• Senior Rater

    TEKsystems (Pekin, IL)
    …*Processes transactions on all Commercial Lines policies including quotations, new business issuance, policy changes, policy renewals, and premium audits *Performs ... data input, rating, coding, verification, and forms attachment for all policies *Works directly with underwriting and audit staff on ensuring the accuracy and completeness of all transactions in order to maximize product quality delivered to our customers… more
    TEKsystems (01/24/25)
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  • Field Medical Director, Cardiology

    Evolent (Springfield, IL)
    …recorded in a timely and accurate manner. + Participates in on-going training per inter- rater reliability process. + May assist the Senior Medical Director in ... accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications - Required and Preferred:** + MD/DO/MBBS… more
    Evolent (11/15/24)
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  • Medical Director (Medical Affairs)

    CVS Health (Springfield, IL)
    …or appeals when appropriate. - Medical Directors will participate in inter- rater review activities and other quality oversight processes for internal Director ... a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of… more
    CVS Health (01/24/25)
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  • Field Medical Director-Orthopedic/ Hip, Knee,…

    Evolent (Springfield, IL)
    …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... guidelines and/or system support. + Participates in on-going training per inter- rater reliability process. Qualifications: + MD/DO/MBBS + Minimum of five (5)… more
    Evolent (12/24/24)
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