care Jobs in raleigh, nc

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Investigations Specialist

The Brixton Group

Remote

Third Party, Contract

Job Description: Investigates suspicious transactions and accountsReviews customer escalationsMakes decisions on account actionsWorks with various internal tools for investigationThis resource will work with other teams in the organization such as Customer Care, Risk Operations, Financial Controls, Network Security, and Fraud Strategy teams.

Revenue Cycle Data Analyst - Ambulatory Billing

Ascension Health

Remote

Full-time

Details Department: Revenue CycleSchedule: Full Time: Monday-FridayLocation: RemoteBenefits Paid time off (PTO) Various health insurance options & wellness plan Retirement benefits including employer match plan Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited t

Technical Support Professional

IBM

Durham, North Carolina, USA

Full-time

Introduction At IBM, you will use the latest software development tools, techniques and approaches and work with leading minds in the industry for solutions you can be proud of. Above all, we are looking for applicants who will thrive in an open, vibrant, flexible, fun-spirited, collaborative environment and desire creative freedom and an opportunity to work on a high performing team! We are a talented and dedicated team committed to supporting our customers across the globe. The team resolves

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Athens, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Columbus, Ohio, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Macon, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Ogden, Utah, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Senior Analyst, Medical Economics - REMOTE

Molina Healthcare

Remote or Columbus, Georgia, USA

Full-time

JOB DESCRIPTION Job Summary The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives innovation by creating tools to monitor trend drivers and provide recommendations to

Revenue Cycle Epic Certified Analyst

Elegant Enterprise Wide Solutions

Mississippi, USA

Full-time, Third Party

About this Position: Job Title: Revenue Cycle Epic Certified Analyst Position Description and Job Skill Set: Provide support to Revenue Cycle and Epic teams through the following: Review current PB, Cadence, Ambulatory and Beaker Epic build for revenue cycle optimation. Assist Revenue Cycle Director with improving work queue functionality. Assist Revenue Cycle Director with creating reporting and dashboards in Epic. Assist Revenue Cycle Director and Epic Director with tickets placed with Epic

EPIC Cheers Campaign CRM

Trail Blazer Consulting LLC

Remote

Contract, Third Party

Title- EPIC Cheers Campaign CRM location- REMOTE duration- 6 months interview- video Manager is looking for someone with EPIC Call Center experience - specifically with Cheers CRM. Needs someone to build it! Epic's Cheers CRM is a healthcare-focused tool designed to enhance patient engagement and streamline call center operations within a healthcare system. It helps manage contacts, automate outreach for and marketing, and personalize patient interactions using integrated data. This enables hea

Senior Structural Engineer 1 - Grid

Sargent & Lundy LLC.

Cary, North Carolina, USA

Full-time

Description This position will offer you the ability to directly apply your knowledge of materials, structural analysis, structural steel design, and reinforced concrete design. As a member of an engineering and design team, you will work on a wide range of power transmission modifications and upgrades to support client recommendations and reviews including creating calculations, design documents and specifications. You will work on challenging assignments that include investigating, trouble-sh

Compliance Analyst Senior - Rex Professional Compliance

UNC Health Care

Chapel Hill, North Carolina, USA

Full-time

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Responsible for assisting Compliance management in all compliance activities which could include reviewing internal processes, documents and reports, and ensuring compliance with internal and external regulatory framework. Serves as an expert resource to physicians, coders and reimbursement analysts ac

Clinical Operations Business Analyst

Arnex Solutions LLC

US

Third Party, Contract

Clinical Operations Business Analyst Position Overview: We are seeking a highly motivated and detail-oriented Clinical Operations Business Analyst to join our healthcare team. In this role, you will work closely with clinical staff, leadership, and IT professionals to analyze, optimize, and enhance clinical processes. Your primary goal will be to improve operational efficiency, support data-driven decision-making, and ensure the delivery of high-quality patient care. You will be responsible for

PBM Network Management SME

nTech Solutions

Remote

Contract

Terms of Employment: W2 Contract-to-Hire, 12 MonthsThis position is remote.Overview: Join a leading managed care organization and take charge of our pharmacy network operations. In this crucial role, you will oversee our relationships with various pharmacy network partners (retail, mail, specialty) to ensure they meet contractual, regulatory, and service-level standards. This is a non-technical, operational management position focused on performance, compliance, and optimization. You will Manage

COBOL Mainframe Programmer VI

Zettalogix INC

Remote or Madison, Wisconsin, USA

Contract

ROLE TITLE: COBOL Mainframe Programmer VISTART / END: 08/25/25 to 06/30/2026, with a reasonable possibility of a multi-year extension. The state cannot post any job beyond the end of the current fiscal year (June 30, 2026, in this case). So, while many jobs at the state can run for multiple years, they are all capped at the start of the current fiscal year (and must be renewed each fiscal year).WORK ARRANGEMENT:90% Remote from within Wisconsin.Must be able to come on-site as needed with sufficie

IT Staffing Business Development Manager

Boston Technology Corporation

Remote or Framingham, Massachusetts, USA

Full-time

Boston Technology Corporation is a leading Healthcare Technology company providing software development services,with deep expertise in building patient-centric care management and research applications. We have engaged with large providers, Biotech companies, and universities to develop deploy: and maintain patient engagement and education, research, healthcare: operations applications. We are the product development partners for Health Tech startups that are revolutionizing care delivery with

BI/DW Project Manager- Fully Remote - W2 Only

Apidel Technologies

Remote

Contract

Job Title: Project Manager Location: Memphis, TN/ Dallas, TX/ 100% remote Duration: 12+ Months Shift: 8:00 AM to 5:00 PM (Varies) Please answer this questions: Describe your expectations for your ideal work environment with your project management style. How many small enhancement projects have you directly managed simultaneously? What was your approach to successfully handle and ensure we meet deadlines/commitments?Describe your experience working with project managing BI/Datawarehouse or

Medical Director

Pegasus Knowledge Solutions

Remote

Full-time

SummaryThe Medical Director serves a clinical leader across all Client companies and is responsible for medical oversight of the physical medicine network and utilization review, telephonic triage, first notification of loss, bill review and case management services. This role ensures that injured worker care is medically appropriate, evidence-based, cost-effective, and compliant with jurisdictional guidelines. Key Responsibilities Clinical Oversight Provide medical guidance on complex or high-c

Project Manager (PMO, Trade Finance)

Calance

Remote or New York, New York, USA

Contract

Working hours: Eastern time - 40hrs/week Language: English (mandatory) Project Implementation of Trade Finance Business Software(Eximbills) Responsibilities: * Develop the project plan by determining scope, approach, role, outputs, timeline, etc. * Manage progress, issues and risks * Create regular reports for the managements * Facilitate communication with the software vendor and among project members * Facilitate issue solving * Operate necessary meetings and workshops Skill/Experience:

Senior Specialist, Provider Network Admin (Required Exp. - Communications & Training)

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Required Experience: Communications and Training Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Generates and prepares provider-re