- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… 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 to complex issues where the analysis of situations or data requires an in-depth… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Highmark Health (Raleigh, NC)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… 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 leadership for potentially or actually awarded clinical… 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. ... ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality… more
- CVS Health (Raleigh, NC)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
- CenterWell (Raleigh, NC)
- …a part of our caring community and help us put health first** The Associate Medical Director has similar job duties as a Physician, namely focusing on outpatient ... medicine, continuity of care, health maintenance, and disease prevention. The Associate Medical Director is also responsible for administrative oversight and… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
- Takeda Pharmaceuticals (Raleigh, NC)
- …knowledge. **Job Description** **About the role:** Join Takeda as a Senior Medical Director , Pharmacovigilance in Gastrointestinal and Inflammation (GI2). You ... for presentations to the Takeda Safety Board and similar forums. The Senior Medical Director will be a key player in the preparation and presentation of… more
- Randstad US (Research Triangle Park, NC)
- medical director i. + research triangle park , north carolina (remote) + posted october 23, 2024 **job details** summary + $215.15 - $253.11 per hour + contract ... company's West Coast Hub is seeking a highly motivated and experienced Medical Director (MD) to support development activities for our portfolio our immunology… more
- Merck (Raleigh, NC)
- …in the assigned territory (Boston area). **Role Summary** + The Oncology Regional Medical Scientific Director - Head & Neck Cancers/Melanoma is a credentialed ... questions about company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
- Merck (Raleigh, NC)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** The Health Systems Oncology Medical Affairs Director (HSO MAD) is a therapeutic and disease expert who develops ongoing professional… more
- Merck (Raleigh, NC)
- **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory ... our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director ( Medical Science Liaison) is a credentialed (ie,… more
- Teleflex (Morrisville, NC)
- Associate Global Medical Safety Director (Part Time/Remote US) **Date:** Oct 29, 2024 **Location:** Morrisville, NC, US **Company:** Teleflex **Expected Travel** ... safety across the global Teleflex portfolio reporting directly to the Global Medical Safety Director . As part of the Clinical and Medical Affairs (CMA)… more
- Takeda Pharmaceuticals (Raleigh, NC)
- …order to bring life-changing therapies to patients worldwide. Join Takeda as a Associate Director Medical Writing where you will be responsible for medical ... presentation and interpretation. In addition to project responsibilities, the Associate Director , Medical Writing is responsible for non-project related… more
- Chiesi (Cary, NC)
- Scientific Director US Medical Affairs, Pulmonary Hypertension Date: Nov 9, 2024 Department: Medical Affairs Job Type: Direct Employee Team: Mktg, Market ... lead the development, execution, and implementation of the global Medical Affairs strategy for Seralutinib within the US market...a key partnership and co-creation with the ex-US (ROW) Medical Affairs Head for Seralutinib to shape and align… more
- Highmark Health (Raleigh, NC)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more