• COOLSOFT (Raleigh, NC)
    Medicaid Drug Rebate Program (MDRP) - Supports cross-functional activities that provide effective oversight of Medicaid Programs. - Collaborates and ... PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business… more
    DirectEmployers Association (11/20/25)
    - Related Jobs
  • Medicaid State Technology Lead

    Humana (Raleigh, NC)
    …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (11/20/25)
    - Related Jobs
  • Medical Director - Medicaid N. Central

    Humana (Raleigh, NC)
    …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (10/25/25)
    - Related Jobs
  • Associate Director, Medicaid Procurement

    Humana (Raleigh, NC)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (11/21/25)
    - Related Jobs
  • Actuary, Medicaid Trend Analytics and Data…

    Humana (Raleigh, NC)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (11/20/25)
    - Related Jobs
  • North Carolina Medicaid Account Manager…

    Prime Therapeutics (Raleigh, NC)
    …+ Collaborate with account leadership to build business cases, and at times, lead client-facing initiatives; provide input into, and client management support ... every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description**...through adoption and expanded use of Prime products and services + Facilitate regular meetings with client in the… more
    Prime Therapeutics (09/23/25)
    - Related Jobs
  • Lead Director, Provider Portal…

    CVS Health (Raleigh, NC)
    …And we do it all with heart, each and every day. **Position Summary** The Lead Director, Provider Portal Strategy & Operations is responsible for the strategic ... leadership and operational oversight of Aetna's three primary provider portal solutions: Availity Commercial/Medicare Portal, Availity Medicaid Portal, and… more
    CVS Health (11/20/25)
    - Related Jobs
  • Lead Pediatric Advanced Practice…

    Novant Health (Concord, NC)
    …Are you looking to join a remarkable team where quality care meets quality service , in every dimension, every time? Novant Health Medical Group is looking for a ... compassionate, caring Pediatric Advanced Practice Provider (NP or PA) to join our brand-new outpatient...years of experience working in pediatrics. Our expert clinicians provide comprehensive acute care for newborns through adolescence, while… more
    Novant Health (09/28/25)
    - Related Jobs
  • Specialty Provider Liaison- Children…

    Elevance Health (Wilkesboro, NC)
    …population outcomes. This position collaborates with each of the 100 Department of Social Services (DSS) and service providers across the state to meet the needs ... Specialty Provider Liaison- Children and Families Specialty Plan (CFSP)...etc) + Experience building relationships with Department of Social Services (DSS), service providers, and other stakeholders… more
    Elevance Health (11/19/25)
    - Related Jobs
  • Technology Lead

    Humana (Raleigh, NC)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (11/24/25)
    - Related Jobs