- Mathematica (Raleigh, NC)
- …of Medicaid , payment and financing at the state or federal level * Senior Researcher candidates should have 10/+ years of experience working in health policy ... teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and...anticipated base salary of $100,000 - $130,000 annually. The Senior Researcher position offers an anticipated base… more
- CVS Health (Raleigh, NC)
- …make health care more personal, convenient and affordable. **Position Summary** The Medicaid senior manager, network management: * Negotiates, executes, conducts ... in contract management systems per Aetna's established policies. . * Conducts research , analysis and/or audits to identify issues and propose solutions to protect… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Senior Agency Management Professional analyzes transactions posted to the general ledger, 1099 ... updates for accruals, prepaid, and adjusting updates or entries. The Senior Agency Management Professional work assignments involve moderately complex to complex… more
- Humana (Raleigh, NC)
- …**Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... of the company's total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the… more
- Abt Global Inc. (Durham, NC)
- …and meaningful work? Now's your chance. **The Opportunity** Abt Global seeks a Senior Analyst / PhD Economist to support our portfolio of domestic health work ... within Abt's Research , Monitoring, & Evaluation Capability team. As a member...government agencies, such as the Centers for Medicare & Medicaid Services, Centers for Disease Control and Prevention, and… more
- Public Consulting Group (Raleigh, NC)
- …allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for ... effectively facilitate client discussions. + Effectively communicate with clients at senior leadership levels. + Identify and elicit requirements from key… more
- Humana (Raleigh, NC)
- …put health first** Humana's Corporate Marketing organization is looking for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist certified to ... just may be the role for you! As the Senior Product Owner, you will support Humana's marketing journeys,...of any delivery risks or issues + Identify and research potential pre and post production issues and assist… more
- UNC Health Care (Chapel Hill, NC)
- …to resolve credit balances through refunds or posting adjustments. Compiles Medicare/ Medicaid Cash Reports and quarterly Credit Balance reports. 6. Payor Audits ... to drive improvements in preventing denials or resolving aging accounts. 9. Research & Transplant: performs charge reviews, follow-up and payment allocations for HB… more
- American Institutes for Research (Chapel Hill, NC)
- …ourHealth (https://www.air.org/our-work/health) team.The selected candidate will collaborate in research , technical assistance, and operations projects funded by ... Federal Agencies (such as Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control...data and provide support to the project director and/or senior team members on various tasks including querying large… more
- CVS Health (Raleigh, NC)
- …-In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These ... -In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These… more
- Humana (Raleigh, NC)
- …people with complex health and social needs. They will work with senior executives to develop and drive segment or enterprise-wide functional strategies. They ... more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an...talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet… more
- Prime Therapeutics (Raleigh, NC)
- …and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of ... a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the Request For Proposal… more
- Humana (Raleigh, NC)
- …across the function or segment. This role will report to the Senior VP, MarketPoint. The Director, Broker Digital Sales (Innovation Portfolio Strategy) defines ... written, and oral communication skills + Demonstrated ability to interact with senior leadership internally and externally + Ability to manage multiple and competing… more
- Humana (Raleigh, NC)
- …in class digital experiences for consumers and members and will also lead Senior Product Managers. You will collaborate with cross-functional teams to develop and ... strategy, aligning it with the company's goals and objectives. Conduct market research and gathers customer feedback to identify market trends and opportunities +… more
- Humana (Raleigh, NC)
- …approaches to assignments. This position will focus on supporting Humana's senior -focused primary care operations including: + Support risk adjustment activities and ... in Medicare or similar regulatory work + Strong legal research , analytical, and writing skills + Ability to work...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Raleigh, NC)
- …physician, advanced practitioner, and clinical pay trends and practices. Translate research , trends and best practices into plan design and administration solutions ... ability to establish and develop strong partnerships and connections with key senior stakeholders and internal clients across numerous functional areas - including… more
- Brookdale Senior Living (Raleigh, NC)
- …directed by the community sales leader. Uses relevant community knowledge and research to assist in planning, coordinating, and implementing monthly prospect and/or ... visitors in a courteous and friendly manner. Knowledge of Medicare and Medicaid regulations to include applicable processes, if required in the community. Knowledge… more