- Humana (Raleigh, NC)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Raleigh, NC)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Raleigh, NC)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- IQVIA (Durham, NC)
- … Medical Directors, medical writers, and safety associates. The Senior Medical Director provides medical and scientific support to clinical research ... programs, study teams and investigators. The Senior Medical Director also provides review, advice, and...activities are usually managed by the IQVIA Biotech Oversight Management Group and not the IQVIA Biotech medical… more
- CVS Health (Raleigh, NC)
- …a North Carolina medical license or be willing to obtain one. In the Medical Director role you will provide oversight for medical policy implementation. ... clinical / medical programs and expand Aetna's medical management programs to address member needs...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
- CVS Health (Raleigh, NC)
- …will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical… more
- Highmark Health (Raleigh, NC)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Sumitomo Pharma (Raleigh, NC)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
- Elevance Health (Durham, NC)
- …Whole Health Director will function as our Population Health and Care Management Director and ideally bring their clinical, public health, child welfare, and ... North Carolina is looking to hire a Whole Health Director , reporting to the Executive Director of...field such as whole health, service coordination, ambulatory care, case , or care management and or coordinating… more
- Gilead Sciences, Inc. (Raleigh, NC)
- …Team Leader will ensure the People Partner team drives results through advanced case management , policy, and compliance support, while providing deep business ... Gilead, you will further our mission to address unmet medical needs and improve life by advancing the care...across the business. + Ensure the team delivers high-quality case management , employee relations, and HR advisory… more
- Teleflex (Morrisville, NC)
- Director , Financial Planning and Analysis - Americas **Date:** Nov 14, 2024 **Location:** Morrisville, NC, US **Company:** Teleflex **Expected Travel** : Up to 10% ... **Requisition ID** :10796 **About Teleflex Incorporated** As a global provider of medical technologies, Teleflex is driven by our purpose to improve the health and… more
- Trustmark (Raleigh, NC)
- …experts in building partnerships with customers and with our employees. Regional Sales Director - Southern California We currently have a position open the in the ... Southern California Market for a Regional Sales Director (RSD). The Regional Sales Director (RSD) for Trustmark Voluntary Benefit Solutions division increases… more
- Bayer (Cary, NC)
- …minds to make a real difference, there's only one choice.** **Associate Director Regional Marketing - Prostate - Mid Atlantic - Tennessee Valley** **Associate ... Director Regional Marketing - Prostate - Mid Atlantic -...responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication… more
- Elevance Health (Durham, NC)
- …**How you will make an impact:** + Oversee all investigations and overall case management . + Administer HR policies governing issues such as workplace ... ** Director Associate Relations** **Location:** This position will work...rules and conduct, effective complaint resolution/investigation, performance management issues, ensuring fair employment practices, corrective action/performance improvement,… more
- IQVIA (Durham, NC)
- …site-based clinical research staff to trial sites globally. Reporting to the Director , Head of Project Delivery within SES, this individual will have specific ... development of new SES services. In addition, this Associate Director role will be a key contributor to the...within the portfolio + Support development and positioning of case studies to drive new and repeat business **MINIMUM… more
- SitusAMC (Raleigh, NC)
- …global but act local - come join our team! Job Profile Summary As the Sr Director of the Innovation team you will be at the forefront of developing cutting edge ... of industry and/or relevant experience, typically with 2+ years in a Senior Director level role or external equivalent. + Experience with the most current… more
- Catalent Pharma Solutions (Morrisville, NC)
- **Position Summary** We are looking for an experienced Sr. Director level Supply Chain Planning & ERP Transformation to lead our organization's Global Planning ... through all phases of improvement such as: like concept, business case preparation, socialization to approval and subsequently design, implementation, and value… more
- RELX INC (Raleigh, NC)
- …flexible, multi-model approach that prioritizes the best model for each individual legal use case .About the Role As a Director , you will be responsible for ... in attribution modeling, website speed optimization, A/B testing, and conversion management + Be assured in developing and overseeing retail and eCommerce-focused… more
- Novo Nordisk (Clayton, NC)
- …Focused Benefits including 12 weeks paid parental & 6 weeks paid family medical leave + Free access to Novo Nordisk-marketed pharmaceutical products + Tuition ... procurement processes. Relationships Vice President. Essential Functions + People management of Investment | Engineering & Sourcing (IES), to...10% of the time ("% can change on a case -by- case basis based on the role"). Development… more
- SitusAMC (Raleigh, NC)
- …and think global but act local - come join our team! Senior management responsibility for the delivery of services for multiple clients, multiple transactions, ... in an accurate, timely and high-quality fashion. Responsible for the day-to-day management of client relationships and the handling of their CRE loan portfolios.… more