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Director Remote Utilization Review Jobs in Raleigh, NC

Review quality metrics, issue trends, audit findings, and operational performance indicators to ... Evaluate workload, utilization, productivity, quality, and customer satisfaction metrics. * Support ...

Review quality metrics, issue trends, audit findings, and operational performance indicators to ... Evaluate workload, utilization, productivity, quality, and customer satisfaction metrics. * Support ...

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

We are seeking a Clinical Director to add to our dynamic team. This position will support our ... Participate in utilization review meetings, representing patient needs in both clinical and ...

Analyze trends in utilization and availability to drive redeployment of team members across offices ... remote and hybrid options What's in it for you: - Working with an industry leader : Be part of a ...

Stormwater Review Manager

Durham, NC · On-site +1

$91K - $146K/yr

... with benefits Remote Employment: Flexible/Hybrid Job Number: 26-05828 Department: Planning ... We help plan and direct Durham's growth to support a high quality of life, a robust economy, and a ...

Performs medical review of the protocol, Investigative Drug Brochure (IDB), and/or Case Report ... Current or prior license to practice medicine. #LI-Remote #LI-NITINMAHAJAN IQVIA is a leading ...

Performs medical review of the protocol, Investigative Drug Brochure (IDB), and/or Case Report ... Current or prior license to practice medicine. #LI-Remote #LI-NITINMAHAJAN IQVIA is a leading ...

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Director Remote Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

How much do director remote utilization review jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for director remote utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

What is the difference between Director Remote Utilization Review vs Utilization Review Nurse?

AspectDirector Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, advanced degree, and management experienceRegistered Nurse (RN) license, relevant clinical experience
Work EnvironmentOversees teams remotely, strategic planning, policy developmentConducts patient reviews, collaborates with healthcare providers, often remote or onsite
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare facilities

The main difference is that the Director Remote Utilization Review focuses on managing teams and policies remotely, while the Utilization Review Nurse performs clinical reviews directly related to patient care. The director has a broader strategic role, whereas the nurse role is more clinical and operational.

What is a Director of Remote Utilization Review?

A Director of Remote Utilization Review is a healthcare leader responsible for overseeing teams that assess the necessity, appropriateness, and efficiency of medical services, typically from a remote or virtual environment. This role ensures compliance with regulatory guidelines, optimizes resource use, and helps manage healthcare costs while maintaining quality patient care. Directors collaborate with physicians, nurses, and insurance providers to review clinical cases and develop utilization review strategies. They also monitor performance metrics and implement process improvements for remote teams.

How does a Director of Remote Utilization Review typically collaborate with clinical and administrative teams to ensure effective patient care management?

A Director of Remote Utilization Review plays a pivotal role in bridging clinical staff, case managers, and administrative teams to optimize patient care and resource utilization. This is often achieved through regular virtual meetings, data sharing, and cross-departmental strategy sessions to review utilization trends and address barriers to care. The director ensures that remote teams adhere to regulatory standards and organizational goals, fostering open communication to streamline workflows and resolve complex cases efficiently. Successful collaboration enhances patient outcomes, reduces unnecessary costs, and maintains compliance, all while supporting a positive remote team environment.

What are the key skills and qualifications needed to thrive as a Director of Remote Utilization Review, and why are they important?

To thrive as a Director of Remote Utilization Review, you need in-depth knowledge of healthcare regulations, utilization management processes, and a relevant clinical background, typically supported by an RN or other clinical licensure and experience in case management. Familiarity with utilization review software, electronic health records (EHR), and certifications such as CCM or UM are often required. Leadership, analytical thinking, and strong communication skills are vital for guiding teams and collaborating with stakeholders. These skills ensure effective oversight of remote teams, regulatory compliance, and optimal patient care outcomes.
What are the most commonly searched types of Remote Utilization Review jobs in Raleigh, NC? The most popular types of Remote Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Director Remote Utilization Review jobs? Cities near Raleigh, NC with the most Director Remote Utilization Review job openings:
Infographic showing various Director Remote Utilization Review job openings in Raleigh, NC as of July 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.
Director, Remote Research Clinicians

Director, Remote Research Clinicians

IQVIA

Durham, NC • Remote

Full-time

Posted 7 days ago


IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

56th of 213 rated it services


Job description

Job Posting Title- Director, Remote Research Clinician/Decentralised Clinical TrialsLocation: Home-based in the U.SJob Overview

The RRC Director of Operations is a senior individual contributor responsible for advancing the growth, scalability, operational consistency, and quality of the Remote Research Clinicians business. This role provides dedicated leadership across strategic client engagement, technology-enabled operations, service expansion, and quality oversight to support RRC's next phase of growth.

This position partners closely with RRC leadership, Business Development, Delivery teams, Product and Technology teams, Sponsors, Quality and Compliance, Therapeutic Area Leads, and other cross-functional stakeholders to identify opportunities for operational improvement, service diversification, technology adoption, and delivery excellence across global clinical research programs.

Essential FunctionsStrategic Growth & Key Account Leadership
  • Serve as a senior operational liaison for strategic sponsor accounts, supporting governance, issue resolution, service planning, and growth initiatives.
  • Support pre-award consultation, solution design, scope development, and bid defense preparation.
  • Partner with Sponsors, Sites, Business Development, and Delivery teams to identify opportunities that increase clinician value.
  • Participate in governance and strategic planning discussions that support service growth and operational transformation.
  • Monitor industry trends, customer needs, decentralized clinical trial developments, and competitive activity to inform RRC growth strategy.
Technology Strategy & Operational Enablement
  • Act as the primary RRC business representative for technology strategy and workflow enhancement initiatives.
  • Partner with Product, Technology, System Architecture, and Operations teams to prioritize and implement technology improvements.
  • Evaluate and operationalize solutions that improve efficiency, scalability, quality oversight, and stakeholder experience.
  • Drive advancement of technology-enabled clinical trial solutions, including workflow automation, eSource, digital health, and operational management platforms.
  • Develop standards, metrics, reporting frameworks, and governance processes that promote consistent use of tools, systems, and dashboards.
  • Identify opportunities to leverage technology to reduce manual effort, improve visibility, and strengthen operational controls.
Strategic Expansion & Service Innovation
  • Lead evaluation, design, and implementation of new RRC services and operational capabilities.
  • Partner with leadership to define operational workflows, governance structures, implementation models, and success criteria for emerging offerings.
  • Drive continuous improvement and Kaizen initiatives focused on scalability, productivity, quality, and customer experience.
  • Identify opportunities for standardization across service lines, countries, clinician types, and delivery models.
  • Develop operational playbooks, implementation frameworks, and best practices that enable sustainable global growth.
  • Assess new business opportunities and emerging market needs to support long-term expansion of RRC capabilities.
Quality Oversight & Operational Excellence
  • Provide centralized quality oversight across key RRC operations.
  • Review quality metrics, issue trends, audit findings, and operational performance indicators to identify improvement opportunities.
  • Support investigations, root cause analyses, and Corrective and Preventive Action (CAPA) activities.
  • Collaborate with Quality and Compliance teams to ensure operational processes remain aligned with regulatory and internal quality expectations.
  • Lead development, revision, and implementation of SOPs, work instructions, templates, and training materials.
  • Provide guidance on complex operational challenges, escalations, and quality-related risks.
  • Promote a culture of continuous improvement, accountability, and delivery excellence throughout the organization.
Operational Performance & Organizational Support
  • Evaluate workload, utilization, productivity, quality, and customer satisfaction metrics.
  • Support capacity planning, operational readiness assessments, and resource forecasting.
  • Establish success measures and reporting frameworks for strategic initiatives and operational improvement efforts.
  • Identify and communicate lessons learned and best practices throughout the organization.
  • Support organizational readiness for growth through process optimization and business transformation initiatives.
QualificationsEducation
  • Bachelor's degree in Life Sciences, Healthcare, Clinical Research, Business, Operations, or a related field required.
Experience
  • Significant experience in clinical research, decentralized clinical trials, clinical operations, project management, patient/site services, or related healthcare services.
  • Experience supporting complex global clinical trial operations and multi-functional delivery teams.
  • Demonstrated experience working with sponsors, sites, and operational stakeholders in a highly matrixed environment.
  • Experience leading strategic initiatives, operational improvements, business transformation efforts, or service expansion activities.
  • Experience with technology-enabled clinical trial delivery models and digital health solutions preferred.
Knowledge, Skills & Abilities
  • Strong understanding of clinical trial operations and decentralized clinical trial methodologies.
  • Working knowledge of ICH-GCP, quality systems, regulatory requirements, and operational compliance standards.
  • Excellent strategic thinking and business planning capabilities.
  • Strong problem-solving skills with the ability to navigate complex operational challenges.
  • Demonstrated ability to evaluate operational metrics and translate data into actionable improvements.
  • Exceptional stakeholder management and influence skills.
  • Excellent written, verbal, and presentation communication abilities.
  • Ability to lead initiatives across multiple functions without direct authority.
  • Experience developing operational processes, SOPs, work instructions, governance models, and training materials.
  • Strong organizational and prioritization skills with the ability to manage multiple strategic initiatives simultaneously.
  • Proficiency with Microsoft Office applications and operational management systems.
Key Success Measures
  • Successful implementation of strategic growth initiatives.
  • Expansion of RRC service offerings and operational capabilities.
  • Measurable improvements in quality, efficiency, and operational consistency.
  • Increased adoption of technology-enabled workflows and solutions.
  • Improved stakeholder satisfaction and business performance.
  • Successful execution of continuous improvement and transformation initiatives.
  • Development of scalable operational frameworks that support long-term business growth.
Role Scope

This is a non-billable senior individual contributor role focused on business growth, central operational support, technology advancement, service innovation, and quality oversight. The position provides dedicated strategic leadership that strengthens scalable delivery, operational consistency, and future growth of the Remote Research Clinicians organization while allowing delivery and line management leaders to remain focused on project execution and team development.

#LI-Remote

#LI-NITINMAHAJAN

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role, when annualized, is $125,900.00 - $350,900.00. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US