- Abt Global Inc. (Durham, NC)
- **The Opportunity** As a Project Director , you will lead large project teams through complex health analytic engagements, serving both State and Federal ... strategy, and visualization. You will help to operationalize and execute Medicaid policy and IT transformation projects. You will oversee interdisciplinary teams… more
- Humana (Raleigh, NC)
- …to innovate + **Resides in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... community and help us put health first** The Medical Director relies on medical background and reviews health claims.... market populations. May provide cross-coverage for other state Medicaid markets. May participate on project teams… more
- COOLSOFT (Raleigh, NC)
- Medicaid Development Skills Adobe Specialist (Jobs in Raleigh, NC) Requirement id 153649 Job title Specialist Job location in Raleigh, NC Skills required Curriculum ... Design, Medicaid , content managment, Development Skills Adobe Open Date 02-Jun-2025...with various stakeholders to gather specifications for content development. Project management skills will allow this position to communicate… more
- Cognizant (Raleigh, NC)
- …among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding. ... process, standards, and documentation by client. + Evaluates and reports project status, schedules, issues, resolutions, and completions. + Guide underperforming… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Raleigh, NC)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving… more
- Prime Therapeutics (Raleigh, NC)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote **Job Description** This ... Business Development Product Director is accountable for developing and executing initiatives on...commercial products to shape it for state public sector, Medicaid FFS business. + Pulls in account team "Product… more
- Prime Therapeutics (Raleigh, NC)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director ... with clients; participates in request for proposals; account leadership during project implementations. + Review and assign account executive's book of business… more