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37 Jobs in Raleigh, NC

  • Senior Compliance Professional

    Raleigh, North Carolina
    ... Professional role supports Humana's suite of Medicare and Commercial Dental and Vision products and ensures compliance with regulatory requirements, focusing on marketing, agents, sales, as well as product offerings ...
  • Senior Product Owner (SFMC)

    Raleigh, North Carolina
    ... Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational Communications (MROC) team. If you are ...
  • Digital Business Intelligence Lead

    Raleigh, North Carolina
    ... Digital Performance team is looking for a Business Intelligence Lead to join us in transforming healthcare. In this role, the Business Intelligence Lead will identify unique insights and solve complex business ...
  • Lead Technology Leader - Site Reliability Engineering

    Raleigh, North Carolina
    ... Become a part of our caring community and help us put health first The Lead Technology ... performance. The Lead Technology Leadership Professional works on problems of diverse scope and complexity ...
  • Medical Director - Florida

    Raleigh, North Carolina
    ... . Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 ...
  • Original Medicare Growth Strategy Advancement Lead

    Raleigh, North Carolina
    ... Become a part of our caring community and help us put health first The Original Medicare ('OM') Growth Strategy Advancement Lead will design and implement the new patient growth strategy for ...
  • Principal, Healthcare Strategy

    Raleigh, North Carolina
    ... supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises over ... with meaningful strategy consulting experience to manage and deliver some of Medicare and Medicaid ...
  • Director, Group Medicare Sales and Labor Relations

    Raleigh, North Carolina
    ... Medicare Sales and Labor Relations sells health insurance and related products to new large group accounts (generally 300+ contracts) and leads the Labor Relations team. The Director, Group Medicare Sales and Labor ...
  • Medical Director - Southeast Region

    Raleigh, North Carolina
    ... teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare ... /or related to care of a Medicare type population (disabled or >65 years of age). Board Certified ...
  • Actuarial Analyst- Analytics/Forecasting

    Raleigh, North Carolina
    ... it. These efforts are leading to a better quality of life for people with Medicare, Medicaid ...
  • SVP, Risk Adjustment Operations and Interoperability

    Raleigh, North Carolina
    ... quality outcomes and business value. This role will impact our overall Medicare and Medicaid strategy, as ... + health systems on payer platforms. The SVP will report directly to the SVP, HQRI and lead a multi ...
  • Strategy Advancement Advisor - Distribution Strategy

    Raleigh, North Carolina
    ... Medicare and individual products. The MarketPoint strategy team was created to help transform Humana ... it. These efforts are leading to a better quality of life for people with Medicare, Medicaid ...
  • Advisor, Medicaid Provider & Network Strategy

    Raleigh, North Carolina
    ... lead data-driven research oriented strategic advisement in the development of strategies that produce ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare ...
  • Medical Director - Mid West Region

    Raleigh, North Carolina
    ... other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and ... /or related to care of a Medicare type population (disabled or >65 years of age). Current and ...
  • Medicare Sales Field Agent- Raleigh, NC

    Raleigh, North Carolina
    ... the Medicare population, looking for an opportunity to work in sales, and wanting the ability to ...  through face-to-face, telephonic, virtual interactions. Our Medicare Sales Representatives sell individual ...
  • Behavioral Health Medical Director - N. Central Medicaid

    Raleigh, North Carolina
    ... other sources of expertise. The Behavioral Health Medical Directors will learn Medicare, Medicare ... environment and/or related to care of a Medicare or Medicaid type population **_Current and ongoing ...
  • Lead Solutions Architect

    Raleigh, North Carolina
    ... Become a part of our caring community and help us put health first The Lead Solutions ... , software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and ...
  • Associate VP, Technology Solution Implementation

    Raleigh, North Carolina
    ... deliver and maximize impact and outcomes. Lead desktop, digital, voice, data, reporting, IVR and UAT end to end; including technology activity and work products Lead transformation of UAT processes ...
  • Value-Based Programs Analyst

    Raleigh, North Carolina
    ... leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military ...
  • Medical Director - North Central Region - Medicaid

    Raleigh, North Carolina
    ... . Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... of the managed care industry including Medicare and Medicaid. Possess analysis and ...
  • Manager, Care Management (LTSS/ABD)

    Raleigh, North Carolina
    ... in Virginia is seeking a Manager, Care Management (LTSS-ABD) who will lead a team of nurses and ... and Supports (LTSS) Waiver Services, in hospice and/or in nursing facilities. They will lead LTSS-ABD ...
  • Manager, Service Coordination (Virginia Medicaid)

    Raleigh, North Carolina
    ... in Virginia is seeking a Manager, Service Coordination (Manager, Care Coaching) who will lead teams ... experience in Medicare and/or Medicaid, specifically in the delivery of care for elderly or special needs ...
  • Actuary - Trend Analytics and Forecasting

    Raleigh, North Carolina
    ... life for people with Medicare, Medicaid, families, individuals, military service personnel, and ...
  • Small Group Sales Representative

    Raleigh, North Carolina
    ... Become a part of our caring community and help us put health first The Small Group Sales Representative works with agents and consultants to sell Ancillary Group insurance products to new and existing ...
  • Licensed Virtual Inside Sales Agent

    Raleigh, North Carolina
    ... but not limited to Medicare, dental and vision. Model a high level of professionalism, integrity ... below. Preferred Qualifications Prior call center experience Prior Medicare ...
  • RN Clinical Manager, Home Health - Raleigh, NC

    Raleigh, North Carolina
    ... . Ensures final audits/billing are completed timely and in compliance with Medicare regulations ... Department to establish location's revenue and budget goals. Participates in sales and marketing ...
  • Actuary

    Raleigh, North Carolina
    ... processes, primarily focused on our Medicare Advantage business. Responsibilities expected to include: Assessing annual CMS regulations regarding how Original Medicare pays providers, including deep-dive ...
  • Associate VP, Complex Care

    Raleigh, North Carolina
    ... will lead clinical strategy and opportunity assessment around new value-based opportunities and ... lead the team to expanding and deepening impact for the PCO, as new programs are developed and ...
  • National Director, Clinical Pharmacy- Remote

    Raleigh, North Carolina
    ... . Responsibilities will include: Lead comprehensive clinical pharmacy service development, execution, and ... , national primary care group focused on seniors Evaluate current programs and drive roadmap and ...
  • Associate Director, Care Management (LTSS/ABD)

    Raleigh, North Carolina
    ... in Virginia is seeking an Associate Director, Care Management (LTSS/ABD) who will lead teams of healthcare professionals responsible for care management. They will lead and guide others in providing ...
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