- Deloitte (Raleigh, NC)
- …regulation, and compliance with Actuarial Standards of Practice + Calculation of IBNP Medical Claim liability and other Health Plan Actuarial liabilities + ... calculation of Health Plan Actuarial liabilities for Incurred But Not Paid (IBNP) claims and Loss Adjustment Expense (LAE) for products covering Medical ,… more
- Humana (Raleigh, NC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Raleigh, NC)
- …help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the… more
- Fujifilm (Raleigh, NC)
- …be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc., ... (HLUS). The Senior Counsel, reporting to the Division General Counsel, Medical Devices, will be an experienced commercial transactions lawyer, responsible for… more
- Humana (Raleigh, NC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the… more
- Humana (Raleigh, NC)
- …of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all ... leadership experience + 3+ years of healthcare experience + Strong knowledge of claim -line level healthcare data + Preference for candidates to live in WA, OR,… more
- Towne Park (Burlington, NC)
- …the policy guidelines. **Benefits:** Employees are eligible to enroll in medical , dental, and vision insurance, accident insurance, critical illness insurance, ... - 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and… more
- CDM Smith (Rocky Mount, NC)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... sex (including pregnancy, pregnancy related conditions, childbirth and related medical conditions, sexual orientation, gender identity or gender expression),… more
- Humana (Raleigh, NC)
- …and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- United Therapeutics (Research Triangle Park, NC)
- …that is forward thinking and innovative. The Senior/Statistical Scientist, Global Medical Affairs will contribute to all biostatistical and programming activities ... decision making + Collaborate with data management, clinical development and medical strategy personnel to align on phase 3b/4 clinical trial objectives,… more