- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical … more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Medical Director brings a unique set of knowledge and skills to the business of Blue Cross North Carolina and frequently serves as an ... - $212,000 **What You'll Do** **The application of a Medical Director 's knowledge and clinical skills will...Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care… more
- UNC Health Care (Rocky Mount, NC)
- …reports, development of recommendations and presentations. 12. Collaborates with the Executive Director of Quality to investigate medical circumstances and legal ... Commissioners and any other function necessary to ensure that the Corporate Compliance Program meets its objectives. **Responsibilities:** 1. Proactively evaluates… more
- Surgery Care Affiliates (Raleigh, NC)
- …clinicians to deliver excellent patient care * Leads and/or partners with Medical Executive Committee, Governing Body, and Board of Managers in developing clinical ... structure may evolve rapidly * Serves as on-site personnel director and ensures fair and prompt resolution of teammate...and ensures fair and prompt resolution of teammate complaints, grievances and operating proble * Drive top-line growth &… more