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Director Optum Utilization Review Jobs in Raleigh, NC

The Lead RN collaborates closely with the Program Director, PMHNP, therapists, case managers, and ... Participates in quality improvement, utilization review, infection control, and risk management ...

The Lead RN collaborates closely with the Program Director, PMHNP, therapists, case managers, and ... Participates in quality improvement, utilization review, infection control, and risk management ...

The Lead RN collaborates closely with the Program Director, PMHNP, therapists, case managers, and ... Participates in quality improvement, utilization review, infection control, and risk management ...

Office Coordinator

Raleigh, NC · On-site

$15.50 - $20.50/hr

Work with the business office and the utilization review department to ensure payment for services ... As directed creates appointments, starts follow up care process and completes interfacing with ...

Office Coordinator

Raleigh, NC

$15.50 - $20.50/hr

Work with the business office and the utilization review department to ensure payment for services ... As directed creates appointments, starts follow up care process and completes interfacing with ...

Director of Foundations

Garner, NC · On-site

$150K - $180K/yr

Direct responsibility for crew deployment, staffing levels, and personnel scaling. * Review and ... Review and approve project budgets, schedules, resource plans, and equipment utilization strategies.

Showing results 41-60

Director Optum Utilization Review information

See Raleigh, NC salary details

$17.5K

$50.9K

$81.7K

How much do director optum utilization review jobs pay per year?

As of Aug 18, 2026, the average yearly pay for director optum utilization review in Raleigh, NC is $50,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,900.00 and $58,300.00 per year, depending on experience, location, and employer.

What is the difference between Director Optum Utilization Review vs Utilization Review Manager?

AspectDirector Optum Utilization ReviewUtilization Review Manager
CertificationsTypically requires certifications like CCM or URAC accreditationOften requires similar certifications, may vary by employer
Work EnvironmentWorks within Optum or similar healthcare organizations, overseeing utilization review processesManages utilization review teams, often within healthcare providers or insurance companies
ResponsibilitiesStrategic oversight of utilization review policies, compliance, and team leadershipSupervises daily review operations, staff management, and process improvements

The main difference is that the Director Optum Utilization Review typically holds a higher strategic leadership role within Optum, focusing on policy and compliance, while the Utilization Review Manager manages daily operations and staff. Both roles require similar credentials but differ in scope and level of responsibility.

What are the most commonly searched types of Optum Utilization Review jobs in Raleigh, NC?

The most popular types of Optum Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Director Optum Utilization Review jobs?

Cities near Raleigh, NC with the most Director Optum Utilization Review job openings:

Director, Operating Room- Perioperative Supply Chain Services

Duke University

Durham, NC • On-site

$175K - $198K/yr

Full-time

Posted 26 days ago


Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

487th of 618 rated colleges and universities


Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

 Position Summary & Strategic Scope

The Director, OR & Perioperative Supply Chain Services provides direct operational leadership for operating room, procedural, and surgical services supply chain operations at Duke University Hospital (DUH). This includes functional oversight across 67 procedural areas spanning DUH North, Duke Medical Pavilion, and the Eye Center.

As a vital connector within a high-acuity environment, the Director bridges operational supply chain teams with perioperative clinical leadership, surgeons, value analysis, procurement, finance, and distributor networks. Duke Health requires dedicated perioperative supply chain leadership to support the scale, complexity, and risk profile of high-volume procedural operations. This leader accountable for stabilizing daily operations, ensuring reliable supply availability, driving technology deployment (such as RFID and Kanban), and advancing enterprise-wide process standardization through collaboration across Duke Health.

Key ResponsibilitiesPerioperative Operations & Inventory Discipline
  • Direct Operational Oversight: Lead daily supply chain operations across 67 procedural areas at DUH, ensuring uncompromising supply availability, replenishment discipline, and inventory accuracy to support clinical readiness.

  • Inventory Model Standardization: Evaluate and optimize inventory models, par levels, and replenishment strategies across all OR and procedural settings to reduce variation, eliminate duplicative stock, increase turnover, and minimize waste and write-offs.

  • Process Redesign & Continuous Improvement: Identify operational risks and variability across sourcing, logistics, distribution, preference-card support, and case readiness. Lead continuous improvement initiatives that strengthen operational controls and streamline procedural workflows.

 Technology-Enabled Transformation & Fiscal Stewardship
  • Systems Deployment & Optimization: Champion the adoption, stabilization, and optimization of modern perioperative supply chain technologies-including RFID-enabled workflows, PAR optimization, Kanban/2-Bin systems, and MMIS point-of-use tools-to enhance inventory visibility and decision-making.

  • Cost Containment & Waste Reduction: Advance cost stewardship through rigorous utilization review, contract compliance, inventory controls, and collaborative alignment with finance and procurement partners to sustainably reduce redundant inventory and write-offs.

  • Vendor & Distributor Performance: Partner with distributors, strategic vendors, and contracting teams to drive supplier accountability, improve delivery responsiveness, mitigate backorders, and manage substitution planning effectively.

 Team Leadership & Governance
  • Complex Team Management: Lead, mentor, and hold accountable high-performing, multi-shift supply chain teams supporting fast-paced OR and surgical environments. Establish scalable coverage models, staff development routines, and structured performance management.

  • Governance & KPI Tracking: Design and implement robust governance frameworks, Key Performance Indicators (KPIs), reporting routines, and structured escalation processes to track service reliability, productivity, inventory accuracy, and customer satisfaction.

  • Service Recovery Frameworks: Create disciplined, repeatable processes for dependable service recovery, resolving operational breakdowns rapidly while implementing root-cause solutions to prevent recurrence.

 Matrix Leadership & System Alignment
  • Clinical & Physician Partnership: Build trusted, highly credible relationships with perioperative nursing leadership, anesthesia chairs, surgeons, service-line directors, and value analysis teams to align supply chain strategies with patient care and physician preference management.

  • Cross-Entity Influence: Act as a collaborative influencer to align standards, common workflows, and best practices across Duke Raleigh, Duke Regional, Lake Norman, and affiliated sites without relying solely on direct reporting authority.

 Key Stakeholder RelationshipsInternal Partnerships
  • Perioperative nursing leadership, anesthesia leadership, surgeons, service-line leaders, and procedural area managers.

  • Value analysis teams, corporate procurement, contracting, finance, and inventory management teams.

  • IT, RFID, Kanban, 2-Bin, and MMIS technology enablement teams.

  • Hospital operations leadership across DUH, Duke Raleigh, Duke Regional, Lake Norman, and affiliated ambulatory sites.

 External & Operational Partnerships
  • Medical-surgical distributors, strategic product vendors, and courier/logistics partners.

  • Supplier representatives supporting implants, procedural supplies, physician preference items (PPI), and high-cost inventory.

  • External supply chain partners supporting product availability, backorder mitigation, substitution planning, contract compliance, and service recovery.

 Core Competencies & Candidate Profile
  • Perioperative Supply Chain Authority: Deep domain expertise in OR, procedural, and surgical services supply chain environments, with specialized mastery in preference-item management, implant tracking, and high-acuity inventory replenishment.

  • Disciplined Operator: Highly competitive and operationally credible leader capable of creating stable daily processes, establishing transparent KPIs, driving strong team accountability, and executing dependable service recovery frameworks.

  • Collaborative Bridge-Builder: Exceptional matrix leadership skills with the executive presence to gain buy-in and drive enterprise alignment across distinct hospital sites without relying solely on direct reporting authority.

  • Technology-Driven Innovator: Functional director who balances daily execution with strategic cost stewardship and technology-enabled transformation, translating data and operational gaps into scalable digital workflows.

 Minimum Qualifications & RequirementsEducation
  • Required: Bachelor's degree in Business, Healthcare Administration, Supply Chain, Logistics, Operations Management, or a closely related field.

  • Preferred: Master's degree in a related strategic or operational discipline.

 Experience
  • Functional Experience: Minimum of seven (7) years of progressive experience leading or supporting supply chain operations within Operating Room, procedural, surgical, or perioperative service environments.

  • Leadership Experience: Minimum of five (5) years of direct management experience leading complex operational teams in high-volume healthcare, perioperative, procedural, logistics, or supply chain settings.

  • Collaboration & Influence: Demonstrated track record of partnering closely with clinical leaders, surgeons, value analysis committees, distributors, and cross-functional hospital stakeholders.

  • Technical Proficiency: Preferred experience working with MMIS platforms, point-of-use technology, automated/RFID inventory workflows, PAR management tools, and performance reporting dashboards.

 Certifications
  • Relevant certifications in Supply Chain (e.g., CMRP, CSCP), Healthcare Operations, Lean/Six Sigma, or Perioperative Operations are preferred, but not required.


Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.


Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.


Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.



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About Duke University

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Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US