- 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 ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Datavant (Raleigh, NC)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Fujifilm (Raleigh, NC)
- …to working OT to handle workload and meet required metrics/expectations. ** Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a mission ... effectively communicate with our customers, and document the interactions within a case . + Works cross-functionally with other Synapse teams/products as required and… more
- Travelers Insurance Company (Raleigh, NC)
- …**What Is the Opportunity?** Investigate, evaluate, reserve, negotiate and resolve the company 's most severe and/or complex Life Science medical products, ... Do?** + CLAIM HANDLING: + Directly handle assigned severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims, as well as… more
- Sumitomo Pharma (Raleigh, NC)
- …FDA and/or EU ICH safety requirements** + Expertise in medical review of medical review of Individual case safety reports and aggregate safety reports + ... Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in...motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will… more
- Elevance Health (Winston Salem, NC)
- Medical Management Specialist I **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and ensures essential face-to-face onboarding and skill development. The ** Medical Management Specialist I** is responsible for providing non-clinical support… more
- Fujifilm (Raleigh, NC)
- …the team as necessary in the absence of the Manager and or LPO. ** Company Overview** At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for ... (MRD). + Product Requirements Definition (PRD), as appropriate. + User Story, Use Case Scenarios and Use Case support documentation. + Development team and… more
- ThermoFisher Scientific (Greenville, NC)
- …future. **Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director/Clinical Trial Physician(FSP) based in the United States and ... a 10-20% range(international maybe required). **Discover Impactful Work:** Provides clear medical leadership in the Study team, working in close collaboration with… more
- Grifols Shared Services North America, Inc (Wilmington, NC)
- …want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of ... services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming clinical… more
- Elevance Health (Winston Salem, NC)
- …credentialing. + Under direction, may be responsible for the administration of medical services for company health plans including medical ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...a resource and consultant to other areas of the company . + May interpret existing medical policy.… more