- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and… more
- CVS Health (Springfield, IL)
- …Summary** 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 Medical Affairs department provides...development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- CVS Health (Springfield, IL)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... home ) role and m** **ust have a California medical license and be willing to obtain an Arizona...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CVS Health (Springfield, IL)
- …based (work at home ) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct daily work on ... in a Health Care Delivery System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state medical license… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization ... requests for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Cardinal Health (Springfield, IL)
- …that resides within the Cardinal Health Biopharma Solutions group within Cardinal Health . The Director , Sales & Business Development - Sonexus (TM) Access ... customer initiatives. This position will report to the Sales Director . This is a remote, work from home...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Cardinal Health (Springfield, IL)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing ... unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how...time that is best for your schedule. To ensure Home or Hybrid Home /Office employees' ability to… more
- Cardinal Health (Springfield, IL)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical , dental and vision coverage Paid time off plan ... oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** Humana's Marketing organization is seeking a dynamic and experienced Director , Campaign ... increase speed to market and optimize campaign plans + Familiarity with the health insurance or pharmacy marketing sector is highly desirable + Prior Marketing… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading ... + Prior management or team leadership experience **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to work effectively, the… more
- NASCO (Springfield, IL)
- **Overview** As the Director of Cloud Operations at NASCO, you'll be at the forefront of driving technical excellence and innovation in cloud services, with a strong ... emphasis on AWS.The Director is responsible for the management and optimization of...is designed to support the physical, mental, and financial health of our associates. We offer: **Physical and Mental… more
- Elara Caring (Springfield, IL)
- …Clinical Team Manager is responsible for the coordination of care during the home health benefit period, staff engagement and communication, safety, and training ... difference in your role as Clinical Team Manager Skilled Home Health by guiding your team to...opportunities for all employees + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer… more
- Evolent Health (Springfield, IL)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent Health (Springfield, IL)
- …required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more
- Cardinal Health (Springfield, IL)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... we are collectively the face and voice of WaveMark and Cardinal Health wherever WaveMark operates within the customer's organization. The WaveMark **Customer… more