- Highmark Health (Springfield, IL)
- …for the direction and oversight of the departmental functions relating to provider reimbursement including research, development , implementation, ongoing ... provider contractual arrangements. Additional responsibilities of this job include the development and integration of provider payment policies and guidelines… more
- Highmark Health (Springfield, IL)
- …area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + ... with alternative care model designs (eg, patient centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …and nutraceutical products for the maintenance of everyday health We are seeking a Director , Global Clinical Development (GCD) who will be responsible for the ... development for a global health-care market. The duties assigned to the Director , Global Clinical Development include the following: + Consult with patients… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be responsible for the design and oversight of clinical research ... for a global health-care market. The specific duties assigned to the Director , Global Clinical Development include the following: + Consults with patients… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …our life sciences business, with an emphasis on technical operations, business development , and related regulatory quality matters. The Director , Corporate ... + Provide internal clients in Technical Operations and Business Development , among others, with legal advice and guidance regarding terms and conditions… more
- Centene Corporation (Springfield, IL)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as appropriates + ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical… more
- Cardinal Health (Springfield, IL)
- …of collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational development , and ... can get life-changing therapies to patients who need them-faster. The Associate Director , Access and Patient Support (APS) is responsible for the tactical execution… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …transform the health experience, one connection at a time, together. The ** Director , Digital Health Corporate Counsel** will be responsible for providing legal ... their business. The position will report to the Executive Director , Deputy General Counsel. The Director will...matters and matters of first impression, as well as provide hands-on and specific guidance both inside and outside… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …relevant guidelines and standards. + Work with pharmacometricians, support **model-based drug development (MIDD)** strategies, and provide input to PK and PK/PD ... nutraceutical products for the maintenance of everyday health As a Director , Quantitative Pharmacology, **Clinical Pharmacology,** you will oversee all **clinical… more
- ADM (Springfield, IL)
- **95272BR** **Job Title:** Sr. Director State Government Relations - Springfield or Decatur, IL **Department/Function:** Other **Job Description:** **Senior ... Director State Government Relations - Springfield, IL or Decatur,...stakeholders in IA, MO, NE, KS, and LA. + Provide business leaders in key states with support on… more
- Evolent (Springfield, IL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Director of Performance Analytics - **Oncology and Member** focus leverages and creates analytic ... lead and focal point across business areas in the development of analytics to inform decision making. + Analyse...quantifying and articulating our value. + Set priorities and provide oversight to team of analysts. + Team building… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **About This Role** The Associate Director will play a pivotal role in guiding the integration of behavioral science frameworks and methodologies into the ... development and marketing of our digital therapeutic products. You...actionable recommendations for product design and user experience. + Provide expert guidance on the behavioral aspects of digital… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... and complements that of the Global Quality function. The leader shall provide guidance, strategic direction, and leadership to the Global Quality function with… more
- CVS Health (Springfield, IL)
- …Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This role can be ... remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject Matter Expert (SME)...assurance, directing case management. In this role you will provide clinical expertise and business direction in support of… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- The Director , Global Medical Publications will support Otsuka in leading and developing an overall scientific communication strategy for publications and congresses, ... for assigned compound(s) to compile cross-functional insights to inform the development of the scientific communication platforms (SCPs), lexicons, and global… more
- NASCO (Springfield, IL)
- **Overview** As Executive Director , Compliance you will lead and provide oversight and management of Compliance and Privacy functions and serve as the company's ... Medicare Advantage and Exchange customers, including contract management, strategy development , operational delivery and invoicing + Engages with external resources,… more
- Ford Motor Company (Springfield, IL)
- …function, the way people interact with them, and the value those vehicles provide . The product team is passionate about solving hard problems. We create with ... with every hire. **In this position ** As a Director of Product, you will lead a small team...personas, journey maps, and use cases to guide product development and design decisions. * Ensure the final products… more
- Cardinal Health (Springfield, IL)
- …documentation, coding and billing policies and procedures. At the request of the Director , may provide compliance orientation training for new providers as well ... policies. **_Consultant, Ethics & Compliance (Audit)_** Reporting to the Compliance Director ( Director ), this position conducts audits to determine… more
- Pearson (Springfield, IL)
- …counseling service line serving students with diverse learning needs. Reporting to the Director of School Service Delivery, this role collaborates closely with the ... Director and the Therapy Services Lead to develop and...best practices to support students social-emotional, behavioral, and academic development . The Counseling Manager oversees operations across Pearson Virtual… more
- Centene Corporation (Springfield, IL)
- …BE MONDAY - FRIDAY 8AM - 5PM CENTRAL TIME ZONE.** Supports the development and implementation of quality improvement interventions and audits and assists in ... Monitors and investigates all quality of care concerns and collaborates with medical director to determine impact and next steps for actions. + Monitors provider… more