- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Raleigh, NC)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- Humana (Raleigh, NC)
- …agencies, such as Health and Human Services' Centers for Medicare and Medicaid Services (CMS) and EQROs. + Supports compliance oversight activities including ... WV, KY, TN & NC)_ **.** + Bachelor's or associate degree. + Two (2) - five (5) years...risk, compliance, regulatory or related experience). + Regulatory or Medicare/ Medicaid compliance experience. + Auditing experience working with auditing… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project , from start to finish, so ... that it is completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial.… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Senior Project Manager manages all aspects of a project , from start to finish, so that ... it is completed on time and within budget. The Senior Project Manager works on problems of diverse scope and complexity ranging from moderate to substantial in a… more
- Evolent Health (Raleigh, NC)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Project Manager on the Medical Policy team, you will work closely with Medical Policy ... to providing the best clinical guideline product. **Collaboration Opportunities:** The Project Manager will partner most closely with Medical Policy teammates and… more
- American Institutes for Research (Chapel Hill, NC)
- **Overview** Join AIR as a **Research Associate ** with ourHealth (https://www.air.org/our-work/health) Division to support the implementation and evaluation of ... Federal Agencies such as the Centers for Medicare and Medicaid Services (CMS) and state and local governments. The...policies to different audiences. + Help with administrative and project management tasks. + Write, compile, and edit assigned… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare Advantage ... ad hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …Summary/Description: The Sheps Center for Health Services Research is seeking an Associate Director of IT for Data Science, a pivotal leadership role driving ... the advancement of healthcare through innovative data science applications. As the Associate Director, you will lead and manage the Data Analytics and Research Team… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** Associate Director of Digital Experience Solutions (DES) Architecture In support of our vision ... goals, and to enable effectiveness and efficiency of technology decisions. The Associate Director of Digital Experience Solutions (DES) Architecture is a highly… more
- Humana (Raleigh, NC)
- …omnichannel use cases. **Leadership skills** + Strong leadership, communication, and project management skills, with a proven ability to lead cross-functional teams. ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Raleigh, NC)
- …reporting. + Engage with the producers and the Center for Medicare and Medicaid Services Department of Insurance regulations specific to them if there are concerns ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees… more
- Humana (Raleigh, NC)
- …of the managed care industry including Medicare Advantage, Managed Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems, ... medical management review organization, such as Medicare Advantage and managed Medicaid + Physical Medicine and Rehabilitation, Internal Medicine, Family Practice,… more
- Humana (Raleigh, NC)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Raleigh, NC)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Raleigh, NC)
- …cloud native architectures and agile delivery **Preferred Qualifications** + Associate or Professional level solution architecture certification in Azure, GCP ... Cloud technologies, Cloud migration or Enterprise Architecture. + 2+ years of project leadership and consulting experience. + Health Care Business Domains -… more
- Humana (Raleigh, NC)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... will:** + Support the discipline of portfolio planning and management for project selection and execution in TechStrat towards agreed upon milestones + Collaborate… more
- Humana (Raleigh, NC)
- …pharmacy transition point of sale claims. Works closely on cross collaborative project teams, with internal and external partners, to identify impact, ensure ... appropriate project requirements and test projects end to end. Ensures...(collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Humana (Raleigh, NC)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... to assignments. **Use your skills to make an impact** **Required Qualifications** + Associate 's or Bachelor's degree + Active and unencumbered RN licensure + 3 or… more
- Humana (Raleigh, NC)
- …moderately complex to more complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable ... equivalent + 8+ years of technical network engineering experience + 5+ years of project leadership experience. + 8+ years of Layer 2/ Layer 3 network architectural… more