- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... a focus on collaborative business relationships, value based care, population health , or disease or care management....health , or disease or care management. **Responsibilities** The Medical Director provides medical interpretation… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …Range: Dependent on Qualifications/Experience Position Summary/Description: We are seeking the Associate Director for Population Science (AD for Pop Sci) at the ... LCCC members and relevant stakeholders on the topic of population science related to cancer. This leader is responsible...they are physically located in the center of the medical campus in the UNC Lineberger building, a 79,000… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or… more
- 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. ... data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
- 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 ... reviewing home health , SNF, DME, dual...Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical… more
- 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 (Part D & B). The Medical director work assignments involve moderately complex...Micromedex, Lexicomp, Elsevier's Clinical Pharmacology + Exposure to Public Health , Population Health , analytics, and… more
- Novant Health (Charlotte, NC)
- …Data Strategy will develop and manage the strategy to leverage tools to empower population analytics, population health operations and payor program success. ... constantly evolving and currently represent key components of Novant Health 's strategic goals. The Director , Payor Data..., Payor Data Strategy role reports to the Sr Director , Medical Economics, and manages a team… more
- GRAIL (Durham, NC)
- …testing + Participate in routine audits of the clinical laboratory as lab director and medical subject matter expert **Preferred Qualifications:** + The GRAIL ... and we are using the power of next-generation sequencing (NGS), population -scale clinical studies, and state-of-the-art computer science and data science to… more
- Humana (Raleigh, NC)
- …lead Medical Directors performing utilization management for inpatient authorizations training medical director team to assist and facilitate new hires and ... part of our caring community and help us put health first** Humana is a $90 billion (Fortune 40)...rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations… more
- Grifols Shared Services North America, Inc (Research Triangle Park, NC)
- …and services in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... that since 1909 has been working to improve the health and well-being of people around the world. We...disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the… more