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Director Remote Utilization Review Jobs in Raleigh, NC

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 ...

Senior Engineer - Stormwater Review

Durham, NC · On-site +1

$79K - $122K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... with benefits Remote Employment: Flexible/Hybrid Job Number: 26-05989 Department: Planning ... We help plan and direct Durham's growth to support a high quality of life, a robust economy, and a ...

We are looking for a Sr. Director, CMC to join our A-team (hybrid*/remote) in the USA. As a Sr. ... Drive regulatory excellence by authoring and reviewing CMC submissions, leading Health Authority ...

We are looking for a Sr. Director, CMC to join our A-team (hybrid*/remote) in the USA. As a Sr. ... Drive regulatory excellence by authoring and reviewing CMC submissions, leading Health Authority ...

We are looking for a Sr. Director, CMC to join our A-team (hybrid*/remote) in the USA. As a Sr. ... Drive regulatory excellence by authoring and reviewing CMC submissions, leading Health Authority ...

Sr. Business Development Director

Durham, NC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Travel: Approximately 35% travel required, with overnight travel representing approximately ... Review client quotations and provide feedback to support commercial objectives. * Utilize ...

Medical Director, Neurologist

Durham, NC · Remote

$154K - $431K/yr

Performs review and clarification of trial-related Adverse Events (AEs). * Attends Kick-Off ... Remote #LI-NITINMAHAJAN IQVIA is a leading global provider of clinical research services ...

Local or remote candidates are encouraged to apply * Preferred start date is August 2025 ... Review progress reports, attend progress update meetings, record notes, offer scientific feedback

Remote Customer Service Agent

Chapel Hill, NC · Remote

$13.25 - $17.75/hr

Complete a W-9 form and set up direct deposit. * Complete client-specific certification ... Review detailed technology requirements Hours * Flexible scheduling; client hours of operation vary.

Remote Customer Service Agent

Raleigh, NC · Remote

$15 - $20.25/hr

Complete a W-9 form and set up direct deposit. * Complete client-specific certification ... Review detailed technology requirements Hours * Flexible scheduling; client hours of operation vary.

Remote Customer Service Agent

Durham, NC · Remote

$15 - $20/hr

Complete a W-9 form and set up direct deposit. * Complete client-specific certification ... Review detailed technology requirements Hours * Flexible scheduling; client hours of operation vary.

Remote Customer Service Agent

Apex, NC · Remote

$11.75 - $15.75/hr

Complete a W-9 form and set up direct deposit. * Complete client-specific certification ... Review detailed technology requirements Hours * Flexible scheduling; client hours of operation vary.

Remote Customer Service Agent

Cary, NC · Remote

$14.25 - $19.25/hr

Complete a W-9 form and set up direct deposit. * Complete client-specific certification ... Review detailed technology requirements Hours * Flexible scheduling; client hours of operation vary.

Remote Customer Service Agent

Wake Forest, NC · Remote

$13.25 - $17.75/hr

Complete a W-9 form and set up direct deposit. * Complete client-specific certification ... Review detailed technology requirements Hours * Flexible scheduling; client hours of operation vary.

Showing results 21-40

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 Aug 13, 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.

Medical Director, Cardiology

IQVIA

Durham, NC • Remote

Full-time

Re-posted 4 days ago


IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

61st of 223 rated it services


Job description

Job Posting Title- Medical Director, Cardiology

Location: Home-based in the U.S.

Job Overview:

The Associate Medical Director / Medical Director will provide medical, clinical and scientific advisory expertise to all IQVIA divisions as requested. Participate in all aspects of Medical Science involvement on assigned trials. Serve as a medical expert during project delivery lifecycle. Provide therapeutic and medical expertise to business development activities as requested.

Essential Functions

The role includes predominantly Medical Monitoring responsibilities with therapeutic and medical expertise to Business Development activities as requested.

Medical Monitoring:

  • Primarily serves as Global and /or Regional Medical Advisor on assigned projects.
  • Serves as Scientific Advisor and provides guidance to Project Leaders on the medical and scientific aspects of assigned projects.
  • Provides medical support to investigative sites and project staff for protocol-related issues including protocol clarifications, inclusion/exclusion determinations, and issues of patient safety and/or eligibility.
  • Performs medical review of the protocol, Investigative Drug Brochure (IDB), and/or Case Report Forms (CRFs).
  • Provides therapeutic area/indication training for the project clinical team.
  • Attends and presents at Investigator Meetings.
  • Performs review and clarification of trial-related Adverse Events (AEs).
  • May perform medical case review of Serious Adverse Events (SAEs), including review of case documentation and patient narrative, in collaboration with the Pharmacovigilance department.
  • May provide medical support for the Analysis of Similar Events (AOSE), in collaboration with or on behalf of Pharmacovigilance department.
  • May perform medical review of adverse event coding.
  • Performs review of the Clinical Study Report (CSR) and patient narratives.
  • Attends Kick-Off meetings, weekly team meetings, and client meetings, as needed or requested.
  • Available 24/7 to respond urgent protocol -related questions from investigative sites, in accordance with local labor laws.

Medical Strategy:

  • Provides expert advice on the development of medically sounded delivery strategies for small to large and/or complex multi-region studies in partnership with sales and other functions responsible for business development activities.
  • Responsible for the development of the medically related aspects of client proposals including the budget related to medical monitoring.
  • Provides medical and scientific advice to key internal stakeholders developing proposals: this may include, but is not limited to, reviewing the protocol for scientific/regulatory soundness and feasibility, identification of target site and principal investigator profiles, anticipated patient recruitment, standard of care and competitive landscape.
  • Attend and present at bid defense preparation and bid defense meetings, as required.
  • Participates in strategic business development activities including presentations to prospective clients.
  • Maintains awareness of industry development and may author related publications.
  • Requires periodic regional and international travel.

Qualifications

  • Board certification in Cardiology.
  • Medical degree from an accredited and internationally recognized medical school with a curriculum relevant to the specific therapeutic area, plus a minimum of 5 years' experience in clinical medicine post residency period.
  • Typically requires 5 - 7 years of prior relevant experience in the requested medical specialty area; In addition, previous clinical research experience as an investigator or in the Pharma, CRO, or Biotech industry is required.
  • Experience in Clinical Development (Phase I -IV)
  • Prior experience in cardiology with exposure to metabolic disease indications is preferred.
  • Ability to establish and maintain effective working relationships with coworkers, managers and clients.
  • Strong communication, presentation and interpersonal skills, including good command of English language (both written and spoken).
  • Robust and current knowledge of scientific, clinical, regulatory, commercial and competitive landscape in applicable therapeutic area.
  • Proven skills in providing consultation and advice on multiple assignments are required, as well as initiative and flexibility.
  • Current or prior license to practice medicine.

#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 $154,900.00 - $431,500.00. 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