- Parexel (Springfield, IL)
- …Leader, Parexel!** In anticipation of future needs, we are seeking an additional Associate / Medical Director to join Parexel's highly recognized Medical ... our Global Immunology and Inflammation Therapeutic Franchise! As an Associate / Medical Director , you will work...does not include any direct medical advice on patient care or management + Communicate with relevant… more
- Humana (Springfield, IL)
- …who will lead teams of nurses and behavior health professionals responsible for care management . The Associate Director , Care Management requires ... a solid understanding of how organizational capabilities interrelate across department(s). The Associate Director , Care Management , makes decisions… more
- Humana (Springfield, IL)
- …a solid understanding of how organization capabilities interrelate across department(s). The Associate Director , DSNP Encounter Data management will identify ... a part of our caring community and help us put health first** The Associate Director , Business Intelligence solves complex business problems and issues using… more
- Evolent (Springfield, IL)
- …OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Mexico** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing… more
- Evolent (Springfield, IL)
- …Join a mission with a company behind it. **What You'll Be Doing:** ** Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** ... Evolent is seeking an experienced and strategic ** Associate Director of Performance Analytics** to lead...sites of care /service + Familiarity with value-based care and utilization management + Understanding of… more
- Sumitomo Pharma (Springfield, IL)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Associate Director ** **,** **Consumer Marketing** . This person will help ... driving patient engagement, and supporting adherence through omnichannel marketing campaigns. The Associate Director will work closely with the HCP Marketing,… more
- Evolent (Springfield, IL)
- …the impact of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams ... client executives and internal leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. Technical… 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)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... and use of business metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Springfield, IL)
- …compliance with regulatory requirements, and delivering value-added recommendations to senior management and the Audit Committee. The Director , IT Internal ... a part of our caring community and help us put health first** The Director , IT Audit develops, directs, plans and evaluates internal audit programs for the… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's ... ensure compliance with the organization's policies, procedures and standards. The Director , Internal Audit requires an in-depth understanding of how organization… more
- Humana (Springfield, IL)
- …members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...of assignment + 5+ years of direct clinical patient care experience post residency or fellowship + No sanctions… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Director , Corporate Communications develops and coordinates lines of communication outside the ... organization. The Director , Corporate Communications requires an in-depth understanding of how...+ Strong understanding of the healthcare sector, including primary care , home health and pharmacy. + Exceptional written and… more
- Humana (Springfield, IL)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products +… more
- Humana (Springfield, IL)
- …to put those customers at the center of everything it does. The Director , Data Technology Solutions devises an effective strategy for executing and delivering on ... IT business initiatives. The Director , Data Technology Solutions requires an in-depth understanding of...+ Bachelor's degree + 8+ years of data product management including data engineering and architecture experience, strategy, program… more
- Humana (Springfield, IL)
- …concerns not requiring referral to behavioral health specialists + Develops comprehensive care programs for the management of adult behavioral health concerns ... care models in their practices + Coordinates with the Medical Director to integrate the administration and management of behavioral and physical… more
- Evolent (Springfield, IL)
- …and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for this role will ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Trustmark (Springfield, IL)
- …to our colleagues, clients and communities. **About the role** Regional Sales Director - Southern California Trustmark Voluntary Benefits is a division of Trustmark ... to providing quality voluntary benefits including Universal Life with Long Term Care , Critical Illness, Disability and Wellness for employers with 100 or more… more
- Intermountain Health (Springfield, IL)
- **Job Description:** The Knowledge Management Analyst collaborates with caregivers across the enterprise to support clinical knowledge management processes. This ... existing content support, and facilitating work between the business and knowledge management and DTS as appropriate. The Knowledge Management Analyst interprets… more
