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Insurance Company Nurse Practitioner Jobs in Raleigh, NC

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Experienced Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Experienced Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

Nurse Practitioner

Cary, NC ยท On-site

$125K/yr

Nurse Practitioner Opportunity Well-established outpatient rheumatology practice is seeking an ... Medical insurance paid by the practice * Vision insurance paid by the practice * 3 weeks PTO * 8 ...

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Showing results 1-20

Insurance Company Nurse Practitioner information

See Raleigh, NC salary details

$40.3K

$126.7K

$194.4K

How much do insurance company nurse practitioner jobs pay per year?

As of Aug 30, 2026, the average yearly pay for insurance company nurse practitioner in Raleigh, NC is $126,657.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,000.00 and $145,800.00 per year, depending on experience, location, and employer.

What does an insurance company nurse practitioner do?

An Insurance Company Nurse Practitioner (NP) evaluates medical records, conducts patient assessments, and helps determine eligibility for insurance coverage or claims. They work closely with insurance underwriters and claims adjusters to review medical histories and provide expert opinions on healthcare needs. Their role is crucial in ensuring that insurance decisions are medically sound, fair, and compliant with regulations. Insurance company NPs may also help develop wellness programs and guidelines for policyholders.

What are the key skills and qualifications needed to thrive as an insurance company nurse practitioner?

To thrive as an Insurance Company Nurse Practitioner, you need advanced clinical assessment skills, a nurse practitioner license, and experience in case management or utilization review. Familiarity with medical coding systems, claims review platforms, and electronic health records (EHRs) is typically required. Strong analytical thinking, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate medical evaluations, compliance with insurance policies, and effective collaboration with healthcare and insurance teams.

How does an insurance company nurse practitioner collaborate with claims adjusters and other professionals during case reviews?

As an Insurance Company Nurse Practitioner, you work closely with claims adjusters, medical directors, and occasionally legal teams to review medical records, assess treatment plans, and provide clinical expertise on claims. Your role is pivotal in evaluating the medical necessity of treatments and helping to determine the appropriateness of coverage decisions. Effective communication and documentation are essential, as you must translate complex medical information into clear, actionable recommendations for non-clinical colleagues. This collaborative process ensures fair, evidence-based outcomes for both the insurance company and policyholders.

What is the difference between Insurance Company Nurse Practitioner vs Claims Nurse?

AspectInsurance Company Nurse PractitionerClaims Nurse
CredentialsRegistered Nurse (RN), Nurse Practitioner (NP), state licensure, possibly certification in case managementRegistered Nurse (RN), often with experience in claims or case management
Work EnvironmentInsurance company offices, telehealth, or remote settingsInsurance claims departments, often office-based, sometimes remote
Employer & IndustryInsurance companies, healthcare industry

The Insurance Company Nurse Practitioner and Claims Nurse roles both operate within insurance and healthcare sectors, often requiring similar nursing credentials. The Nurse Practitioner provides clinical assessments and patient care, while the Claims Nurse focuses on reviewing claims, managing cases, and ensuring proper documentation. Both roles may be remote and involve collaboration with healthcare providers, but their core responsibilities differ in clinical versus administrative focus.

What job categories do people searching Insurance Company Nurse Practitioner jobs in Raleigh, NC look for?

The top searched job categories for Insurance Company Nurse Practitioner jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Insurance Company Nurse Practitioner jobs?

Cities near Raleigh, NC with the most Insurance Company Nurse Practitioner job openings:

Infographic showing various Insurance Company Nurse Practitioner job openings in Raleigh, NC as of August 2026, with employment types broken down into 34% Full Time, 17% Part Time, and 49% Contract. Highlights an 84% In-person, and 16% Hybrid job distribution, with an average salary of $126,657 per year, or $60.9 per hour.

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago


Job description

Maternal Fetal Medicine Nurse Practitioner Opportunity

Our affiliate, Unified Women's Healthcare of the Carolinas, is looking for a Maternal Fetal Medicine Nurse Practitioner to join their prestigious Women's Health Care Center in Raleigh, NC. Join a compassionate group who provide a team approach to patient care. Every member of our staff is focused on making the patient experience in our office individualized and meaningful.

Position Highlights:

  • Join a thriving maternalโ€“fetal medicine consultative practice with 2 physicians and a highly collaborative multidisciplinary team, including 2 nurse practitioners, a registered dietitian, a genetic counselor, a skilled nursing and nurse coordinator team, and a specialized team of sonographers.
  • One state of the art office location in Raleigh, NC located near the UNC Rex Hospital.
  • Full-Time Monday-Friday schedule with no nights, weekends, or call shifts. Some of the duties can be performed from home, including telehealth services.
  • Provide high-risk obstetric consultations, including pre-conception counseling, to practice patients in collaboration with maternal-fetal medicine physicians using current ACOG/SMFM guidelines.
  • Manage complex pregnancies to promote maternal and fetal health through all stages of pregnancy.
  • Conduct assessments on patients to include medical histories and risk evaluations.
  • Interpret diagnostic tests such as lab results and non-stress tests.
  • Growing diabetes program that specializes in co-management of pre-existing diabetes (type 1 and 2), pre-diabetes, and gestational diabetes, alongside primary referring OB providers and local endocrinologists.
  • Consultative practice model designed to serve as a conduit for tertiary care centers and collaborating with specialists to improve and provide exceptional care to women and their families.
  • Warm and supportive work environment with a clinical team committed to providing career growth.

Compensation/Benefits Highlights:

  • Competitive compensation
  • Paid time off
  • Annual CME reimbursement
  • Comprehensive health, dental, and vision
  • 401k retirement plan
  • Short- and long-term disability, company paid life insurance
  • Company paid malpractice coverage
  • Supportive and appreciative culture
  • DEA reimbursement
  • Relocation reimbursement

Requirements:

  • National Nurse Practitioner certification or ability to obtain
  • Unrestricted, active licensure in the State or ability to obtain
  • Current Unrestricted DEA License or ability to obtain
  • CPR, BLS, and NALS Certification or ability to obtain
  • Proficient in assessment and development of treatment plans
  • Ability to communicate with patients, team members and management staff
  • Ability to make care decisions based on the best medical practices without direct supervision or guidance by a physician
  • One year of full-time experience as a Women's Health Nurse Practitioner or Physician Assistant in the Maternal Fetal Medicine field is required

Client Details State NC