- Humana (Raleigh, NC)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Sumitomo Pharma (Raleigh, NC)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- IQVIA (Durham, NC)
- **Associate Director , Medical & Scientific Communications** (Agency Equivalent = VP, Client Services) The Associate Director is responsible for managing ... change process, where needed. + Work with leadership in preparing, updating, and/or reviewing monthly phasing reports for all assigned clients to ensure accuracy of… more
- IQVIA (Durham, NC)
- **Job Level: Associate/ Director of Biostatistics,** **Rare Disease, FSP** **Location:** **Home-based in the US or Canada** **(East Coast Preferred)** **Job ... Overview:** As an Associate Director , you will liaise with cross-functional teams to drive quality statistical planning, analysis, and reporting in support of… more
- City of Durham (Durham, NC)
- Assistant Director - Stormwater Division Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4822938) Apply Assistant Director - Stormwater ... outside agencies; and provides highly responsible and complex administrative support to the Director of DPW. This position will require a skilled manager who is… more
- IQVIA (Durham, NC)
- …is is looking for exceptional Board-Certified physicians to join our team as a Medical Strategy Lead to help us expand our Cardiovascular portfolio and advance this ... dynamic and rapidly expanding area of clinical development. The Cardiovascular Medical Strategy Lead is a subject matter expert with experience in clinical research… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- CVS Health (Raleigh, NC)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- EFI Global (Raleigh, NC)
- …to learn more about EFI Global. **We are seeking a Client Services Director with experience in the insurance industry, specifically in executive general adjusting ... on issues and trends impacting programs. + Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies… more
- Granville Medical Center (Oxford, NC)
- POSITION SUMMARY: Responsible for reviewing medical records and translating the information about the patient's visit into codes for insurance carriers to ... process claims. MINIMUM QUALIFICATIONS: * Evaluates medical record documentation and charge ticket coding to optimize...Detects, observes and reports compliance variances to the department director or upward through the chain of command, the… more
- Ryder System (Raleigh, NC)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… more
- City of Durham (Durham, NC)
- …permits to ensure all requirements are met. Other duties include reviewing newly submitted construction plans, verifying Right-of-Way utility permits, testing water ... the density and grade of cement; calculating the slope; reviewing the dimensions of the driveway; and filling out...+ 2 weeks paid military leave per year + Medical , dental, vision, and supplemental life insurance plans +… more
- DLA Piper (Raleigh, NC)
- …+ Triage vendor contracts, working closely with Deputy General Counsel, Executive Director , New Business Intake & Procurement, and Director , Procurement & ... projects and other duties as assigned. **Desired Skills** Significant experience reviewing and negotiating contracts, including data processing agreements and data… more
- Granville Health System (Oxford, NC)
- POSITION SUMMARY:##Responsible for reviewing medical records and translating the information about the patient#s visit into codes for insurance carriers to ... process claims. # MINIMUM QUALIFICATIONS:# # Evaluates medical record documentation and charge ticket coding to optimize...Detects, observes and reports compliance variances to the department director or upward through the chain of command, the… more
- Cardinal Health (Raleigh, NC)
- …**_Responsibilities_** + Primary focus will be supporting 3PL Partners within the Medical Segment. + Manages internal Quality Assurance policies and programs to set ... & Drugs Act, Good Manufacturing Practice, and a variety of regulations related to medical devices, natural health products, drugs, and consumer goods. + Leads a team… more
- DLA Piper (Raleigh, NC)
- …see what we can achieve. Together. **Summary** Reporting to the Executive Director , New Business Intake and Procurement, the Intake and Risk Management Attorney ... issues; assisting with the process of closing out clients and matters; drafting, reviewing and advising on client engagement letters with a specific focus on advance… more
- RES (Raleigh, NC)
- …the change management process. + Supports Subcontractor Change Management by reviewing subcontractor changes and assessing impact to overall budget and forecast. ... project execution plan. **Assists with Client Relationship Management:** + Assists Construction Director and Project Manager in client negotiations as they relate to… more
- City of Durham (Durham, NC)
- …+ Locating and marking City-owned water, sewer, and storm drains. + Organizing and reviewing daily workload. + Using GIS to research work orders. + Perform light ... + 2 weeks paid military leave per year + Medical , dental, vision, and supplemental life insurance plans +...on education, experience, and approval by the Public Works Director . The hiring range is non-negotiable. Do you acknowledge… more