• US Executive Director , Medical…

    Merck (Raleigh, NC)
    **Job Description** The Executive Director (ED) for US Medical Affairs (USMA) understands Our Company's enterprise level strategies and leads cross-functionally ... teams to translate Global Value and implementation (V&I) goals into the relevant US country-level goals and priorities. The USMA ED level of responsibility and… more
    Merck (08/20/25)
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  • Director , Payment Integrity Strategy…

    BlueCross BlueShield of North Carolina (NC)
    …work that can help others lead healthier, happier lives. **Authorization to Work in the United States ** We use E-verify to confirm authorization to work in the ... Improvements, Operations Management, Payment Integrity, Process Improvements, Process Optimization, Regulatory Compliance, Risk Management, Strategic Planning **About Us...United States . To learn more about E-Verify,… more
    BlueCross BlueShield of North Carolina (07/28/25)
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  • Director , Patient Services and HUB

    Sumitomo Pharma (Raleigh, NC)
    …a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) and Europe ... & neurology, and cell & gene therapies. With several marketed products in the US , Canada, and Europe, and a diverse pipeline of early- to late-stage assets, we… more
    Sumitomo Pharma (08/15/25)
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  • Medical Director - OneHome

    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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
    Humana (08/25/25)
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  • Medical Director - National Medicare

    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...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
    Humana (08/21/25)
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  • Director , Internal Controls and Special…

    Dentsply Sirona (Charlotte, NC)
    …is located in Charlotte, North Carolina. The company's shares are listed in the United States on NASDAQ under the symbol XRAY. **Bringing out the best ... industry, then we're looking for the best to join us . Working at Dentsply Sirona you are able to:...your typical internal control and SOX compliance position. The Director , Internal Control (SOX) and Special Projects serves as… more
    Dentsply Sirona (07/31/25)
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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 ... value based care in accordance with Medicare and Humana policy . The Medical Director will collaborate with...policy . All work occurs within a context of regulatory compliance and work is assisted by diverse resources,… more
    Humana (08/22/25)
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  • Director -Compliance Risk Assessment

    American Express (Charlotte, NC)
    …your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express. **How will you make an impact in this ... a culture of integrity and effective second line independent Compliance oversight.** The Director , Compliance Risk Assessment Program, is a key member of the 2nd… more
    American Express (08/08/25)
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  • Director - HR Compliance

    Lowe's (Mooresville, NC)
    **Your Impact** The Director of HR Compliance is a strategic leader responsible for driving enterprise-wide compliance and governance initiatives across Lowe's US ... local employment laws in a complex, multi-state, multi-location environment. The director oversees key compliance functions such as I-9 administration, workplace… more
    Lowe's (07/15/25)
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  • Senior Director , Auditing, Monitoring…

    Centene Corporation (Raleigh, NC)
    …this role will have the flexibility to work remotely anywhere in the United States . **Position Purpose:** Provides strategic leadership and management of ... issues and implementation of new compliance requirements with respect to regulatory and contractual language + Conducts compliance reviews and manages team… more
    Centene Corporation (07/05/25)
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