- Conviva (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Springfield, IL)
- …and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Springfield, IL)
- …our caring community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations… 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
- Sumitomo Pharma (Springfield, IL)
- …. **Job Overview** The **Executive Director Head of Medical ... Strategy** will be a key member of the Medical Affairs Leadership team reporting to the Vice President,...Dynamic leadership skills. + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Sumitomo Pharma (Springfield, IL)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Director Regulatory Affairs** . The Director is part of the Global ... activities and submissions + May be responsible for creating and reviewing SOPs and regulatory department operating procedures. **Key Core Competencies** +… more
- Cardinal Health (Springfield, IL)
- **JOB TITLE:** Director , Compensation **Track / Level:** M3 **At Cardinal Health, we're developing the innovative products and services that make healthcare safer ... and communicates policies to managers throughout the enterprise. The Director , Compensation will drive broad-based and sales compensation for Pharma/Specialty… more
- Sumitomo Pharma (Springfield, IL)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Regulatory Affairs** . The Associate Director is part of the ... promotional materials review committee (PMRC) along with Marketing Brand Teams, Legal, Medical Affairs and Clinical Research in the development of in advertising and… more
- Western Digital (Springfield, IL)
- …ability to stay calm and collected under pressure. + Proficiency in reviewing and analyzing transaction documentation for risk considerations and collaborating on ... dress and grooming standards), sex (including pregnancy, childbirth or related medical conditions, breastfeeding or related medical conditions), gender… more
- Takeda Pharmaceuticals (Springfield, IL)
- …and building appropriate global regulatory strategy. + Preferred experience includes reviewing , authoring, or managing components of both drug and device regulatory ... or long-term incentives. US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company match, short-term and… more
- WM (Springfield, IL)
- …guidance, direction and recommendations to field operations by preparing and reviewing compliance reports, permit applications and draft permits. The team supports ... tracking and updates; and training. This position will report to the Senior Director of Air Programs and take direction from, coordinate with and/or assist Senior… more
- Constellation (Clinton, IL)
- … Director /Operations Managers. + Responsible for creating, revising, and reviewing Emergency Operating Procedures and Abnormal Operating Procedures to support ... program, 401(k) with company match, employee stock purchase program; comprehensive medical , dental and vision benefits, including a robust wellness program; paid… more
- ADM (Decatur, IL)
- …new users, review and removing users as needed. + Assist with documenting director and officer (or equivalent) changes for US and International subsidiaries and ... relationships related to legal entity management and state filing/reporting including reviewing , entering and approving invoices. + Respond to requests for… more
- System One (Springfield, IL)
- …for federal grant consideration, under the direction of the Senior Director , Media Technology & Service Strategies. **Duties & Responsibilities** + Evaluates ... documentation. + Strong analytical skills, with attention to detail in reviewing technical budgets, identifying variances, and providing solutions. + Excellent… more
- Evolent (Springfield, IL)
- …at Evolent will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client ... clinical team, which includes our Nurse, Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively with other Clinical Operation Leaders… more
- Evolent (Springfield, IL)
- …operations this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: ... work collaboratively with other Utilization Management Leaders including our Director may also be available. **What You Will Be...also be available. **What You Will Be Doing:** + Reviewing internal workflows and policies to determine if submitted… more
- Meta (Springfield, IL)
- …or publishing partner, will assess and address redlines in consultation with the Director of Sourcing, the Game Sourcer and Oculus Publishing legal partners. This ... 11. Manage contract close-out, extension, or renewals while drafting and reviewing , negotiating and finalizing certain forms of contracts, such as confidentiality… more
- IMSolutions, LLC (Springfield, IL)
- …across the professional services sector, contributing/coordinating responses, authoring/ reviewing sections, and developing/refining differentiating strengths. + ... activities as assigned. **This full-time, remote position will report to the Director of Business Development.** **Preference will be given to candidates in the… more