- The Cigna Group (Chicago, IL)
- The Director of Medicaid and Marketplace Strategy leads a team of Client Strategists to support health plan clients in achieving quality and regulatory goals, ... of both proposed and existing regulatory requirements in relevant markets. Additionally, the Director will represent, influence, and guide the development of a… more
- CVS Health (Springfield, IL)
- …for internal Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled ... 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs (Oncology) We need a Board...from home role. The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical… more
- CenterWell (Springfield, IL)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or… more
- Rush University Medical Center (Chicago, IL)
- …to the Medical Director , Rush Medical Laboratories (RML). The Administrative Director is responsible for the development , monitoring and leadership of the ... **Job Description** **Location:** Chicago, Illinois ** Business Unit:** Rush Medical Center **Hospital:** Rush University Medical Center **Department:** RML… more
- Humana (Springfield, IL)
- … Director , Quality and Risk Adjustment has regional oversight of the development and implementation of the company Medicare/ Medicaid Stars Program. Oversees ... is submitted to CMS and other governmental agencies. The Director , Quality and Risk Adjustment requires an in-depth understanding...trends with the ability to understand and effectively anticipate business impact + Minimum of 5 years of experience… more
- Aveanna Healthcare (Fairview Heights, IL)
- Executive Director - Home Care ApplyRefer a FriendBack Job Details Requisition #: 206198 Location: Fairview Heights, IL 62208 Category: Management Salary: $70,000.00 ... - $80,000.00 per year Position Details Position Overview The Executive Director is directly responsible for the administrative and leadership functions associated… more
- Huron Consulting Group (Chicago, IL)
- …ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such as ... adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare… more
- Humana (Springfield, IL)
- …lead the development of new products and services in Humana's Medicaid BH delivery model. **Position Responsibilities:** + Leads clinical and quality management ... collaborative care models in their practices + Coordinates with the Medical Director to integrate the administration and management of behavioral and physical health… more
- Chiesi (IL)
- …Manage meetings and communications to achieve account goals and objectives. + Account Business Planning and Development : + Utilize active account planning to ... Tactical Execution: + Secure optimal formulary status, aligned with the Market Access business unit goals. + Support National Account Director pull through… more
- Humana (Springfield, IL)
- …the broader business objectives. You will champion automation across the development lifecycle to minimize manual toil and improve efficiency. You will build ... community and help us put health first** The Associate Director of DevOps Engineering is a strategic and technical...partnerships across the software development and operations engineering teams and be a conduit… more
- Genesis Orthopedics & Sports Medicine (Chicago, IL)
- …+ Bachelor's degree required + 5+ years of experience in healthcare business development , FQHC engagement, or provider relations + Deep understanding ... access to care for underserved communities, including those on Medicaid or without insurance. We've been honored to appear...high-quality orthopedic care. The Opportunity We are seeking a Director of Strategic Growth - FQHC & Physician Relations… more
- Health Care Service Corporation (Chicago, IL)
- …for providing leadership and oversight of the Pharmacy function that supports Medicaid & Individual Markets lines of business . Responsible for improving ... At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower...foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling… more
- Sumitomo Pharma (Springfield, IL)
- …to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on ... a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face… more
- CVS Health (Chicago, IL)
- …subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business . Includes Dual Eligible, HIDE/FIDE Integrated, and Chronic plans. The SNP ... opportunity to get into a growth story early, work closely with executive Medicare business leaders to drive strategic decisions, and shape the role in your own… more
- Baylor Scott & White Health (Springfield, IL)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- AbbVie (Mettawa, IL)
- …projects of critical importance to the brand. + Consult with Pipeline team and Business Development to inform licensing and acquisition work in light of channel ... + Collaborate closely with USMAx leadership, Government Affairs, Public Affairs, the Business Evolution and Strategy Development organization, the IRA Center of… more
- Humana (Springfield, IL)
- …and help us put health first** We're looking for an experienced and passionate Director of AI Engineering to lead a team focused on building agentic AI capabilities ... about accelerating the adoption and impact of agentic AI across diverse business domains. **Key Responsibilities** **Team Leadership:** Lead and grow a team of… more
- Mathematica (Chicago, IL)
- …of business . Additionally, the Sr. Fellow will participate in business development efforts, including cultivating relationships with new clients, expanding ... and family support to nutrition, employment, disability, and international development . Mathematica offers our employees competitive salaries, and a comprehensive… more
- Danaher Corporation (Chicago, IL)
- …on a global scale, within an environment that fosters career growth and development . Our mission drives us to develop groundbreaking solutions for the world's most ... MORE change to the world. Learn about the Danaher Business System (https://www.danaher.com/how-we-work/danaher- business -system) which makes everything possible.… more
- Humana (Springfield, IL)
- …remediation guidance for technical and executive audiences. Present findings to development teams, infrastructure groups, and business stakeholders. Use ... Bug Bounty professionals, highly specialized experts who identify vulnerabilities so the business can address them proactively. Fridays are dedicated to research and… more