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Director Remote Utilization Review Jobs in Raleigh, NC

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 ยท 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

Durham, NC ยท 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

Raleigh, NC ยท 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

Apex, NC ยท 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

Wake Forest, NC ยท 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

Cary, NC ยท 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.

Negotiate and manage annual schedule of items to reduce long term costs. * Assist and review scope ... This is a remote position that requires quarterly travel throughout the Carolinas and Georgia, with ...

Negotiate and manage annual schedule of items to reduce long term costs. * Assist and review scope ... This is a remote position that requires quarterly travel throughout the Carolinas and Georgia, with ...

Negotiate and manage annual schedule of items to reduce long term costs. * Assist and review scope ... This is a remote position that requires quarterly travel throughout the Carolinas and Georgia, with ...

This is a remote position. Compensation for this position will be determined by the prevailing ... Coordinate donor visits, learning exchanges, and portfolio reviews. Ensure Excellent Technical and ...

Senior Director, Global System Integrator (GSI) Partnerships - Cary, NC Headquarters, Remote Mid ... Lead governance and alignment activities, including steering committees, executive business reviews ...

Senior Director, Global System Integrator (GSI) Partnerships - Cary, NC Headquarters, Remote Mid ... Lead governance and alignment activities, including steering committees, executive business reviews ...

Showing results 41-60

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 Sep 3, 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 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 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 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 of Preclinical Research

CEDENT

Durham, NC โ€ข On-site, Remote

Full-time

Re-posted 28 days ago


Job description

The Client is seeking an experienced and high-agency individual to support the development of new treatments for Client, a rare bone cancer with no approved drug therapies. To date, weโ€™ve developed a suite of research-enabling resources, funded or collaborated with over 120 researchers and companies, and launched our own research lab to support drug discovery and repurposing. Through these collective efforts, weโ€™ve helped bring over 10 therapies into clinical trials for Client. With the goal of further increasing the pace of progress towards better treatments, weโ€™re hiring a Director of Preclinical Research to help us pursue a growing number of research opportunities spanning resource development, target discovery, drug discovery, drug repurposing and translational research. In this position, youโ€™ll play an instrumental role in enabling, supporting and driving research by:
  • Awarding and managing grants, guiding collaborations, and outsourcing internally-conceived projects
  • Developing, acquiring, and distributing research-enabling resources
  • Establishing and maintaining relationships and alliances with investigators, companies, and other stakeholders around the world
Position Overview
  • New, full-time position on the client research team
  • Position is office-based (not lab-based)
  • Travel 4-8 times per year for team meetings, collaborator/grantee visits and conferences
  • Reports to the Chief Scientific Officer (CSO)
  • Local or remote candidates are encouraged to apply
  • Preferred start date is August 2025
Responsibilities
Preclinical research grants:
  • Oversee our preclinical grants portfolio and manage the entire lifecycle of grantmaking activities, including RFP development, inviting/recruiting applicants, peer review, grant awards, and progress reporting
  • Review progress reports, attend progress update meetings, record notes, offer scientific feedback
  • Arm grantees with research-enabling resources, help them navigate barriers, identify opportunities for collaboration based on your birdโ€™s eye view of the research ecosystem
Outsourced research projects:
  • Identify appropriate opportunities to outsource projects to contract research vendors to advance our goals
  • Oversee all aspects of the vendor management process including selection, project scoping, ensuring execution on time and on budget, and data analysis
  • Assist CSO with the in vivo evaluation of promising therapeutic concepts in Client mouse models to develop rationale for new clinical trials
Research resource management:
  • Oversee our repositories of models, biospecimens, and data, and manage associated vendors
  • Distribute models, biospecimens, and data in support of global research efforts
  • Identify and import new datasets or models developed by researchers into our repositories to facilitate resource centralization
  • Stimulate the development of new preclinical models to fill gaps in our current repository, including immunocompetent models
Alliance management and ecosystem development:
  • Assist CSO in forging and maintaining relationships with external stakeholders across our various research programs
  • Facilitate effective and efficient preclinical research collaborations with academic investigators and companies
  • Stimulate new research by recruiting investigators with relevant interests and capabilities and educating them about our research-enabling resources
  • Assist CSO in writing grant applications to support internal research
  • Develop new knowledge through attendance at relevant conferences, workshops, symposia, and staying up to date on the scientific literature
  • Help our Development and Engagement teams develop research-related updates for various constituents, donors and funders
  • Update and further develop content and resources on our website for researchers
Required Qualifications
  • PhD, MD, PharmD or equivalent degree in the biological sciences
  • At least 5 years of industry experience in oncology R&D
  • Prior experience building and maintaining strategic relationships with CROs, companies, and academic researchers to achieve research goals
  • Adept at navigating bureaucracies, can effectively persuade and influence external stakeholders
  • Excellent verbal and written communication skills
  • Experience with research grants (writing, reviewing, and/or managing)
  • Highly organized, can effectively multitask and deliver results across multiple projects
  • High agency, proactive, takes initiative, makes decisions independently, escalates issues when appropriate
  • Must be legally authorized for employment in the U.S. We are not able to sponsor visas at this time

Cedent logo

About Cedent

Sourced by ZipRecruiter

CEDENT strives to attract and retain the best people and provide an environment where they can all develop professionally and build a rewarding career. As a result, we create an inclusive environment that is rich in diversity, acknowledges each individual's uniqueness and promotes respect, personal achievement and stewardship. Our clients are global and so is CEDENT. We build and maintain a global workforce that includes people from different backgrounds, with a vast range of skills and experience all united by a common culture and commitment to help our clients achieve high performance. Cultivating a diverse workforce and inclusive work environment makes business sense. Our peoples varied skills are the talent engine that powers CEDENT, enabling it in turn to deliver the innovative solutions that help our clients outperform competitors.

Industry

It services

Company size

11 - 50 Employees

Headquarters location

Plano, TX, US

Year founded

2008