• Director of Provider Services…

    Humana (Raleigh, NC)
    …MEDICAID PLAN AND THE IDEAL CANDIDATE MUST RESIDE IN NORTH CAROLINA. The North Carolina Medicaid Provider Services Director leads a team that is ... and state reports are completed timely and accurately. The Provider Services Director requires an...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (07/29/25)
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  • Medical Director - Care Plus - Florida

    Humana (Raleigh, NC)
    …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (06/28/25)
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  • Medical Director - South Carolina SE Region

    Humana (Raleigh, NC)
    …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... population health, or disease or care management. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
    Humana (07/22/25)
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  • Medical Director - Mid West Region

    Humana (Raleigh, NC)
    …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... Bold Goal mission, throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
    Humana (05/14/25)
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  • Medical Director - NorthEast Region

    Humana (Raleigh, NC)
    …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... 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 (07/25/25)
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  • Medical Director - OneHome

    Humana (Raleigh, NC)
    …SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by ... 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 (07/15/25)
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  • Cfsp - I/DD and TBI Clinical Director

    Elevance Health (Durham, NC)
    …as a resource and consultant to other areas of the company. + Prepare and provide consumer and provider education, trainings, or presentations as needed. + May ... Services ), local and regional DSS teams, adolescent and adult BH/IDD Medicaid -funded providers, and provider associations, such as NCPC and Benchmarks.… more
    Elevance Health (07/15/25)
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  • Medical Director , MSK Surgery

    Evolent (Raleigh, NC)
    …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical Directors and… more
    Evolent (05/20/25)
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  • Medicare Grievances and Appeals Corporate Medical…

    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** The Corporate Medical Director relies on medical background and reviews health claims...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (06/18/25)
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  • Program Director - Charlotte (Hybrid)

    Abound Health Group, LLC (Charlotte, NC)
    Abound Health is seeking a Program Director to join our team supporting services for the intellectually and developmentally disabled (IDD) community. In this ... role, you will oversee daily operations for Innovations Waiver and State-Funded Services , ensuring quality care, compliance, and staff support across your assigned… more
    Abound Health Group, LLC (07/17/25)
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