- Rocket Software (Raleigh, NC)
- …of new service offerings. + Serve as executive escalation for services customers, while coordinating with team. + Ensures Statements of Work are clear, ... BELIEVE in what they're doing!** **Job Description Summary:** The Senior Director , Customer Solutions Engineering (CSE) is responsible for managing CSE Delivery… more
- Humana (Raleigh, NC)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...Typically reports to a Regional Vice President of Health Services , Lead, or Corporate Medical Director , depending… more
- CRC Insurance Services, Inc. (Raleigh, NC)
- …review the following job description:** TIH is seeking a Software Engineering Senior Director to join its CRC Technology team. This individual will be responsible ... functional testing. Oversee documentation of the processes, and knowledge transfer to production support. Ensure developed code is in...Owner. SCOPE: The differentiating factor between levels of SWE Director is scope, such as size of budget and… more
- Humana (Raleigh, NC)
- …and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services provided by ... **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Director , Key Providers is accountable for developing and ensuring execution of sales and growth ... strategy for Key Provider partnerships. The Director , Key Providers requires an in-depth understanding of how...modem for a home office (satellite and wireless internet service is NOT allowed for this role). Associates or… more
- 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 (Raleigh, NC)
- …uses their medical background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service should be ... support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Nemean Solutions, LLC. (Raleigh, NC)
- …(STTR) Program Manager (PM) - Army Research Office (ARO) Background: Provide support services to the Small Business Technology Transfer (STTR) Program Manager ... by collecting evaluation data and preparing consolidated recommendation(s) for ARO Director approval and coordinate notification of TPOCs and selected and… more
- Humana (Raleigh, NC)
- …innovate **Additional Information:** Typically reports to a Regional Vice President of Health Services , Lead, or Corporate Medical Director , depending on size of ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Associate Director , Network Adequacy tests the overall network in each county of operations to ensure ... the network is strong enough to support serving customers. The Associate Director , Network Adequacy generates ad hoc reports and regular datasets or report… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Director , Learning Design uses instructional design, cognitive psychology, and adult learning theory ... that is designed to enable the fulfillment of IT's strategic objectives. The Director of IT Learning and Talent Programs is responsible for developing and leading… more
- Humana (Raleigh, NC)
- …and help us put health first** ESS Business Intelligence is an Enterprise Shared Services (ESS) team focused on data, reporting and data science supporting Humana's ... Service Operations. The team is focused on converting data...administrative cost and improve the customer's experience. The **Associate Director , Data Governance** supports all aspects of configuration control,… more
- CenterWell (Raleigh, NC)
- …5-7+ years of progressive clinical pharmacy program leadership experience as a manager, director , or higher overseeing clinical pharmacy services and programs + ... our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing,… more
- Humana (Raleigh, NC)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Associate Director , Business Systems Analysis performs analysis of business, process and user needs, ... analysis and translation into proper system requirement specifications. The Associate Director , Business Systems Analysis requires a solid understanding of how… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Director , Group Medicare Sales and Labor Relations sells health insurance and related products to ... 300+ contracts) and leads the Labor Relations team. The Director , Group Medicare Sales and Labor Relations requires an...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
- Humana (Raleigh, NC)
- …for care management. They will lead and guide others in providing integrated services for the clinical teams. The Associate Director , Care Management requires ... health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (LTSS/ABD) who will lead teams of healthcare professionals… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Director , Associate Benefits applies forward-looking, innovative thought to design, financing and delivery ... make the company, and each of its divisions, an employer-of-choice. The Director , Associate Benefits: **Well-being and Benefits ("WB&B") Finance** + Finalize and… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Associate Director , Business Intelligence for CPSS Data and Analytics will support the account ... services , enrollment, billing and reconciliation operational teams. The support...within the business and drive results. **Responsibilities** The Associate Director , Business Intelligence will utilize various tools, technologies, applications… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Associate Director of the Tier 1 SOC is a critical role in our organization, responsible for ... level of technical expertise, strategic thinking, and leadership abilities. The Associate Director will oversee the tier 1 SOC (MSSP) providing 24x7x365 coverage,… more