- Humana (Raleigh, NC)
- …interpretation and independent determination of the appropriate courses of action. The Finance Professional 2 will support Medicaid /Duals and continue ... caring community and help us put health first** The Finance Professional 2 analyzes and forecasts financial,...membership, and premium related data to provide reports to Medicaid Finance CFOs as well as assist… more
- General Dynamics Information Technology (NC)
- …**Experience:** 2 + years of related experience **Job Description:** The ** Medicaid Provider Financial Support Specialist** serves as a key liaison between ... Medicaid and healthcare providers, addressing inquiries related to financial...a Accounting Assistant I at GDIT. Working on the Finance team, you'll become an integral part of how… more
- Humana (Raleigh, NC)
- …from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Humana (Raleigh, NC)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...and reporting **Preferred Qualifications** + Bachelor's degree in Business, Finance , Law, Healthcare Administration, or a related field +… more
- Robert Half Legal (Burlington, NC)
- …compliance with federal and state regulations, primarily those related to Medicare, Medicaid , and managed care programs. This role calls for an experienced legal ... professional with a strong foundation in healthcare regulations, contracts,...compliance with federal and state regulations, focusing on Medicare, Medicaid , managed care policies, and broader healthcare laws. +… more
- Prime Therapeutics (Raleigh, NC)
- …flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance ... + Advise internal clients regarding compliance with State and Federal Medicaid regulatory and contractual requirements + Provides leadership to the business… more
- Humana (Raleigh, NC)
- …users other than those directly employed by the organization. The Senior Finance Reporting Professional / Analyst + Analyzes and forecasts financial, economic, ... our caring community and help us put health first** The Senior Financial Reporting Professional / Analyst prepares and distributes periodic financial statements for… more
- Elevance Health (Winston Salem, NC)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Humana (Raleigh, NC)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a… more
- Humana (Raleigh, NC)
- …couple years' experience with stakeholder management (strategy/operations at a top-tier consulting/ professional services firm) or has a successful track record at a ... banking, private equity/venture backed scaling company, corporate/business unit strategy, or finance , + Strong problem-solving skills and the ability to perform… more
- Humana (Raleigh, NC)
- …directly collaborate with various business partners including initiative owners and finance stakeholders. Candidates pursuing this role should be passionate about ... of Actuaries (ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) + MAAA + Strong communication skills +… more