- Humana (Springfield, IL)
- …situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience , and judgement to ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....MHA, MPH + Exposure to Public Health, Population Health, analytics , and use of business metrics. + Experience… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience , and judgement to make ... degree such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics , and use of business metrics. + Experience working with Case managers… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience , and judgement to make ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Lundbeck (Deerfield, IL)
- …late-stage assets in collaboration with appropriate stakeholders. + Work closely with Associate Director , US NPP to increase internal capabilities and deliver ... Director New Product Planning Requisition ID: 6730 Location:...on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the… more
- CVS Health (Springfield, IL)
- …Escalation Program (PEEP), and collaborate cross-functionally to improve patient outcomes and experience . Reports to the Associate VP, Patient Engagement & ... to drive enterprise-wide patient retention and engagement efforts. The Executive Director will lead the development and execution of data-driven strategies, oversee… more
- CenterWell (Springfield, IL)
- …clinical and regulatory integrity and compliance. Manages the Denials Management data analytics , denial and appeal process. The Director , Home Health Grievances ... a part of our caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal and review process to… more
- Ankura (Chicago, IL)
- …data analytics , or related discipline. + 7-10 years of experience in litigation/disputes consulting, or other data driven consulting roles providing forensic ... Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with the financial, economic, analytical expertise that healthcare… more
- CVS Health (Chicago, IL)
- …**Required Qualifications** + Bachelor's degree + 10+ years of actuarial or related experience + ASA ( Associate of the Society of Actuaries) or FSA ... advice, and communicating all of the above effectively. Coordinating the analytics , reporting, and pricing/bidding best practices of Aetna's SNP segment, across… more
- Quad (Chicago, IL)
- …including negotiation, placement, management and reconciliation for assigned clients. The Senior Associate works closely with the Manager and Director to ensure ... Bachelor's degree (communications, marketing, advertising, or business) or a combination of an Associate 's degree and related work experience + Ability to speak,… more
- Humana (Springfield, IL)
- …Associate , Digital Department: CenterWell Digital Marketing Location: Remote Reporting To: Associate Director , CenterWell Digital Marketing Become a part of ... physical, emotional, and social. We're seeking a strategic digital marketing associate to help elevate CenterWell's digital presence and connect more seniors… more
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