- Humana (Raleigh, NC)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... Bold Goal mission, throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Humana (Raleigh, NC)
- …episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Raleigh, NC)
- … Director relies on medical background and reviews preauthorization requests for services . The Medical Director work assignments involve moderately complex to ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Raleigh, NC)
- …uses their medical background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service should be ... support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Humana (Raleigh, NC)
- …our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and ... and unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how organization capabilities… more
- CenterWell (Raleigh, NC)
- …of our caring community and help us put health first** The Associate Medical Director has similar job duties as a Physician, namely focusing on outpatient medicine, ... of care, health maintenance, and disease prevention. The Associate Medical Director is also responsible for administrative oversight and outcomes for clinical… more
- Humana (Raleigh, NC)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Director , Provider Contracting, leads and manages the provider networks for all of Humana's various ... lines of business through the NC Contracting team. The Director also initiates, analyzes, and negotiates hospital, physician, and/or other provider contracts and… more
- Humana (Raleigh, NC)
- …caring community and help us put health first** The Associate Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... medium and long-term financial and competitive position. The Associate Director , Actuarial Analytics/Forecasting requires a solid understanding of how organization… more
- Fujifilm (Holly Springs, NC)
- …it will also provide automated fill-finish and assembly, packaging, and labeling services . The new state-of-the-art facility is located in Holly Springs, North ... States. **External US** **About This Role** The Associate Program Director (APD) is accountable for the planning & delivery...through program closure. The APD ensures FDBN we provide service in alignment with our contracted commitment to clients… more
- Conviva (Raleigh, NC)
- …of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security architecture, ... enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
- Humana (Raleigh, NC)
- …of providing frameworks to maximize available resources to achieve growth. The ** Director ,** **Medicaid Insurance Product Management - Growth & Innovation** will be ... from federal and state government to define health plan covered services and related operational requirements. + Perform quantitative and qualitative analysis… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading the technology ... the development of a comprehensive business focused enterprise catalog of services , interfaces/interactions and drive the life cycle management of enterprise APIs.… more
- Humana (Raleigh, NC)
- …health first** Humana's Marketing organization is seeking a dynamic and experienced Director , Campaign Planning & Orchestration Leader to join our team. This leader ... or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following… more
- GCG (Raleigh, NC)
- **Overview** **Paige,** a **GCG company,** is currently seeking a ** Director of Sales and Business Development** to join our **Utility Solutions sales team** ! In ... whether of ideas and policies within the organization, or products or services in the marketplace. Our environment is dynamic and results-oriented. While there… more
- Chiesi (Cary, NC)
- Scientific Director US Medical Affairs, Pulmonary Hypertension Date: Nov 9, 2024 Department: Medical Affairs Job Type: Direct Employee Team: Mktg, Market Access, ... innovative drugs in its three therapeutic areas: **AIR** (products and services that promote respiration, from new-born to adult populations), **RARE** (treatment… more
- CVS Health (Raleigh, NC)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... health care more personal, convenient and affordable. **Position Summary:** **The Lead Director , Operations (hiring for two positions)** plays a key role by leading… more
- Lincoln Financial Group (Raleigh, NC)
- …for this opportunity. **Requisition #:** 73224 **The Role at a Glance** As the Director of Reinsurance, you will manage staff, help lead the onboarding of new ... and structures. * Understand, evaluate, and conclude on risk transfer as it applies to new transactions on both...- annuities, life insurance, group protection and retirement plan services . As of December 31, 2023, the company had… more
- Republic Services (Durham, NC)
- **ABOUT THE COMPANY** Republic Services , Inc. (NYSE: RSG) is a leader in the environmental services industry. We provide customers with the most complete set of ... products and services , including recycling, waste, special waste, hazardous waste and...and operate more than 1,000 locations, including collection and transfer stations, recycling and polymer centers, treatment facilities, and… more
- CenterWell (Cary, NC)
- …location.** The **RN Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role is a focused on both home ... criteria and make the decision to admit patients to service . Assigns appropriate clinicians to a case, as needed....more effective performance and delivery of quality home care services and is available at all times during operating… more