- Humana (Springfield, IL)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... 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 … more
- Humana (Springfield, IL)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... 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 … more
- Humana (Springfield, IL)
- …skills to make an impact** Additional Information Typically reports to a Regional/ Associate Vice President, Lead, or Corporate Medical Director , depending on ... size of region or line of business. The Medical Director conducts Utilization Management of the care...This incentive opportunity is based upon company and/or individual performance . **Description of Benefits** Humana, Inc. and its affiliated… more
- Humana (Springfield, IL)
- …members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... 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… more
- Constellation (Clinton, IL)
- …+ Participate as key manager in Business Planning, Budget, and Business Performance review regarding Site Work Management . Fulfill managerial responsibilities ... Management Processes. Provide feedback to CEC Senior Management regarding performance and recommendations for improvement....3 years of supervisory or managerial experience OR + Associate 's degree with 14 years of related experience, which… more
- Humana (Springfield, IL)
- …Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Aveanna Healthcare (Fairview Heights, IL)
- …to the Governing Body, also reporting to Area Vice President, AVP, and/or Area Director , AD. Essential Job Functions Team Management : * Assure evaluation of each ... with federal and state regulations * In collaboration with the Client Relations Director , CRD/Client Relations Associate , CRA, visits with the various referral… more
- Humana (Springfield, IL)
- …business impact + Minimum of 5 years of experience in provider performance management within Medicare Advantage programs, including oversight of provider ... Risk Adjustment implements strategic plans, drives goals and objectives, and improves performance . Provides input into functions strategy. The Director , Quality… more
- ADP (Chicago, IL)
- …strategy through execution in an internal consulting role** . The Director must have experience in strategy/operations/ management / technology consulting with ... team with experience managing people and working collaboratively across executive through associate levels. The Director provides leadership for BT Team… more
- Crate & Barrel (Northbrook, IL)
- …human resources best practices (eg, talent recruitment, development and training; associate engagement; succession planning; performance management ; ... consistent processes and routines around talent assessment, succession planning, recognition, and performance management + Acts as a trusted advisor to leaders;… more