- 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 ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Raleigh, NC)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Raleigh, NC)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Merck (Raleigh, NC)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Western Digital (Raleigh, NC)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
- Humana (Raleigh, NC)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Merck (Raleigh, NC)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Cardinal Health (Raleigh, NC)
- …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
- Humana (Raleigh, NC)
- …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and… more
- Amgen (Holly Springs, NC)
- …team. Join us and transform the lives of patients while transforming your career. ** Director , Project Controls** **What you will do** Let's do this. Let's change the ... world. In this role the Director of Project Controls will be accountable for leading,...that supports capital projects, including Engineering Technical Authority, Project Management , Facilities Management , Global Site Engineering, Capital… more
- HomeSafe Alliance (Raleigh, NC)
- **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
- LifePoint Health (Roxboro, NC)
- …the organization's risk management activities, which include the investigation and management of claims in conjunction with outside legal counsel. Managing ... by conducting audits, monitoring, and training and educating staff, management , Medical Staff and the Board of...Work Experience Minimum 2 years experience in healthcare risk management , or claims investigation/ management . … more
- Baylor Scott & White Health (Raleigh, NC)
- … claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
- BD (Becton, Dickinson and Company) (Raleigh, NC)
- **Job Description Summary** As Associate Director , Product Management Data & Interoperability, you will lead the Parata Platform data and interoperability global ... enable clinical, operational and financial improvements. Reporting directly to the Director , Central Fill this experienced, results-driven Associate Director … more
- Takeda Pharmaceuticals (Raleigh, NC)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- IQVIA (Durham, NC)
- …and support of IQVIA (TM) information assets - national, sub-national. patient claims data, channel & specialty offerings across multiple internal and external ... business issues, and creates a compelling support plan, including governance, change management , client education to meet the clients' needs. + Builds client… more
- IQVIA (Durham, NC)
- …(CDO, CAO, VP), Technology (CIO) and Business Areas (Pharmacy, Care Management , Care Coordination, other), with demonstrated success selling technology based ... success selling the following types of technology based professional services: Data Management (master data management , data governance, data quality, data… more
- HomeSafe Alliance (Raleigh, NC)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Granville Medical Center (Oxford, NC)
- …of claims . Responsible for abstracting diagnoses and procedures from medical record into the Hospital Health Information system for timely billing. Performs ... to detect, observe and report compliance variances to the Director of Health Information Management or upward...have initiative and judgment involved in collecting and analyzing medical record data. Must have professional written and oral… more
- Stantec (Raleigh, NC)
- …and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound knowledge and experience ... context of the communities we serve, we provide planning, engineering, and infrastructure management services that fit the needs of our clients and improve the… more