• 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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  • 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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  • Psychiatrist

    Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
    …care services to veteran patients enrolled at the Fayetteville NC VA Coastal Healthcare System. Services will include but are not limited to performing initial ... questions/assistance. Learn more. Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Utilization Management Administration Coordinator…

    Humana (Raleigh, NC)
    …Accounts + Flex Spending Accounts + Life Insurance + 401(k) + PTO including 8 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual ... a metric driven environment + Prior experience in the healthcare industry **Additional Information** + **Remote position with possibility...Monday to Friday between 8am and 8pm EST (8 paid hours per business day)** + **Overtime available based… more
    Humana (10/10/25)
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  • Gastroenterologist

    Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
    …questions/assistance. Learn more Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year ... of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day...year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Section Chief of Urology

    Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
    …the Veterans Administration (VA), Veterans Health Administration (VHA), Mid Atlantic Healthcare Network (VISN 6), Fayetteville VA Medical Center. The incumbent ... Coordinator for questions/assistance. Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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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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  • Senior Business Intelligence Engineer - Medicaid

    Humana (Raleigh, NC)
    …and Power BI for creating data visualizations + Proficiency in understanding Healthcare related data + Proficiency in verbal and written communication to senior ... and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors **Additional Information** To ensure Home or Hybrid Home/Office… more
    Humana (10/08/25)
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  • Lead Experience Researcher

    Humana (Raleigh, NC)
    …**Preferred Qualifications** + Master's degree in social science or healthcare strongly preferred (eg, anthropology, health services research, psychology, public ... or health economics and outcomes research (HEOR) within a managed care or healthcare research organization + Experience in health equity focused research as well as… more
    Humana (10/08/25)
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