- Humana (Springfield, IL)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Centene Corporation (Springfield, IL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Sumitomo Pharma (Springfield, IL)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- CVS Health (Springfield, IL)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- Amentum (Springfield, IL)
- …than 53,000 employees in approximately 80 countries across all 7 continents. The ** Director of IT SOX Compliance** is responsible for ensuring Amentum IT's SOX ... matrices, etc.), ensuring it is kept current. + Collaborates with the Company's Director of Internal Controls & SOX Compliance to evaluate IT system SOX scoping… more
- EFI Global (Springfield, IL)
- …to learn more about EFI Global. **We are seeking a Client Services Director with experience in the insurance industry, specifically in executive general adjusting ... on issues and trends impacting programs. + Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies… more
- Ryder System (Springfield, IL)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… more
- NASCO (Springfield, IL)
- …you will function as the primary operational leader and deputy to the Director of Technical Operations, responsible for ensuring the reliability and efficiency of ... system health and minimizing downtime risks. As a key partner to the Director , this role provides regular updates to Directors and executive-level stakeholders on… more
- CVS Health (Springfield, IL)
- …/ auditor position that is responsible for coordinating, managing, tracking, reviewing , researching and assisting with multiple complex audit activities initiated by ... all of the competing priorities + Work independently with limited direction from the Director + Coordinate, manage, track the audits from start to closure + Review… more
- Cardinal Health (Springfield, IL)
- …**_Responsibilities_** + Primary focus will be supporting 3PL Partners within the Medical Segment. + Manages internal Quality Assurance policies and programs to set ... & Drugs Act, Good Manufacturing Practice, and a variety of regulations related to medical devices, natural health products, drugs, and consumer goods. + Leads a team… more
- RES (Springfield, IL)
- …the change management process. + Supports Subcontractor Change Management by reviewing subcontractor changes and assessing impact to overall budget and forecast. ... project execution plan. **Assists with Client Relationship Management:** + Assists Construction Director and Project Manager in client negotiations as they relate to… more