• The Joint Commission (Springfield, IL)
    …Representatives, with minimal direction or supervision, survey and/or review health care organizations throughout the United States. Field Representatives apply ... sophisticated analysis skills and inductive reasoning skills to determine a health care organization's degree of compliance with applicable standards and… more
    DirectEmployers Association (10/25/25)
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  • Behavioral Health Medical

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
    Humana (11/11/25)
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  • Chief Psychiatrist - Behavioral

    Humana (Springfield, IL)
    Medical Director to integrate the administration and management of behavioral and physical health services + Oversees, monitors, and assists with ... and help us put health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our Illinois FIDE members. The individual… more
    Humana (10/23/25)
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  • Medical Director Aetna Duals Center…

    CVS Health (Springfield, IL)
    …Michigan, Virginia, Pennsylvania, and New Jersey** offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking ... At CVS Health , we're building a world of health around every...for a medical director to be part of a centralized team that supports the … more
    CVS Health (11/13/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews ... health claims. The Medical Director , Primary Care work assignments involve...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral more
    CenterWell (11/06/25)
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  • Medical Director , Medical

    Highmark Health (Springfield, IL)
    …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
    Highmark Health (10/28/25)
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  • Lead Director , Mental Well-being Strategy

    CVS Health (Springfield, IL)
    …execution on Aetna's overall strategic plan, roadmap, and investment areas for its behavioral health and employee assistance businesses. This role reports to the ... At CVS Health , we're building a world of health...heart, each and every day. **Position Summary** The Lead Director , Mental Well-being Strategy is responsible for leading the… more
    CVS Health (11/11/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Springfield, IL)
    …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
    Highmark Health (10/29/25)
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  • Clinical Dietitian

    Compass Group, North America (Litchfield, IL)
    Morrison Healthcare **Position Title:** **Clinical Dietitian- Litchfield, IL** **Reports To: Director of Nutrition Systems** **Job Details: RD will cover inpatient ... platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier… more
    Compass Group, North America (08/15/25)
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