• Medical Director - OP Claims

    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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (11/24/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Springfield, IL)
    …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Springfield, IL)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
    Humana (10/25/25)
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  • Director II, Digital Claims

    Elevance Health (Chicago, IL)
    ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations **...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
    Elevance Health (10/10/25)
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  • Director Claims

    Ryder System (Springfield, IL)
    …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
    Ryder System (11/22/25)
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  • Medical Director , Medicare…

    Humana (Springfield, IL)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (11/19/25)
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  • Spvr - HIM Coding IP - CFH

    Carle Health (Champaign, IL)
    …of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision ... daily staff supervision and scheduling to ensure the effective and efficient operations of the department while promoting customer satisfaction. Serves as an expert… more
    Carle Health (10/22/25)
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  • Executive Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Director , Strategic Planning…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …vision throughout the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key ... to each therapeutic area **Budget Management** + Oversee budgets for global medical operations initiatives + Ensure cost-effective utilization of resources while… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Associate Director , Strategic Planning…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …therapeutic area portfolio + Collaborate with cross-functional teams to align global medical operations with overall business objectives and therapeutic area ... performance indicators (KPIs) to measure the effectiveness of global medical operations + Consider technology and AI...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Senior Director , Strategy & Analysis,…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... and in-market products and manages contract operations to optimize revenue, market share, and support patient...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/20/25)
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  • Associate Director , Congress…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    The Associate Director , Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and ... late-breaking sessions + Sponsored symposia and educational sessions + Medical booth design and operations + Press...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Senior Director , Medical

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... communication objectives and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership**… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Medical Director Aetna Duals Center…

    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 ... members and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the… more
    CVS Health (11/13/25)
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  • Senior Director , Medical

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... Ensure coordinated scientific messaging and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles ** Medical more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Medical Director , DSNP - Illinois

    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
    Centene Corporation (10/04/25)
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  • Associate Director , Scientific…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …consistency, and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities ... relevant therapeutic area portfolio, in partnership with the Senior Director , Medical Communications Lead, CNS Lead, and...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Director , Commercial Analytics…

    Xeris Pharmaceuticals, Inc. (Chicago, IL)
    …disease and/or biotech industry experience preferred + Experience with specialty pharmacy claims and data operations + Self-starter who anticipates challenges, ... **Overview** The Director , Commercial Analytics and Reporting is responsible for...Partner with cross-functional teams (eg, Marketing, Market Access, Sales, Medical Affairs, Finance) to align on business questions and… more
    Xeris Pharmaceuticals, Inc. (10/30/25)
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  • Senior Director , Translational Medicine…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... The Senior Director Translational Medicine will be responsible for design,...business imperative. Minimum $245,454.00 - Maximum $381,110.00, plus incentive opportunity : The range shown represents a typical pay range… more
    Otsuka America Pharmaceutical Inc. (11/19/25)
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  • Director , HCP Marketing Lead

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    …HCPs. The Director will work cross-functionally with sales, market access, medical affairs, and commercial operations to align on strategic priorities and ... into brand promotional efforts + **Cross-Functional Leadership:** Collaborate closely with medical , regulatory, and commercial operations teams to ensure… more
    Otsuka America Pharmaceutical Inc. (11/01/25)
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