- Humana (Springfield, IL)
- …caring community and help us put health first** Humana Gold Plus Integrated is seeking a Director of Care Management to lead a team of nurses and behavioral ... health professionals responsible for Care Management for IL FIDE-SNP members. The Director ...treatment, care , or services for Members. The Director of Care Management coordinates… more
- Humana (Springfield, IL)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Springfield, IL)
- … Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the KY, OH, VA, WI and ... of decisions to internal associates, and possible participation in care management . The clinical scenarios arise from...The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have… more
- Humana (Springfield, IL)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Springfield, IL)
- …on size of team or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned member population of ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...business metrics. + Experience working with Case managers or Care managers on complex case management , including… 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 ... travel management companies, implementing commercial strategies to increase revenue with...focus on growing market share, reporting to the Executive Director , Travel Partners\. **HOW WE WILL SUPPORT YOU** Hilton… more
- Veterans Affairs, Veterans Health Administration (Springfield, IL)
- …Improvement and Utilization Review by stimulating parent services. Ensures that overall quality management is the goal for all Ambulatory care staff. Ensures ... Physician Total Rewards. Supervise and coordinate operations of the Ambulatory care including emergency and routine treatment procedures. These operations are… more
- Humana (Springfield, IL)
- …help us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management , to lead the development, implementation, ... and oversight of our operational performance management . Reporting to the Vice President of Operations, this...compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics,… more
- Sumitomo Pharma (Springfield, IL)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... The incumbent will provide medical safety support for safety signal management throughout product lifecycle including signal detection, signal validation, signal… more
- Prime Therapeutics (Springfield, IL)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible for providing strategic and operational leadership...for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- CVS Health (Springfield, IL)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work...located. **Preferred Qualifications** * Combination of five years of management and/or clinical experience in a managed care… more
- CVS Health (Springfield, IL)
- …candidates for this role in the central time zone, due to BOB The Lead Director , Account Client Management develops and executes account management strategy ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Evolent (Springfield, IL)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of… more
- CVS Health (Springfield, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next...clinical expertise and business direction in support of medical management programs to promote the delivery of high quality,… more
- Evolent (Springfield, IL)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …and Specialty Medicine products at different stages of development for a global health- care market. The duties assigned to the Director , Global Clinical ... personnel management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug development principles and… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …a global health- care market. The specific duties assigned to the Director , Global Clinical Development include the following: + Consults with patients or their ... **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be...management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug… more
- Public Consulting Group (Springfield, IL)
- …platform), and management approaches (eg, Agile, Waterfall) are required. The Director will recruit, hire, manage, and develop resources to support the business ... Business Solutions + Project Assurance PCG is hiring a Director to manage a team and multiple public sector...strong team necessary to navigate the fast-paced world of management consulting. This position will be responsible for the… more
- Merck (Springfield, IL)
- … Process, Medical Affairs, Medical Knowledge, Oncology, Oncology Care , Oncology Diagnostics, Pharmaceutical Medical Affairs, Pharmacy Regulation, Professional ... **Job Description** Our Medical Affairs team advances patient care by engaging in scientific exchange with external medical experts and industry professionals… more
- Cherry Bekaert (Springfield, IL)
- …projects, NMTC placement and deployment assistance, and NMTC compliance and asset management services. The Director will oversee the Application and Strategic ... Team (SFS) is looking for a New Markets Tax Credits Applications and Strategic Planning Director ( Director ). We offer an opportunity to work with a team of… more