Coordinator, Medical Affairs

3 weeks ago


Raleigh, United States Spectraforce Technologies Full time

Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. The error rate is a factor in awarding and renewing Medicare/other contracts.*50% Provides clinical expertise, research, and judgment to develop Local Coverage Determinations(LCDS) under the direction of medical director. Maintains LCDS once developed.*35% Educates providers and internal customers on LCDS. Communicates with other interdepartmental staff in appropriate coding and reimbursement guidelines to ensure coordination and compliance.*15% Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability., Education: Required Education: Bachelor's degree - Nursing or other health related field. OR, Associate's degree in Nursing with an active RN license.Required Work Experience: 5 years clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas.Required License and Certificate: An active, unrestricted RN license from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC). For Division 33, Certified Genetic Counselor will be considered in lieu of RN License.Preferred Education: Bachelor's degree- Nursing.Preferred Work Experience: 7 years-clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas.Preferred Licenses and Certificates: HIAA, Loma, and/or ACLI certification. MPH, MHA certifications., Languages: English



  • Raleigh, United States Merz Pharmaceuticals USA Full time

    The Regulatory Affairs Senior Specialist - Medical Devices coordinates the regulatory activities for development projects including new products and life cycle management. This includes assisting with regulatory strategies and timelines as well as th Regulatory Affairs, Medical, Regulatory, Specialist, Senior, Device, Technology, Retail


  • Raleigh, United States Merz Pharmaceuticals LLC Full time

    The Regulatory Affairs Senior Specialist - Medical Devices coordinates the regulatory activities for development projects including new products and life cycle management. This includes assisting with regulatory strategies and timelines as well as th Regulatory Affairs, Medical, Regulatory, Specialist, Senior, Device, Technology, Retail


  • Raleigh, United States Merz Pharmaceuticals USA Full time

    The Regulatory Affairs Senior Specialist - Medical Devices coordinates the regulatory activities for development projects including new products and life cycle management. This includes assisting with regulatory strategies and timelines as well as the development and implementation of submissions under the direction of a line manager. Responsibilities *...


  • Raleigh, United States Merz Pharmaceuticals USA Full time

    The AVP/VP Strategic Research provides oversight to the Strategic Research function for Global Medical Affairs. They lead a team of post-doctoral scientists and clinicians who define, develop, and implement the peri/post marketing medical research strategies for Merz products and technologies, including life cycle management activities (Phase IV studies)....


  • Raleigh, United States Merz North America Full time

    The Regulatory Affairs Senior Specialist - Medical Devices coordinates the regulatory activities for development projects including new products and life cycle management. This includes assisting with regulatory strategies and timelines as well as the development and implementation of submissions under the direction of a line manager. Responsibilities...


  • Raleigh, United States Merz Pharmaceuticals USA Full time

    The AVP/ VP Strategic Research provides oversight to the Strategic Research function for Global Medical Affairs. They lead a team of post-doctoral scientists and clinicians who define, develop, and implement the peri/post marketing medical research s Vice President, President, Medical, Research, Strategic, Associate, Retail


  • Raleigh, United States Merz Pharmaceuticals USA Full time

    Contribute to the success of Global Medical Information by configuring the Information Request Management System (IRMS) to meet regional needs and guiding the development of medical information responses aligned with global medical strategy by developing global policies on best practices for creation of medical information responses. Responsibilities *...


  • Raleigh, United States Merz North America Full time

    Contribute to the success of Global Medical Information by configuring the Information Request Management System (IRMS) to meet regional needs and guiding the development of medical information responses aligned with global medical strategy by developing global policies on best practices for creation of medical information responses. Responsibilities ...


  • Raleigh, United States Merz North America Full time

    Contribute to the success of Global Medical Information by configuring the Information Request Management System (IRMS) to meet regional needs and guiding the development of medical information responses aligned with global medical strategy by developing global policies on best practices for creation of medical information responses. ResponsibilitiesMaintain...


  • Raleigh, United States ECPI University Full time

    Overview: This position will be based at our Raleigh, NC campus location Transform your Career at ECPI University Since 1966, ECPI Universitys employees have been dedicated to helping students achieve their academic and career goals through our unique education model. Our culture is to prioritize our students success through the support of our dynamic team...


  • Raleigh, United States North Carolina State University Full time

    The Division of Academic & Student Affairs (DASA) is where students discover connections and community. It is where students live, where they gather, where they improve themselves, each other, and their university. DASA is where students seek guidance and support, both in and outside of the classroom. The division serves all students at NC State through...


  • Raleigh, United States Merz Pharmaceuticals USA Full time

    The position of Global Medical Advocacy reports directly to the Associate Vice President, Global Medical Affairs Education and Advocacy and will help develop, execute, and deliver multiple deliverables to support Thought Leader Advocacy, Launch Excel Medical, Manager, Senior, Global, Leader, Technology, Retail


  • Raleigh, United States Medical Careers Institute Full time

    Overview This position will work at ECPI University's Raleigh, NC campus located at 4101 Doie Rd. Transform your Career at ECPI University Since 1966, the dedicated employees at ECPI University have helped students achieve their goals via practical training and career-focused education with over 50 Associates, Bachelor's and Master's Programs. Our culture...


  • Raleigh, United States US Tech Solutions Full time

    Job Description Client is seeking an experienced Director, Clinical Development to join our team and embark on a unique journey of advancing our clinical development programs in rare cholestatic liver disease. In this position, you will be an integral part of the clinical development team, supporting the execution of late-stage clinical studies. The ideal...

  • Executive Assistant

    2 weeks ago


    Raleigh, United States North Carolina State University Full time

    The Division of Academic & Student Affairs (DASA) is where students discover connections and community. It is where students live, where they gather, where they improve themselves, each other, and their university. DASA is where students seek guidance and support, both in and outside of the classroom. The division serves all students at NC State through...


  • Raleigh, United States Medical Careers Institute Full time

    Overview This position is based at our Raleigh, NC campus location. Transform your Career at ECPI University Since 1966, ECPI University's employees have been dedicated to helping students achieve their academic and career goals through our unique education model. Our culture is to prioritize our students' success through the support of our dynamic team...


  • Raleigh, United States Gilead Sciences Full time

    **IT Delivery Lead R&D** United States - North Carolina - Raleigh Information Technology Regular * Participates in business customer idea elaboration and technical problem-solving with potential technical options including proposals, front-end studies, development plans, and presentations * Partner with capability manager and global capability lead and...

  • Billing Coordinator

    2 days ago


    Raleigh, United States UNC Medical Center Full time

    Reviews, verifies, edits and submits/transmits claims and claim data to third party payors, insurance carriers, federal and state governmental agencies. Assures claim and data submission is timely, accurate and compliant with third party payor requir Billing, Clinic, Coordinator, Processing, Microsoft, Claims, Healthcare


  • Raleigh, United States North Carolina State University Full time

    The Division of Academic & Student Affairs (DASA) is where students discover connections and community. It is where students live, where they gather, where they improve themselves, each other, and their university. DASA is where students seek guidance and support, both in and outside of the classroom. The division serves all students at NC State through...

  • Welcome Coordinator

    6 days ago


    Raleigh, United States Oak Street Health Full time

    Company: Oak Street HealthTitle: Welcome CoordinatorRole DescriptionThe purpose of the Welcome Coordinator at Oak Street Health is to create an inclusive environment for anyone who walks through our doors and to make a positive first and last impression on our patients. Welcome Coordinators are the face of our clinic and the glue that keeps our center...