• Merck & Co. (Durham, NC)
    …complying with current Good Manufacturing Practices in the form of project management and ultimately shop floor leadership.-Key Responsibilities for a Drug Substance ... environment, and safety, not in that orderTactical and strategic Shift(s) management , including collaboration with indirect staffPromote the behaviors and principles… more
    HireLifeScience (11/05/25)
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  • Utilization Management…

    Elevance Health (Durham, NC)
    ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid.… more
    Elevance Health (11/12/25)
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  • PCO Medical Director - UM - Part…

    CenterWell (Raleigh, NC)
    …**Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization ... **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health… more
    CenterWell (11/06/25)
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  • Medical Director Aetna Duals Center…

    CVS Health (Raleigh, NC)
    …urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and prior ... services to its membership. Aetna is looking for a medical director to be part of a...state licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another… more
    CVS Health (11/13/25)
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  • Field Medical Director…

    Evolent (Raleigh, NC)
    …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management … more
    Evolent (10/29/25)
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  • Medical Director - Medicaid N.…

    Humana (Raleigh, NC)
    … Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... caring community and help us put health first** The Medical Director relies on medical ...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
    Humana (10/25/25)
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  • Medical Director - Nat'l UM IP (4x10…

    Humana (Raleigh, NC)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... caring community and help us put health first** The Medical Director relies on medical ...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
    Humana (11/07/25)
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  • Medical Director - Claims Mgmt…

    Humana (Raleigh, NC)
    … Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received ... caring community and help us put health first** The Medical Director actively uses their medical...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
    Humana (11/01/25)
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  • Medical Director - Acute Rehab Team

    Humana (Raleigh, NC)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... caring community and help us put health first** The Medical Director actively uses their medical...Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a medical… more
    Humana (11/07/25)
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  • Executive System Director…

    UNC Health Care (Morrisville, NC)
    …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... Executive Director works closely with leaders from various departments-case management , physician advisors, revenue cycle, medical staff, nursing, and… more
    UNC Health Care (10/29/25)
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