• Medical Director - OneHome

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts.… more
    Humana (11/19/25)
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  • Sr. Cloud Architect - NoSQL Database Engineer

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... The role requires hands-on experience with cloud platforms (Azure and/or GCP) and strong development skills using Python. The engineer will ensure secure, scalable, and high-performing database environments, collaborating with cross-functional teams to advance… more
    Humana (11/19/25)
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  • Encounter Data Management Professional

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by… more
    Humana (11/19/25)
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  • Principal, Stars Enterprise Activation - Insurance…

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... The Stars Improvement Principal provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. This role is responsible for supporting the Stars strategy within Insurance Operations, serving as a subject… more
    Humana (11/19/25)
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  • Associate Actuary

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The… more
    Humana (11/19/25)
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  • Actuary, ESRD Forecasting and Analytics

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The… more
    Humana (11/19/25)
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  • VP, Internal Audit - Professional Practices Senior…

    Synchrony (Charlotte, NC)
    …process or work procedures, providing documents in an alternate format, using a sign language interpreter , or using specialized equipment. + If you need special ... accommodations, please call our Career Support Line so that we can discuss your specific situation. We can be reached at ###. Representatives are available from 8am - 5pm Monday to Friday, Central Standard Time **Job Family Group:** Internal Audit more
    Synchrony (11/19/25)
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  • Medical Director, Medicare Grievances

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other… more
    Humana (11/19/25)
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  • Medical Director - Medicare Pharmacy Appeals, Part…

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case-by-case consideration of the Medicare rules, Humana policies and medical necessity. ** Please note that this Medical… more
    Humana (11/19/25)
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  • Senior Network Performance Professional

    Humana (Raleigh, NC)
    …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ... **Become a part of our caring community and help us put health first** As a Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance within the SouthEast Region and advancing Humana's mission to deliver… more
    Humana (11/19/25)
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