• Medical Director - Florida

    Humana (Raleigh, NC)
    …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... Humana colleagues and the Regional VP Health Services. After completion of mentored training , daily work is performed with minimal direction. Enjoys working in a… more
    Humana (10/03/25)
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  • Senior Responsible AI Data Scientist

    Humana (Raleigh, NC)
    …R&D efforts to advance innovative, high-impact, and ethically-grounded AI solutions in healthcare . + Design and implement processes, tools, and frameworks for the ... Responsible AI education and awareness initiatives, including the development of training materials and guidance for technical and non-technical stakeholders. **Use… more
    Humana (09/26/25)
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  • Medical Director-Payment Integrity

    Humana (Raleigh, NC)
    …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... Humana colleagues and the Lead Medical Director. After completion of mentored training , daily work is performed with minimal direction. Enjoys working in a… more
    Humana (09/26/25)
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  • Summer 2026 MBA Internship - Strategy…

    Humana (Raleigh, NC)
    …insights needed to launch a successful post-MBA or graduate school career in healthcare . We are looking for talented interns who are innovative, agile learners who ... of emotional intelligence and are excited to tackle the ambiguous world of healthcare . We are looking for talent driven by purpose. Internships are available across… more
    Humana (09/24/25)
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  • Medical Director - Mid West Region

    Humana (Raleigh, NC)
    …medical interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS requirements, ... and the Regional VP Health Services. After completion of structured and mentored training , daily work is performed with minimal direction, but with ready support… more
    Humana (09/16/25)
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  • Corporate Medical Director - Medicare Grievances…

    Humana (Raleigh, NC)
    …the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance ... team and leaders in meeting enterprise-wide business needs. **After an initial training period, schedule is four 8-hour workdays per week, either Friday-Monday or… more
    Humana (09/05/25)
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  • Compliance Analyst Principal - Remote

    Prime Therapeutics (Raleigh, NC)
    …duties as assigned **Education & Experience** + Bachelor's degree in business, healthcare , or related area of study, or equivalent combination of education and/or ... progressive work experience in legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated industry,… more
    Prime Therapeutics (10/06/25)
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  • Hospice Chaplain PRN

    PruittHealth (New Bern, NC)
    …consultation education and support for other members of the hospice team, healthcare centers and facilities, and the community. 11. Performs sacerdotal functions as ... crises of patients and families. 12. Assist with volunteer training as requested. 13. Serve as a member of...plans, including attendance at team conferences for residents of healthcare centers and nursing facilities. 14. Assist with on-call… more
    PruittHealth (10/04/25)
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  • Sr/Care Manager, Patient Support Services - Remote

    IQVIA (Raleigh, NC)
    …programs + Update job knowledge by participating in educational opportunities and training activities. Work efficiently both individually and within a team to ... This is a remote position. + Employees must have a private workspace free of distraction to adhere to HIPAA compliance/guidelines. + Workspace must include internet… more
    IQVIA (09/23/25)
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  • Medicaid Insurance Product Manager

    Humana (Raleigh, NC)
    …of business. This is a unique opportunity to shape the future of healthcare for vulnerable populations while contributing to Humana's mission to improve the health ... your skills to make an impact** **Required Qualifications** + Bachelor's degree in healthcare , business administration, or a related field. + 3+ years of experience… more
    Humana (10/10/25)
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