- Humana (Springfield, IL)
- …community and help us put health first** Humana Gold Plus Integrated is seeking a Consumer Experience Lead who is dedicated full-time to member services for the ... speak up and voice opportunities to improve the member experience . The Consumer Experience Lead...managers (especially the Quality Manager, Utilization Manager, and Medical Director ) and departments to address and resolve member grievances… more
- Humana (Springfield, IL)
- …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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform...that a better care system is more transparent and consumer -focused, and it recognizes physicians for their clinical quality… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... with heart, each and every day. **Position Summary** The Illinois Behavioral Health Director is a key conduit for Behavioral Health related information as well as… more
- Humana (Springfield, IL)
- …passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Leadership experience in ... community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The Associate...Bachelor's Degree + 6 or more years of technical experience + 2 or more years of management … more
- Humana (Springfield, IL)
- … consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune...coverage. **Required Qualifications:** - Five or more years of experience providing direct patient care. - Illinois state medical… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
- Humana (Springfield, IL)
- … consumer experiences **Preferred Qualifications** + Medical utilization management experience , + working with health insurance organizations, hospitals and other ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry including… more
- Hilton (Springfield, IL)
- …based in Argentina or Brazil \- with a preference for Argentina\*\*\*_ As the Director , Global Luxury Sales - South America, you will be an important member within ... to our owners and operators\. Reporting to the Managing Director of Sales - Americas, you will identify and...these minimum qualifications:** + Ten \(10\) years of professional experience + Five \(5\) years of progressive experience… more
- ISC2 (Springfield, IL)
- …an independent and globally recognized endorsement of cybersecurity knowledge, skills and experience for all career levels. Our charitable arm, the Center for Cyber ... all of our successes. Learn more. **Position Summary** Reporting to the Senior Director , Marketing, you will beinnovative and a results-driven leader who thrives in… more
- Highmark Health (Springfield, IL)
- …data exchange capabilities, as well as outsourced technology and BPO services. The Director is a strategic thinker with experience in selling Healthcare ... **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... our systems remain stable and performant as we scale. The Lead Director of Observability Engineering is a critical leadership role within Solutions Engineering… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... heart, each and every day. **Position Summary** The Lead Director of Clinical Innovation is a critical leader and...in attracting, retaining, and engaging a diverse and inclusive consumer -centric workforce that delivers on our purpose and reflects… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... ways every day. Aetna is recruiting for an Executive Director of Sales who will develop and manage a...with operational teams on execution expectations. + Possessing the experience , credibility, and demeanor to interact with individuals at… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …+ MBA or other relevant graduate or post-graduate degree + 12+ years commercial experience , ideally spanning HCP, consumer , new product launch experience , ... team members responsible for creating and implementing brand strategy across HCP/PME/ Consumer /NPP marketing. We are looking for a passionate and innovative marketing… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... ways every day. Aetna is recruiting for an Executive Director of Product Strategy and Development, as part of...10+ years of population health and/or employee benefits industry experience . + 10+ years of relevant work experience… more
- CVS Health (Springfield, IL)
- At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... for this role in the central time zone, due to BOB The Lead Director , Account Client Management develops and executes account management strategy for a book of… more
- CenterWell (Springfield, IL)
- …identify and influence enhancements to technology to improve the medical coder experience . + Oversees coding operations by identifying business partner needs and ... skills to make an impact** **Required Qualifications** + Minimum 5 years of management experience + 8 or more years of Medical Coding, IPA, or similar experience… more
- Highmark Health (Springfield, IL)
- …product requirements, user stories, and acceptance criteria, ensuring alignment with experience strategy, business objectives, and customer needs. + Manage product ... relevant regulations and industry standards. + Other duties as assigned or requested. ** EXPERIENCE ** **Required** + 7 years of experience in product management,… more