- CVS Health (Springfield, IL)
- …Position Summary CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified ... 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 (Staff Geriatrician or Physician with Ten (10) Years...Ten (10) Years of Clinical Practice with Older Adults ( Medical Director ) is dedicated full time to… more
- Humana (Springfield, IL)
- **Become a 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 episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services provided by… 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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Springfield, IL)
- **Become a 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 episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- CVS Health (Springfield, IL)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the US. The… more
- J&J Family of Companies (Springfield, IL)
- Medical Director / Sr. Med Director , Clinical Research - Oncology - 2406181818W **Description** At Johnson & Johnson, we believe health is everything. Our ... humanity. Learn more at https://www.jnj.com/. Johnson & Johnson is currently seeking a Medical Director /Sr. Medical Director to join our team in… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- CVS Health (Springfield, IL)
- …affordable. Position Summary Aetna, a CVS Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with ... position and can be located anywhere in the United States.In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for… more
- Elevance Health (Chicago, IL)
- …must live within 50 miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral ... cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you… more
- CSL Plasma (Springfield, IL)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . Determines donor suitability following adverse reactions in… more
- CSL Plasma (O'Fallon, IL)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . + Determines donor suitability following adverse reactions in… more
- Trinity Health (Oak Brook, IL)
- **Employment Type:** Part time **Shift:** **Description:** **Hospice Medical Director - Contingent - Loyola** **What you will do:** The Hospice Medical ... the overall medical direction of patient and family services. The Hospice Medical Director will work with the Executive Director , Director of… more
- Elevance Health (Deerfield, IL)
- …with care providers, and generating health insights through advanced analytics. ** Medical Director -Internal Medicine** Responsible for the administration of ... of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. **This role… more
- Humana (Springfield, IL)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement… more
- Elevance Health (Deerfield, IL)
- **Clinical Operations Associate Medical Director ** **Carelon Insights** **Post Acute Care Utilization Review** _Schedule: 11-8 Central Time_ A proud member of ... of care for the people we serve. The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- Elevance Health (Chicago, IL)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit Management/Utilization Review** _A proud ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director ** responsible for supporting the medical … more
- Veterans Affairs, Veterans Health Administration (Peoria, IL)
- …offers a comprehensive total rewards package. VHA Physician Total Rewards. Responsibilities The Medical Director , Ambulatory Care will report to the Chief or ... Assist. Chief of Ambulatory Care. The Medical Director will ensures that medical care provided to the patients is adequate and appropriate. Duties and… 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 scope and complexity ranging from moderate to substantial. The Corporate … more
- VCA Animal Hospitals (Chicago, IL)
- …**Cat Hospital of Chicago** located in **Chicago, IL** is looking for a ** Medical Director ** who enjoys practicing advanced medicine with a cohesive, tenured ... and growth opportunities **If so, then come lead our team as the Medical Director of this unique practice!** **VCA Cat Hospital of Chicago is a well-equipped… more