• Medical Director - Florida

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (10/29/24)
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  • Medical Director - South Central

    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 (10/29/24)
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  • Medical Director - Mid West Region

    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
    Humana (10/29/24)
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  • Part-time/Remote Medical Director

    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
    Highmark Health (09/24/24)
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  • Medical Director -Musculoskeletal…

    Evolent Health (Raleigh, NC)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
    Evolent Health (09/10/24)
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  • Medical Director - Pharmacy Appeals

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case by case… more
    Humana (11/02/24)
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  • Associate Medical Director

    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
    CenterWell (10/30/24)
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  • Medicare Grievances and Appeals Corporate…

    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
    Humana (10/29/24)
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  • Senior Medical Director

    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
    Takeda Pharmaceuticals (10/18/24)
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  • Regional Medical Scientific Director

    Merck (Raleigh, NC)
    **Job Description** **Role Summary** + The Cardiovascular & Metabolism Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) ... questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
    Merck (10/25/24)
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  • Oncology Regional Medical Scientific…

    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 (10/22/24)
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  • Associate Global Medical Safety…

    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
    Teleflex (10/30/24)
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  • Oncology Regional Medical Scientific…

    Merck (Raleigh, NC)
    **Job Description** The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
    Merck (10/30/24)
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  • Associate Director , Medical Writing…

    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
    Takeda Pharmaceuticals (10/05/24)
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  • Director , Medical Affairs, Cardiac…

    J&J Family of Companies (Raleigh, NC)
    …Senior Director , Global Medical Affairs & Clinical Research, the Director Medical Affairs North America will manage and support academic educational ... of cardiac unloading and cardiac recovery in the specialist community. The Director Medical Affairs will be an integral part of the Global Medical more
    J&J Family of Companies (10/15/24)
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  • Medical Director

    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
    Highmark Health (10/23/24)
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  • Associate Medical Director

    ThermoFisher Scientific (Morrisville, NC)
    …Standard (Mon-Fri) **Environmental Conditions** Office **Job Description** **Overview:** Provides medical oversight of clinical trials to ensure company SOPs, client ... followed. Attends and presents at investigator and sponsor meetings, provides medical consultation to clients, investigators and project team members and supports… more
    ThermoFisher Scientific (10/30/24)
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  • Director , Translational Medicine and Early…

    Organon & Co. (Raleigh, NC)
    …support the approved early development plans. The TMED Lead will serve as the medical monitor and/or study director responsible for the execution (in conjunction ... position can be 100% remote in the US** The Director , Translational Medicine and Early Development (TMED) Lead will...plan, paid vacation and holiday time, paid caregiver/parental and medical leave, and health benefits including medical ,… more
    Organon & Co. (10/17/24)
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  • Physician Clinical Reviewer, Hematology…

    Evolent Health (Raleigh, NC)
    …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more
    Evolent Health (10/04/24)
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  • CRNA - Certified Registered Nurse Anesthetist

    Fresenius Medical Center (Raleigh, NC)
    medical executive meetings and other management meetings upon request from the Medical Director . + Review and comply with the Code of Business Conduct ... Certification and Recertification for Nurse Anesthetists. + Insurable by an appropriate medical malpractice insurer for the limits required by this institution or… more
    Fresenius Medical Center (09/28/24)
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