• Medical Review Auditor Analyst…

    Conduent (Charlotte, NC)
    …and be part of a culture where individuality is noticed and valued every day. ** Medical Review Auditor Analyst (Remote - Charlotte Area)** **Are you a strong, ... you, then please apply!** **Job Summary:** Conduent is seeking an experienced Medical Review Auditor Analyst to join our team. This individual will work closely… more
    Conduent (06/21/25)
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  • Special Investigation Unit (SIU) Coding…

    CVS Health (Raleigh, NC)
    …for guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on ... rework projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to… more
    CVS Health (08/08/25)
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  • Medical Affairs Associate Director

    IQVIA (Durham, NC)
    …NP, RN) strongly preferred. + At least 3-5 years of direct US promotional/ medical review experience and be comfortable working independently with minimal ... **Job Description** IQVIA Pharma Review provides outsourced medical copy review and approval services and advisory services to the pharmaceutical industry.… more
    IQVIA (08/12/25)
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  • Medical Director, Gastroenterologist

    IQVIA (Durham, NC)
    …determinations, and issues of patient safety and/or eligibility. + Performs medical review of the protocol, Investigative Drug Brochure (IDB), ... in collaboration with or on behalf of Pharmacovigilance department. + May perform medical review of adverse event coding. + Performs review of the Clinical… more
    IQVIA (07/24/25)
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  • Associate Medical Director/Med Dir…

    ThermoFisher Scientific (Wilmington, NC)
    …investigators and project team members and supports business development activities. Provides medical review and analysis for clinical trial serious adverse ... clinical situations as they relate to the investigational study. + Provides medical review of adverse events of special interest, serious adverse events and… more
    ThermoFisher Scientific (08/08/25)
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  • VP & Medical Director

    Travelers Insurance Company (Raleigh, NC)
    …influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State ... regulations and medical guidelines to establish medical review policies. Works in close collaboration with the Claim leaders and in partnership with other … more
    Travelers Insurance Company (07/25/25)
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  • Sr VP Medical Director (Hourly)

    Sedgwick (Raleigh, NC)
    review process including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering training materials and ... Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20...+ Member of a client Disability Pension Board + Review of identified appeal cases for quality assurance purposes… more
    Sedgwick (08/22/25)
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  • Associate Medical Director,…

    Sumitomo Pharma (Raleigh, NC)
    …including pre- and post-marketing US FDA and/or EU ICH safety requirements** + Expertise in medical review of medical review of Individual case safety ... dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director.** The Associate Medical Director will provide hands-on… more
    Sumitomo Pharma (08/15/25)
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  • Director, Medical Affairs Strategy…

    Sumitomo Pharma (Raleigh, NC)
    …Initiated Study and Collaborative Research program. + Provide detailed and compliant medical review and approval of external resources, communications, and ... us on LinkedIn (https://c212.net/c/link/?t=0&l=en&o=4190475-1&h=2504638834&u=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fsumitomo-pharma-america%2F&a=LinkedIn) . Job Overview The Director, Medical Strategy (Prostate Cancer) will be a key member… more
    Sumitomo Pharma (07/30/25)
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  • Behavioral Health Medical Director…

    Humana (Raleigh, NC)
    …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review ...The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, … more
    Humana (08/09/25)
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