Healthcare Sales Specialist Jobs in North Carolina
Healthcare Sales Specialist jobs in North Carolina are consistently active, with strong demand across medical devices, pharmaceutical, and health information technology sectors and openings ranging from entry-level territory representatives through senior account executives. The heaviest hiring concentrates in the Charlotte, Raleigh-Durham, and Greensboro metro areas, where employers like Novant Health, Duke Health, and Labcorp maintain significant commercial operations. The most in-demand specialties include diagnostic imaging, specialty pharmacy, and surgical device sales. Find a role that fits below and apply directly.
Find JobsOverview
Showing 5 of 10+ Healthcare Sales Specialist jobs
About the Job:
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes. Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information; Educates hospital staff about requirements and trends.Roles and Responsibilities:
- Performs admission, concurrent, continued stay, and retrospective reviews using the established hospital criteria. Communicates effectively with insurance companies, health maintenance organization (HMOs) and other similar entities for approval of initial or additional inpatient days for treatment. Provides information they need in a logical, concise manner using technical language that accurately describes patient’s condition and need for hospitalization.
- Communicates directly with physicians and other providers with respect to specific inquires and perceived trends of issues as they relate to utilization management.
- Appeals all denials ensuring accuracy of information and effective coordination of correspondence. Initiates, coordinates, and monitors the appeal process. Provides information to physicians to assist them in their role in appeals.
- Assists the admissions department with pre-certifications of care. Performs pre and post admission benefit verification with managed care organizations.
- Maintains accurate documentation and files as it relates to utilization management.
- Provides ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
- Communicates effectively with co-workers, program, and nursing staff regarding charting deficiencies and problems/issues identified. Follows up in each instance to determine if corrective action was taken. Notifies supervisor if corrective action is not completed.
- Coordinates information and findings with the business office to help recognize or resolve possible payment problems.
- Monitors patient length of stay and extensions and informs clinical and medical staff on issues that may impact length of stay. Investigates short term length of stays and endeavor to create alternate financial planning which would offer the patient extended days of treatment. Participates in discharge planning as required.
- Gathers and develops statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conducts quality reviews for medical necessity and services provided. Facilitates peer review calls between facility and external organizations. Identifies potential review problems and discuss them with multi-disciplinary team and/or administration.
- Acts as liaison between managed care organizations and the facility professional clinical staff.
- Assists with any problems encountered during on-site or telephone reviews by the third-party payers or review organization, when necessary.
- Graduation from an approved/accredited school of nursing or a Bachelor's degree in social work, behavioral or mental health, or other related health field required.
- Two or more years of direct clinical experience in a psychiatric or mental health setting required.
- Current licensure as an LPN or RN or current clinical professional license or certification, as required, within the state where the facility provides services.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
About the Job:
The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes. Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information; Educates hospital staff about requirements and trends.Roles and Responsibilities:
- Performs admission, concurrent, continued stay, and retrospective reviews using the established hospital criteria. Communicates effectively with insurance companies, health maintenance organization (HMOs) and other similar entities for approval of initial or additional inpatient days for treatment. Provides information they need in a logical, concise manner using technical language that accurately describes patient’s condition and need for hospitalization.
- Communicates directly with physicians and other providers with respect to specific inquires and perceived trends of issues as they relate to utilization management.
- Appeals all denials ensuring accuracy of information and effective coordination of correspondence. Initiates, coordinates, and monitors the appeal process. Provides information to physicians to assist them in their role in appeals.
- Assists the admissions department with pre-certifications of care. Performs pre and post admission benefit verification with managed care organizations.
- Maintains accurate documentation and files as it relates to utilization management.
- Provides ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
- Communicates effectively with co-workers, program, and nursing staff regarding charting deficiencies and problems/issues identified. Follows up in each instance to determine if corrective action was taken. Notifies supervisor if corrective action is not completed.
- Coordinates information and findings with the business office to help recognize or resolve possible payment problems.
- Monitors patient length of stay and extensions and informs clinical and medical staff on issues that may impact length of stay. Investigates short term length of stays and endeavor to create alternate financial planning which would offer the patient extended days of treatment. Participates in discharge planning as required.
- Gathers and develops statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conducts quality reviews for medical necessity and services provided. Facilitates peer review calls between facility and external organizations. Identifies potential review problems and discuss them with multi-disciplinary team and/or administration.
- Acts as liaison between managed care organizations and the facility professional clinical staff.
- Assists with any problems encountered during on-site or telephone reviews by the third-party payers or review organization, when necessary.
- Graduation from an approved/accredited school of nursing or a Bachelor's degree in social work, behavioral or mental health, or other related health field required.
- Two or more years of direct clinical experience in a psychiatric or mental health setting required.
- Current licensure as an LPN or RN or current clinical professional license or certification, as required, within the state where the facility provides services.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
See All 10 Healthcare Sales Specialist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find JobsHealthcare Sales Specialist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Healthcare Sales Specialist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
What North Carolina Employers Look For
The qualifications that appear most often in healthcare sales specialist jobs across North Carolina.
- Bachelor's degree in business, life sciences, or a related field required
- Two or more years of B2B or healthcare sales experience strongly preferred
- Demonstrated ability to meet or exceed assigned territory sales quotas
- Active driver's license and willingness to travel within a North Carolina territory
- Proficiency with CRM platforms such as Salesforce to manage accounts and pipeline
- Strong knowledge of North Carolina hospital and outpatient clinic procurement processes
Healthcare Sales Specialist Jobs in North Carolina: Frequently Asked Questions
How do you become a healthcare sales specialist in North Carolina?
Most healthcare sales specialist roles in North Carolina require a bachelor's degree in a life science, business, or healthcare-related field, though no single state-issued license governs the role. Employers in medical device and pharmaceutical sales often expect completion of company-sponsored product training and may require manufacturer certifications before you represent specific product lines. Building familiarity with North Carolina's major hospital systems and outpatient networks early in your career strengthens your candidacy considerably.
Which companies hire healthcare sales specialists in North Carolina?
Employers hiring healthcare sales specialists in North Carolina right now include サイネオス・ヘルス, Syneos Health Commercial Solutions, and Highlights Healthcare, based on current listings on Migrate Mate as of November 2026. North Carolina's concentration of large health systems and life sciences companies along the Research Triangle and in the Charlotte region makes it one of the more active states for ongoing commercial hiring in healthcare.
Which North Carolina cities have the most healthcare sales specialist jobs?
Charlotte, Raleigh, and Garner account for the most healthcare sales specialist openings in North Carolina. Charlotte's large hospital networks and corporate healthcare headquarters drive demand there, while Raleigh-Durham benefits from the Research Triangle's dense cluster of pharmaceutical, biotech, and medical device companies that rely heavily on local sales talent.
Are there remote healthcare sales specialist jobs in North Carolina?
Yes, but they're a smaller share of the total, since most healthcare sales specialist roles require in-person visits to clinics, hospitals, and surgery centers. About 50% of healthcare sales specialist openings tied to North Carolina are remote or hybrid as of November 2026, and those tend to cover inside sales, account management, or health IT solution sales rather than field territory roles.
How can I get hired as a healthcare sales specialist in North Carolina with little or no experience?
The most realistic entry path is moving from a clinical or healthcare operations role, such as medical assistant, pharmacy technician, or surgical coordinator, into an inside sales or sales development representative position at a North Carolina-based device or diagnostics company. Large employers in the Research Triangle corridor and Charlotte frequently hire for associate territory representative roles that pair new candidates with senior reps for structured on-territory training. Completing a manufacturer's certified training program or earning a medical sales certificate from a recognized provider also gives a North Carolina candidate a concrete credential that signals readiness to hiring managers.
Where can I find and apply to healthcare sales specialist jobs in North Carolina?
You can find and apply to healthcare sales specialist jobs in North Carolina on Migrate Mate, which lists current openings across the state. Find roles that fit your experience and target territory, then apply directly to the employers posting them.
See All 10 Healthcare Sales Specialist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
Find Jobs