• Medical Director - Pacific SW

    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 (02/14/25)
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  • Medical Director - Southeast Region

    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 (02/07/25)
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  • Remote Behavioral Medical Director

    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
    Centene Corporation (01/18/25)
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  • Medicare Grievances and Appeals Corporate…

    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
    Humana (01/07/25)
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  • Business Development Director

    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
    Sedgwick (02/14/25)
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  • Director , Global Labeling Strategy Lead

    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 (01/26/25)
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  • Associate Director , Global Labeling Lead…

    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
    Takeda Pharmaceuticals (01/15/25)
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  • SIU Analyst

    Sedgwick (Springfield, IL)
    …and RESPONSIBILITIES** + Investigates claims to uncover criminal activity, false claims , staged accidents, or unnecessary medical treatments. + Analyzes ... more
    Sedgwick (01/30/25)
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  • Sr Manager, Project Program Management

    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
    CVS Health (02/14/25)
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  • Principal Client Solution Architect - State…

    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
    Mathematica (01/04/25)
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  • Compliance Principal - Remote

    Prime Therapeutics (Springfield, IL)
    …understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Experience identifying opportunities for ... more
    Prime Therapeutics (02/08/25)
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  • Clinical Letter Writer - RN, LVN/LPN (Cardiology/…

    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 (02/11/25)
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  • Coordinator, UM Intake

    Evolent (Springfield, IL)
    …and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be available. ... more
    Evolent (02/11/25)
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