- Novo Nordisk Inc. (Raleigh, NC)
- … Director . Relationships Position reports to Field Director /Senior Field Director . Serves as organization spokesperson on advanced medical and technical ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets… more
- Elevance Health (Durham, NC)
- ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid.… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... Executive Director works closely with leaders from various departments-case management , physician advisors, revenue cycle, medical staff, nursing, and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... required turnaround times. * Prepares and presents cases to Medical Director (MD) for medical ...Utilization Review process including benefit interpretation, contract language, medical and policy review. * Proficient in MCG and… more
- CREO (Durham, NC)
- JOB DESCRIPTION OVERVIEW The Director , Technology Strategy and Solutions, is a high visibility client-facing leader responsible for a book of business and products ... is approximately 50% business development and 50% services, technical and management consulting project delivery and team leadership. Within CREO's seller-doer… more
- Kyndryl (Research Triangle Park, NC)
- …looking for a dynamic individual like you, who can revolutionize relationship management , drive account growth, and boost profitability. In this role, you'll have ... closely with other sales team members to ensure a seamless account management process. Together, you'll execute every aspect flawlessly, from the initial prospecting… more
- UNC Health Care (Chapel Hill, NC)
- …**Professional Experience Requirements:** * Five (5) years of experience in care management , utilization management , discharge planning, care coordination, ... operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social… more
