- Humana (Springfield, IL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... more
- Humana (Springfield, IL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... more
- Centene Corporation (Springfield, IL)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... more
- Humana (Springfield, IL)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... more
- Sedgwick (Springfield, IL)
- …of education and experience required to include five (5) years of relationship building in the claims management or risk management . + Must reside in one of ... more
- Takeda Pharmaceuticals (Springfield, IL)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... more
- Takeda Pharmaceuticals (Springfield, IL)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... more
- Sedgwick (Springfield, IL)
- …and RESPONSIBILITIES** + Investigates claims to uncover criminal activity, false claims , staged accidents, or unnecessary medical treatments. + Analyzes ... more
- CVS Health (Springfield, IL)
- …an environment. In partnership with and under the direction of the Lead Director , Health Plan Market Operations, this position will help develop and maintain ... more
- Mathematica (Springfield, IL)
- …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... more
- Prime Therapeutics (Springfield, IL)
- …understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Experience identifying opportunities for ... more
- Evolent (Springfield, IL)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... more
- Evolent (Springfield, IL)
- …and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be available. ... more