Nationwide Mutual Insurance CoSr Consultant, Risk Management - P&C (Fleet)NCRemote$122,000–$214,000 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Drives technical direction of specialty related to quality control, risk selection, competitive monitoring, and development of knowledge and partnerships across related business units within the enterprise (underwriting, systems, services, claims, sales, distribution, marketing, etc.).
Risk Management Analyst GD Information TechnologyRisk Management AnalystFort Bragg, North CarolinaWe are looking for a talented and experienced candidate who will be part of the Program Management Organization (PMO) on a large complex global enterprise operations and support contract and assist the Program Manager with the day-to-day performance of scope, schedule, and cost, under the program. Prepares and delivers briefings to key Government and military customer personnel, including leadership and technical teams, to communicate findings, risk posture, and recommended mitigations strategies in a succinct manner.
NewSenior Safety/Risk Management Consultant (North Carolina/South Carolina) ICW GroupSenior Safety/Risk Management Consultant (North Carolina/South Carolina)NCRemote$90,559.93–$152,723.07 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Identifies key risks and mitigating factors such workflow, values, legal, ownership structure, professional reputation, customer base or industry segments including assessing business operations risks and analyzing business or company financial data.
Enterprise Risk Analyst - AI Risk Boeing Employees Credit UnionEnterprise Risk Analyst - AI RiskNC$88,000–$107,500 / yearThird-Party & Internal Solution Reviews: Evaluate both internally developed and externally sourced AI solutions to assess potential risks, control effectiveness, and alignment with organizational policies and regulatory expectations. Stakeholder Collaboration: Build strong partnerships with technology teams, AI stakeholders, governance partners, compliance professionals, and business leaders to support enterprise-wide AI initiatives.
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.
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.
Consulting Actuary - ACA Risk Adjustment Blue Shield of North CarolinaConsulting Actuary - ACA Risk AdjustmentNorth CarolinaActuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Affordable Care Act (ACA), Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance _____________________________________________________________________. Responsibilities include leading pricing strategies and actuarial initiatives for business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing and pricing sophisticated insurance products.
VP Compliance & Fraud Risk Your Financial PartnerVP Compliance & Fraud RiskFayetteville, North CarolinaResponsible for overseeing all credit union-wide fraud and non-fraud dispute metrics, reporting and trends, recommending strategies and projects to manage credit union fraud and dispute risk, and leading employee and member education and communication. VP Compliance & Fraud Risk-Onsite The VP of Compliance and Fraud Risk at Fort Bragg Federal Credit Union is a senior leadership role responsible for developing and implementing comprehensive compliance and fraud risk management strategies and programs.
Human Resources /Risk Manager First Choice Community Health CentersHuman Resources /Risk ManagerLillington, NCThe Human Resources (HR) Coordinator plans, coordinates, performs, and participates in the daily activities and administrative functions of the human resources program that include: compensation and benefits administration, staffing, employee relations, employee orientation, credentialing, training and development, HR policy development and administration, performance management, compliance and records management, professional development, and special projects. To perform this job successfully, an individual should have knowledge of Word Processing software; Spreadsheet software; Payroll systems; Internet software; Human Resource systems and Contact Management systems.
Senior Field Risk Engineer, Property American International Group Inc (AIG)Senior Field Risk Engineer, PropertyNCThrough our global, world-class engineering capabilities, AIG provides risk engineering and specialist services to help identify and reduce risks at AIG insured clients and properties. We perform comprehensive risk evaluations and recommend solutions that combine cutting-edge thinking and common-sense practicality to avoid or mitigate exposures.
Principal Cyber Risk & Strategy Advisor Proofpoint IncPrincipal Cyber Risk & Strategy AdvisorNorth Carolina, NC$200,300–$293,810 / yearExecutive Advisory & Scoping: Partner with enterprise clients, account executives & teams, and services leaders to lead strategic discovery sessions, translate complex risk profiles into commercial services proposals, and structure tailored solution roadmaps. Leveraging deep domain expertise across Data Security (DSPM, Enterprise DLP, Cloud/CASB, Insider Threat Management) and Threat Intelligence, you will lead high-stakes executive discovery sessions to uncover client vulnerabilities and structure high-value services solutions.
NewRisk Adjustment Provider Educator Millennium Physician GroupRisk Adjustment Provider EducatorNorth CarolinaThe Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, and Texas, Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States.
Lead Director, Risk Adjustment Performance Reporting and Insights CVS Health CorpLead Director, Risk Adjustment Performance Reporting and InsightsNC$100,000–$231,540 / yearMaster's degree in Business, Informatics, Analytics, Finance, Statistics, Computer Science, Public Health, Healthcare analytics, Actuarial, Mathematics, Economics, or equivalent combination of advanced education, professional certification, or demonstrated subject matter expertise preferred. Partner with provider, clinical, and operational leaders to support performance improvement initiatives through data-driven insights and targeted intervention strategies.
Senior Population Risk Performance Analyst (Value-Based Care) Blue Shield of North CarolinaSenior Population Risk Performance Analyst (Value-Based Care)North CarolinaPopulation Risk Performance Analyst applies population risk models to attributed member populations to ensure accurate, consistent, and defensible financial and quality performance measurement across value-based care programs. Analytical Analysis, Data Analysis, Data Analysis Reporting, Data Analytics, Data Engineering, Data Governance, Data Mining, Data Science, Identifying Trends, Trend Analysis _____________________________________________________________________.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsNC$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Operational Risk Analyst Fiserv IncOperational Risk AnalystNCA successful Operational Risk Analyst identifies, assesses, and mitigates risks arising from internal processes, systems, and external fraud events to prevent financial loss, reputational damage, and regulatory breaches. Work with cross-functional teams to facilitate financial transactions, embed a risk-aware culture, and provide training on best practices.
Executive Large Account Risk Control Specialist EMC Insurance Group Inc.Executive Large Account Risk Control SpecialistNorth Carolina, NC$103,954–$149,372 / yearProvides advanced, expert level consultation by completing or assigning other risk control team members according to skill set to deliver high-quality and technical on-site risk control surveys for both current and prospective policyholders across all EMC business areas, including niche markets. Builds and leverages strong relationships with policyholders, underwriting, claims and agents in the large account sector, serving as a trusted advisor through the delivery of stewardship programs that reinforce value, support retention, and align risk control services with client needs.
Director Product Management - AI Sedgwick Claims Management Services, Inc.Director Product Management - AINCThis role leads Product Managers and Product Owners while partnering with Data Engineering, Architecture, Security, Governance, AI Engineering, Analytics, and Business leaders to deliver secure, scalable, governed, and measurable enterprise capabilities. PRIMARY PURPOSE: The Director, Product Management - AI Enabled Enterprise Data Products is responsible for defining and executing the product strategy, roadmap, and business outcomes for Sedgwick's enterprise AI-enabled data product portfolio.