Utilization Review Director Jobs in Raleigh, NC | Glassdoor
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Utilization Review Director Jobs in Raleigh, NC

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  • 3.3
    MicroMass Communications – Cary, NC
    EASY APPLY
    2 days ago 2d
    with a strong sense of how work flows through an agency Utilization of the team and agency processes to ensure the highest quality… relationship with new revenue opportunities in assigned account Review brand marketing plans and assess opportunities to integrate…
  • 3.5
    Blue Cross and Blue Shield of North Carolina – Durham, NC
    Today 5hr
    errors to others. Reviews physician-submitted and member-submitted claims for specified services, utilizing professional knowledge… adjudication review of claims related to coding, billing and reimbursement. (FEP and Senior Market, Medicare HMO/PPO) Reviews claims…
  • Intalere – Raleigh, NC
    Est. Salary $49k-$101k
    1 days ago 17hr
    Requisition Number 17-0027 Post Date 5/25/2017 Title Director, Contracting - Nutrition & Environmental Services City St… other promotions and marketing campaigns to increase contract utilization. • Communicate as appropriate the contract status and details…
  • 2.0
    North Carolina Division of Motor Vehicles License – Wake Forest, NC
    Est. Salary $41k-$61k
    1 days ago 15hr
    with the Utilization Review Committee, the Quality Assurance Coordinator, Business Officer, Clinical Program Director, Medical… Medical Director and Facility Director provides ongoing clinical review of patients served at the facility -- from admission through…
  • 2.8
    MedThink Communications – Cary, NC
    EASY APPLY
    Est. Salary $93k-$151k
    22 days ago 22d
    Position matriculation includes Medical Director I, Medical Director II, and VP, Medical Director. Our THINKER Values… Fueled by the power for discovery, the Associate Medical Director provides medical direction internally to promotional writing…
  • 3.6
    PRA Health Sciences – Raleigh, NC
    Est. Salary $88k-$139k
    2 days ago 2d
    accountable for the plan’s results Review past efforts to understand role of media types utilized and historical performance as relevant… Overview: Job Description: A Media Director with the Patient Experience team has a thorough understanding of the media…
  • 3.2
    Aetna Inc. – Raleigh, NC
    Est. Salary $189k-$303k
    5 days ago 5d
    and outcomes. * Direct the utilization review process and oversee the quality of utilization determinations. * Ensure compliance… care, review guidelines, and clinical criteria based on extensive knowledge of health care delivery systems, utilization methods…
  • 3.3
    Duke Clinical Research Institute – Durham, NC
    Est. Salary $113k-$169k
    2 days ago 2d
    morale including employee reward and recognition programs. Review the clarity, relevancy and effectiveness of job roles and structures… networking, active participation in professional organizations, and review of the literature. Financial Management 10% Provide input in…
  • 3.1
    Macy's – Raleigh, NC
    1 days ago 13hr
    leadership. • Review reports, identify deficient areas and partner with Jewelry Business Manager and/or District Director to implement… behaviors resulting in high customer engagement. • Review & utilize Associate Selling Actions Metrics (ASAM) to provide recognition…
  • 3.2
    American Tower – Raleigh, NC
    Est. Salary $54k-$92k
    2 days ago 2d
    problems or complaints that arise at site level. Work with Director of Construction to develop construction management techniques… Proactively identify potential risk issues and collaborate with Director of Construction to develop a preventative action plan to address…
  • 3.8
    UNC Health Care – Raleigh, NC
    Today 7hr
    and/or Medical Director. Provide follow-up care and/or referrals as necessary. Collaborates with Medical Director and other designated… mentoring to staff nurses and by serving as clinical resource. Utilizes electronical medical record for clinical documentation. Demonstrates…
  • 3.8
    Piper Enterprise Solutions – Raleigh, NC
    1 days ago 21hr
    finance personnel. Reporting to the Corporate Recruiter and the Director of Recruiting, a successful candidate should be comfortable… Passion for Success) Reporting To: Corporate Recruiter & Director of Recruiting Location: Raleigh, NC Compensation:…
  • 2.6
    Delta Career Education Corporation – Raleigh, NC
    Est. Salary $48k-$93k
    1 days ago 14hr
    works under the guidance and supervision of the Director of Education, Program Director, or his/her designee. IT/Information… outline. • Utilizes active learning techniques to maintain a challenging learning environment for students; utilizes a variety…
  • Avid Solutions – Raleigh, NC
    3 days ago 3d
    Code 95-947 Job Description The Sales Director at Avid Solutions is an organizational leader that will define… with our employees and with our customers. The Sales Director reports to the CEO and is responsible for developing, communicating…
  • 4.2
    North Carolina State University – Raleigh, NC
    Est. Salary $94k-$140k
    11 days ago 11d
    following four subordinate directorates and corresponding mission sets and key tasks. 2. Utilities & Engineering – Directs activities… estimates. This position provides recommendations to the Director of Utility Services for improvements to the campus infrastructure…
  • 3.8
    UNC Health Care – Raleigh, NC
    Today 7hr
    assistance as needed. Provides feedback to Clinical Manager/Directors when indicated. Maintains a shift report that details… quality improvement activities. Recognizes, supports, and utilizes evidence based nursing practices. Job Qualifications…
  • 3.4
    Allscripts – Raleigh, NC
    Est. Salary $80k-$136k
    10 days ago 10d
    cases >2 weeks. Conduct monthly dispute review with each member of the team to review their cases and help direct how to handle… individuals to achieve high performance Allocates work load to fully utilize every employee’s talent Implements development plans and coaches…
  • 3.1
    Patheon – Raleigh, NC
    Est. Salary $109k-$164k
    14 days ago 14d
    willingness to hit the ground running. Ensure SSMF process is utilized across the business unit and collaboration within COE’s, PM… , work with key support functions to ensure implementation. Review suppliers performance against predetermined metrics and lead…
  • 2.1
    Consulate Health Care – Knightdale, NC
    Est. Salary $39k-$69k
    1 days ago 23hr
    equipment and utilities management program. Ensure compliance with state, federal, and other regulatory agencies. Review the department… the Executive Director, to ensure that our facility is maintained in a safe and comfortable manner. The Director of Environmental…
  • 3.6
    PRA Health Sciences – Raleigh, NC
    Est. Salary $57k-$122k
    28 days ago 28d
    accountable for the plan’s results Review past efforts to understand role of media types utilized and historical performance as relevant… Job Description: A Media Director with the Patient Experience team has a thorough understanding of the media landscape, with…
  • 3.6
    PRA Health Sciences – Raleigh, NC
    Est. Salary $72k-$128k
    28 days ago 28d
    participation in clinical trials. Our Senior Project Manager (or Director), with minimal supervision, will lead projects and is responsible… , with proven ability to handle multiple tasks effectively. Utilize problem-solving techniques effectively. Demonstrated ability…
  • 3.2
    INC Research – Raleigh, NC
    Est. Salary $94k-$142k
    8 days ago 8d
    business champions for sponsors and project leaders who are utilizing new clinical processes and technologies – i.e. Strategic data… content/knowledge to training developers. Collaborates in the review of training materials and methodologies. Help identify the areas…
  • 2.7
    nThrive – Raleigh, NC
    16 days ago 16d
    Job Description Overview : The Director of Bad Debt is responsible for the daily operations of our Bad Debt collection business… workforce. management to drive debt collection performance Utilizes process and data to deliver results. Work independently…
  • 3.2
    American Tower – Raleigh, NC
    Est. Salary $98k-$139k
    21 days ago 21d
    collaboration with the Chief Engineer and in coordination with the Director of Customer Engineering. The incumbent leads with creativity… respond to department requests and to collaborate with others to utilize their resources and knowledge to identify high quality solutions…
  • 3.5
    SynteractHCR, Inc. – Morrisville, NC
    Est. Salary $59k-$90k
    Today 13min
    Assists with resource management, including reviewing the productivity and utilization of the group. Assists with the coordination… Responsibilities Reviews the design of media for data collection (CRF). Reviews Data Management Plans, edit…
  • 2.4
    RehabCare – Raleigh, NC
    Est. Salary $61k-$112k
    9 days ago 9d
    performance reviews, engagement, training, general supervision, etc. · Participates in care coordination and utilization meetings… activities. · Schedules and leads monthly Client Report Review. · Reviews and completes Smart alerts daily for assigned sites of…
  • 3.6
    Zensar Technologies – Raleigh, NC
    24 days ago 24d
    managers, peers, and clients in regards to work performance Utilizes a goal-oriented approach, which drives self-improvement both… Security Processes. Security Change Management Rule Base Reviews & Optimization Security Incident Management (Standard & Critical…
  • 3.2
    UnitedHealth Group – Raleigh, NC
    17 days ago 17d
    block of renewal business. RAEs have a dotted line to the Director of Account Management Provides renewal sales expertise and… before beginning employment. Job Keywords: Small Business Director of Account Management, North Carolina, Charlotte, Greensboro…
  • 3.1
    Precyse Solutions – Raleigh, NC
    18 days ago 18d
    Overview: The Director of Bad Debt is responsible for the daily operations of our Bad Debt collection business with emphasis… workforce. management to drive debt collection performance Utilizes process and data to deliver results. Work independently across…
  • 4.3
    Environmental Defense Fund – Raleigh, NC
    15 days ago 15d
    electric utility industry by advocating for new utility business models and regulatory approaches that base utility earnings on… and consultants in the region. Supervise Program operations; review and update budget and strategic planning documents and work…
  • 3.7
    Flatiron – Raleigh, NC
    25 days ago 25d
    design input, reviewing scope of work Attend client / consultant meetings during the procurement phase Utilize strong marketing… As a Director of Business Development , you will lead the Business Development effort for Flatiron in the Southeast and Mid-Atlantic…
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