- BMS CAT (Wood Dale, IL)
- …and consultants, securing high-value pipelines. + Stay ahead of industry trends- claims mix, recovery needs, alternative solutions-and adapt strategy accordingly. 2. ... National & Enterprise Sales Management + Build and nurture relationships with senior decision-makers...and broker networks. + Deep knowledge of P&C coverages, claims processes, mitigation/restoration industry. + Proficiency in Salesforce, MS… more
- Lundbeck (Deerfield, IL)
- …the compliance program management software, as needed. + **Third Party Management :** Work with Director , Field Compliance and Investigations to help manage ... of growth! **Summary:** The Manager, Field Compliance will support the Director , Field Compliance and Investigations with driving and implementing all elements… more
- Humana (Springfield, IL)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- CenterWell (Springfield, IL)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
- 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 ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- 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 ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- WTW (Chicago, IL)
- …clients of their claim related obligations under the policy and establish client-specific claims management procedures + Provide claims advocacy on behalf ... **Description** **The Role** This role provides value-added claims leadership and management service for the management liability lines of coverage, acts as… more
- Elevance Health (Chicago, IL)
- ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... considered if candidate resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and… more
- Medical Express Ambulance Service (Skokie, IL)
- …The Director is responsible for accuracy and compliance of claims processing, denial adjudication, and collection processing. This position is responsible for ... The EMS Director of Revenue Cycle is responsible for leading,...manages the daily operations for emergency and non-emergency ambulance claims to ensure timely billing, collection and account resolution.… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations. **Job Description** **Key Responsibilities ... The Director , Strategic Planning & Operations is a pivotal...multi-year strategic roadmaps tailored to each therapeutic area **Budget Management ** + Oversee budgets for global medical … more
- CVS Health (Springfield, IL)
- …cover urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and ... services to its membership. Aetna is looking for a medical director to be part of a...licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health… more
- Merck (Chicago, IL)
- **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert ... about any drug, vaccine or biologic product. The Oncology Regional Medical Scientific Director provide to Scientific Leaders balanced, factual, scientific… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Job Summary** The Senior Director , Mature Assets Lead within the CNS medical business unit (BU) is a critical role responsible for shaping the strategic ... to balance competing priorities. This position reports directly to the Executive Director , CNS Medical BU Lead. **Job Description** **Key Responsibilities… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- The Associate Director , Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and ... through deep scientific understanding and collaborative partnerships. The Associate Director partners closely with global and regional cross-functional stakeholders… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- The Senior Director , Medical Affairs Solutions & Analytics provides oversight and spearheads Global Medical Affairs (GMA) business enablement and analytic ... efficient Medical Affairs operations as needed, including Medical customer relationship management , insights management...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Centene Corporation (Springfield, IL)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Humana (Springfield, IL)
- …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Insights Management Director will serve in an instrumental role building and delivering on Huron's ... and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical...Insights Management initiatives. Within this role, the individual will support… more
- Celestica (Chicago, IL)
- Req ID: 129127 Remote Position: Hybrid Region: Americas Country: USA **Summary** The Director , Strategic Supply Chain Management is a global supply chain focal ... provides guidance to ensure capacity is installed as needed. + Supports E&O claims , shortage management and follow up escalations with customers for resolutions.… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …consistency, and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities ... plan for the relevant therapeutic area portfolio, in partnership with the Senior Director , Medical Communications Lead, CNS Lead, and cross-functional teams (eg,… more
