- LifePoint Health (Wilson, NC)
- …preferred. *Licenses:*N/A **Job:** ** Physician Services * **Organization:** **Wilson Physician Services * **Title:** * Director - Physician ... The Ambulatory & Medical Group Services Market Director is responsible for the operational oversight and direction of assigned provider practice(s) and… more
- CenterWell (Raleigh, NC)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- UNC Health Care (Raleigh, NC)
- …the Medical Directors to ensure optimal performance and efficiency of the Inpatient Physician Services programs/ service lines. 2. Participates in strategic ... we serve. **Summary:** Oversees business and financial operations of Inpatient Physician Services including Rex and Johnston Hospitalist programs, Psychiatry,… more
- Humana (Raleigh, NC)
- … Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Raleigh, NC)
- …instances these may require conflict resolution skills. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...Typically reports to an Associate Vice President of Health Services , Lead, or Corporate Medical Director , depending… more
- Humana (Raleigh, NC)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Dispatch Health (Cary, NC)
- …APP will work collaboratively with the Market Manager (MM) and the Regional Medical Director and cross functionally with Central Services teams, to enhance the ... Lead Nurse Practitioner or Physician Assistant FNP PA-C **How You'll Make an...market, number of offices etc. The performance of clinical services during scheduled shifts as an APP is an… more
- Parexel (Raleigh, NC)
- …the world's health. We do this by providing a suite of biopharmaceutical services that help clients across the globe transform scientific discoveries into new ... First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to join our Global… more
- UNC Health Care (Morrisville, NC)
- …of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible ... of healthcare resources in alignment with institutional goals. The Executive Director works closely with leaders from various departments-case management, … more
- Evolent (Raleigh, NC)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as,… more
- Evolent (Raleigh, NC)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of...and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will… more
- Centene Corporation (Raleigh, NC)
- …million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive ... provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to… more
- UNC Health Care (Morrisville, NC)
- …health and well-being of the unique communities we serve. **Summary** : The ** Director of Operations** will report directly to the Chief Compliance and Privacy ... with and on behalf of the leaders of the Hospital Compliance Department, Physician Compliance Department, and Privacy Office to support each of those areas. This… more
- Centene Corporation (Raleigh, NC)
- …million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive ... a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director in North Carolina.** Centene Corporation is a leading provider of… more
- Edwards Lifesciences (Raleigh, NC)
- …healthier lives. Join us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based role responsible for working ... directly with hospital executives, cardiovascular service line leaders and physicians to ensure they recognize the economic and clinical value of the transcatheter… more
- Evolent (Raleigh, NC)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve… more
- Evolent (Raleigh, NC)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more
- Highmark Health (Raleigh, NC)
- …**Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with ... to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions… more
- Travelers Insurance Company (Raleigh, NC)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... Medical Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay… more
- UNC Health Care (Raleigh, NC)
- …Responsible for the operational direction and performance of Radiation Oncology services . + Plans, directs and coordinates departmental functions including budget ... and financial performance; quality outcomes; customer service ; staff development, performance and training; and departmental operational performance. + The incumbent… more