• Director , Medicaid Insurance

    Humana (Springfield, IL)
    …capable of providing frameworks to maximize available resources to achieve growth. The ** Director ,** ** Medicaid Insurance Product Management - Growth ... company committed to improving the health of the communities it serves. Medicaid Insurance Product Management - Growth & Innovation team's purpose is… more
    Humana (11/06/24)
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  • Lead Director , Network Management…

    CVS Health (Springfield, IL)
    …health care more personal, convenient and affordable. **Position Summary** The Lead Director will manage the development of contracts and agreements with providers ... conceptual models, initiative planning, and negotiating high value contracts with Medicaid providers/facilities in accordance with company standards in order to… more
    CVS Health (10/26/24)
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  • Medical Director (Medical Affairs)

    CVS Health (Springfield, IL)
    …CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work from home opportunity. The ... to various internal departments (eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients.… more
    CVS Health (11/07/24)
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  • Clinical Program Development Director

    Prime Therapeutics (Springfield, IL)
    …domain and may align activities around a specific line of business (MedD, Medicaid , Health Insurance Marketplace, Commercial). **Responsibilities** + Serve as a ... drives every decision we make. **Job Posting Title** Clinical Program Development Director , Stars - Remote **Job Description** The Clinical Program Development … more
    Prime Therapeutics (11/01/24)
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  • Executive Director , Payor Medical…

    CVS Health (Springfield, IL)
    …transformation, and administrative support. CVS Accountable Care is seeking an Executive Director , Payor Medical Economics to join our growing organization. In this ... financial performance across payor programs including MA, Commercial, Exchange and Medicaid , interface with senior leaders within CVS Accountable Care and the… more
    CVS Health (11/03/24)
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  • Associate Director , Actuarial

    Humana (Springfield, IL)
    …caring community and help us put health first** The Associate Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data ... medium and long-term financial and competitive position. The Associate Director , Actuarial Analytics/Forecasting requires a solid understanding of how organization… more
    Humana (10/31/24)
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  • Compliance Principal - Remote

    Prime Therapeutics (Springfield, IL)
    …+ Working knowledge of Medicare Part D, Medicaid , state healthcare product or program related regulations and/or Health Insurance Marketplace guidance + ... within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...ability to adjust focus **Reporting Structure** + Reports a Director in the Compliance department Potential pay for this… more
    Prime Therapeutics (10/11/24)
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  • Senior Marketing Business Intelligence Engineer

    Humana (Springfield, IL)
    …Strategy & Marketing Performance role reports directly to the Director , Technology, Measurement, & Optimization, responsible for executing the measurement ... leadership and Humana standards. This role works closely with Marketing & Product Analytics teams to provide data-driven guidance for marketing efforts. The ideal… more
    Humana (11/01/24)
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  • CX Insights Lead

    Humana (Springfield, IL)
    …customer's relationship with Humana. This is a remote role reporting to the Director of CX Insights. + Leads customer/user insights and CX measurement contributions ... in customer insights and adjacent functional areas, including CX strategy, design, product , and marketing + Identifies new approaches, methods, and tools; activates… more
    Humana (11/12/24)
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