- CVS Health (Springfield, IL)
- …can be located anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for providing ... focused medical care with a focus on clinical and payment policy . This Medical Director provides subject matter expertise to provide clinical support and… 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 health claims. The ... Medical Director work assignments involve moderately complex to complex issues...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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 health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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 health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- CVS Health (Springfield, IL)
- …**Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director ( Medical Affairs). This is a remote based, work ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… 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 health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Springfield, IL)
- …a part of 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. The Corporate Medical Director works on problems of diverse...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- CVS Health (Springfield, IL)
- …In the Medical Director role, you will provide oversight for medical policy implementation. You will support the Medical Management staff ensuring ... timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services.… more
- Humana (Springfield, IL)
- …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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Merck (Springfield, IL)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Role Summary** + The Health Systems Oncology Medical Affairs Director (HSO MAD) is a therapeutic and disease expert who develops ongoing… more
- Centene Corporation (Springfield, IL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Veterans Affairs, Veterans Health Administration (Springfield, IL)
- …payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. ... clinical service chiefs but provide a full range of medical services to patients who are assigned to Ambulatory...Education Officer (DEO), the Internal Medicine Residency Program Site Director and the Site Coordinator for the Internal Medicine… more
- Sumitomo Pharma (Springfield, IL)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
- Evolent (Springfield, IL)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... to improve decision-making and care outcomes. + Assist in **research, policy interpretation, and guideline development** to refine the delivery of cardiology… more
- Highmark Health (Springfield, IL)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …markets innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health We ... are seeking a Director , Global Clinical Development (GCD) who will be responsible...or Rockville, MD offices. Otsuka maintains a hybrid work policy . Travel is expected 20% of the time based… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- We are seeking a Senior Director , Federal Government Affairs to lead our US federal government engagement in Washington, DC. This position reports to the Vice ... President, Government Affairs & Public Policy , within the Corporate Affairs function. As the strategic...member of the Government Affairs Leadership Team, the Senior Director of the Federal Government Affairs will play an… more
- Hilton (Springfield, IL)
- …receive the combined benefits of scale, access, competence, and experience\. As a Director , Global Travel Partnerships _,_ you will oversee a portfolio of global ... focus on growing market share, reporting to the Executive Director , Travel Partners\. **HOW WE WILL SUPPORT YOU** Hilton...like to be on Team Hilton\! It is the policy of Hilton to employ qualified persons without regard… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the ... on the large global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible for all the clinical development activities for the… more
- RELX INC (Springfield, IL)
- …from today's top creators for each legal use case. About the Role: The Director , Data Sciences raises data-driven decision making of a function within a business ... and Data Scientists, as well as other resources. Influence should extend outside the director 's immediate team to other teams within the director 's peers. The … more