• Medical Director (Medical Affairs)

    CVS Health (Springfield, IL)
    …development, drug information services and pipeline activities, and provision of clinical leadership to various internal departments (eg, specialty pharmacy ... 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work...for providing oversight of a portion of CVS Health's clinical programs and commercial client program support.… more
    CVS Health (01/24/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director (Medical Policy…

    CVS Health (Springfield, IL)
    …delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise ... a willingness to learn is essential. The Primary Responsibilities of the Medical Director include support of the appeal process, clinical claim review process,… more
    CVS Health (03/14/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Interventional…

    Evolent (Springfield, IL)
    …Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
    Evolent (01/30/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Cardiology

    Evolent (Springfield, IL)
    …. **Qualifications - Required and Preferred:** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (02/14/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Commercial Appeals

    CVS Health (Springfield, IL)
    …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise as well ... as directing case management when necessary. The Medical Director will act as a business and clinical liaison to network providers and facilities if needed, to… more
    CVS Health (03/20/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - (Cardiology)

    CVS Health (Springfield, IL)
    …Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This role can be ... remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty , including… more
    CVS Health (03/08/25)
    - Save Job - Related Jobs - Block Source
  • Field Medical Director , Radiology…

    Evolent (Springfield, IL)
    Clinical practice within the last 2 years is preferred + Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining ... culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
    Evolent (03/21/25)
    - Save Job - Related Jobs - Block Source
  • Trade Client Relations Director Sr

    Prime Therapeutics (Springfield, IL)
    Specialty therapeutic classes working in partnership with Prime's Client Engagement team, Specialty strategy team, and Clinical Program Managers to ... and drives every decision we make. **Job Posting Title** Trade Client Relations Director Sr **Job Description** The Trade Client Relations Senior Director is… more
    Prime Therapeutics (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Regulated Medicare…

    CVS Health (Springfield, IL)
    …system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a ... based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily work on… more
    CVS Health (03/13/25)
    - Save Job - Related Jobs - Block Source
  • Director Network Pharmacy - Aetna

    CVS Health (Springfield, IL)
    …network. + Manage selection risk for pharmacies allowed in the network. + Drive clinical and cost interventions for medical and specialty pharmacy by leveraging ... more personal, convenient and affordable. Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (03/04/25)
    - Save Job - Related Jobs - Block Source
  • Sr. Clinical Analyst, Member Development…

    Cardinal Health (Springfield, IL)
    **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & ... new and existing member development, this role will deliver individualize and tailored program coverage to position Specialty Networks in creating value to the… more
    Cardinal Health (03/05/25)
    - Save Job - Related Jobs - Block Source
  • Lead Director , Pricing Strategy & Market…

    CVS Health (Springfield, IL)
    …a CVS Health colleague, you'll be at the center of it all! The Lead Director , Pricing Strategy will be responsible for leading a team that helps to determine ... external goals, maintaining high levels of customer satisfaction, and applying clinical and analytical expertise to make informed recommendations and decisions, and… more
    CVS Health (03/20/25)
    - Save Job - Related Jobs - Block Source
  • Chief Clinical Officer

    Evolent (Springfield, IL)
    …organization reporting directly to the Chief Medical Officer. The CCO will lead the Clinical Operations team and work with medical director leadership to ensure ... clinical integration and standardization, innovation in approaches to specialty care affordability, and advancement in patient impact and quality, including… more
    Evolent (03/21/25)
    - Save Job - Related Jobs - Block Source