- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Evolent Health (Springfield, IL)
- …from scrubs to jeans. **Collaboration Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of ... Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management team.… more
- CVS Health (Springfield, IL)
- …Michigan, Virginia, Pennsylvania, and New Jersey offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking ... Bring your heart to CVS Health . Every one of us at CVS Health shares...for a medical director to be part of a centralized team that supports the … more
- Highmark Health (Springfield, IL)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- CVS Health (Springfield, IL)
- … health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our Models ... Bring your heart to CVS Health . Every one of us at CVS ...care management staff as they support of members' physical, behavioral and socioeconomic needs. * Partner closely with the… more
- Highmark Health (Springfield, IL)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Springfield, IL)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Springfield, IL)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- NASCO (Springfield, IL)
- …Cross Blue Shield Medical , Dental, and Vision Plans + Telehealthcare - for Medical and Behavioral visits + Generous PTO with buy/sell options + 9 Company ... **Overview** As the Director of Cloud Services at NASCO, you'll be...is designed to support the physical, mental, and financial health of our associates. We offer: **Physical and Mental… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- The Cigna Group (Springfield, IL)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... Providers and members, monitors and processes provider requests related to Medical Director Recommendations delivering adverse determinations, and facilitates… more
- Conviva (Springfield, IL)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** This role is embedded within the clinical...CenterWell Primary Care Organization. This role reports to Associate Director of coding education and has a dotted line… more
- Maxim Healthcare Services (Rochester, IL)
- …preferred. *Benefit eligibility is dependent on employment status. **Specific Benefits: Medical /Prescription, Dental, Vision, Health Advocacy (company paid if ... effective and efficient manner under the direction of the Director of Clinical Services. Patient Cares + Pediatrics +...enrolled in Medical ), Health Advocate Employee Assistance Program, HSA, 401(k), Short Term… more
- Maxim Healthcare Services (Rochester, IL)
- …preferred. *Benefit eligibility is dependent on employment status. **Specific Benefits: Medical /Prescription, Dental, Vision, Health Advocacy (company paid if ... effective and efficient manner under the direction of the Director of Clinical Services. Patient Cares: + Pediatrics +...enrolled in Medical ), Health Advocate Employee Assistance Program, HSA, 401(k), Short Term… more
- Marriott (Springfield, IL)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **Relocation?** N **Position Type** Management **JOB SUMMARY** Reporting directly to the Director - Messaging & Collaboration, the Senior Product Owner - Entra… more
- Marriott (Springfield, IL)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... N **Position Type** Management **JOB SUMMARY** Reporting directly to the Director - Messaging & Collaboration, the Senior Product Owner - Exchange/Email… more