28 Payer Jobs in Hillsborough, NC
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Program Director-Updated Community Alternatives Inc. DBA Community Choices Inc. - Durham, North Carolina consistent operations. * Manage routine correspondence with payers, referral sources, and other stakeholders. *Quality Management:* * Ensure compliance with all corporate, federal, state, county, and payer 2 days ago
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Clinic CMA Burlington Station Cone Health - Burlington, North Carolina , tests, admissions and follow-through with physician orders. Obtains all appropriate prior authorization or pre-certification for patients. Utilizes websites or payer hotlines to verify if an authorization 2 days ago
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Senior Nurse Navigator at PruittHealth PruittHealth - Durham, North Carolina companies and other payer referral sources. 22. Determines vulnerabilities of competitive relationships and set targets. 23. Joins and participates in appropriate organizations and associations. 24. Documents 7 days ago
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RN Clinical Manager, Home Health - Raleigh, NC at CenterWell CenterWell - Chapel Hill, North Carolina and requirements of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers 7 days ago
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Sr Director Market Access Strategy, Access Optimization - Specialty GSK - Durham, NC development, access customer segmentation, payer strategy, organized customer contracting and channel strategy, pricing, distribution, and value proposition development. Communicate access-specific strategies 15 days ago
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Sr Director Market Access Strategy, Access Optimization - Anti-Infective, Vaccine, & Launch Excellence GSK - Durham, NC development, access customer segmentation, payer strategy, organized customer contracting and channel strategy, pricing, distribution, and value proposition development. Lead the development of Launch MA 15 days ago
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Clinical Assessor (RN - Hybrid) at Kepro Kepro - Graham, North Carolina household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs 7 days ago
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ViiV Healthcare (GSK) Regional Sales Director, Dovato, DC/Metro Area GSK - Durham, NC to optimize access to ViiV Healthcare products across a variety of payers (AIDS Drug Assistance Program, Fee for Service Medicaid, Managed Medicaid, Medicare Part D, PBMs and PBAs as well as assigned Commercial 13 days ago
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Medical Director, Hepatology GSK - Durham, NC of the US Medical Launch Plans in hepatology. Understanding the evolving US healthcare environment (provider/expert) and payer landscape and translating that knowledge into the medical strategy, objectives 10 days ago
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Patient Access Specialist Cone Health - Burlington, North Carolina . Ensures all appropriate signatures are obtained and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy 14 days ago
Top locations
- Greensboro, NC (38)
- Raleigh, NC (25)
- Durham, NC (18)
- Burlington, NC (8)
- Reidsville, NC (4)
- Henderson, NC (4)
- Graham, NC (3)
- Clayton, NC (3)
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