• Medical Director - Medicaid (remote)

    Humana (Springfield, IL)
    …specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics , and use of business metrics. + Experience ... part of our caring community and help us put health first** The Medical Director relies on medical background...The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately… more
    Humana (12/07/25)
    - Related Jobs
  • PCO Medical Director- UM - Full Time

    CenterWell (Springfield, IL)
    …+ Advanceddegreesuch as an MBA, MHA, MPH + Exposure to value-based care, Public Health , Population Health , analytics , and use of business metrics. + ... part of our caring community and help us put health first** The Medical Director, Primary Care relies on...Director, Primary Care relies on medical background and reviews health claims. The Medical Director, Primary Care work assignments… more
    CenterWell (11/06/25)
    - Related Jobs
  • Medical Director - Medicaid N. Central

    Humana (Springfield, IL)
    …specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics , and use of business metrics. + Experience ... part of our caring community and help us put health first** The Medical Director relies on medical background...The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately… more
    Humana (10/25/25)
    - Related Jobs
  • Medical Director-Payment Integrity

    Humana (Springfield, IL)
    …clinical specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics , and use of business metrics. + The ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (12/11/25)
    - Related Jobs
  • Sr Technical Program Manager - Operations

    Oracle (Springfield, IL)
    **Job Description** Our Oracle Health & Analytics Operations Engineering team focuses on product strategy for Oracle Health , while monitoring & maintaining ... engineering center with the focus on excellence. At Oracle Health , our mission is to improve healthcare and quality...life globally through better experience and easier access to health and research data for patients and healthcare providers.… more
    Oracle (12/02/25)
    - Related Jobs
  • Medical Director - Pharmacy Appeals

    Humana (Springfield, IL)
    …MCG, InterQual, NCCN, Micromedex, Lexicomp, Elsevier's Clinical Pharmacology + Exposure to Public Health , Population Health , analytics , and use of business ... part of our caring community and help us put health first** The Medical Director relies on broad clinical...Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization… more
    Humana (12/03/25)
    - Related Jobs
  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in ... states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and… more
    Option Care Health (10/19/25)
    - Related Jobs
  • Production Service Systems Administrator II (70%…

    Oracle (Springfield, IL)
    …System Administrators are critical to the successful implementation of Oracle Health & Analytics solutions within Veterans Affairs healthcare environments. ... this role. Come and join us! You will work closely with Oracle Health Federal internal business and development teams to drive the technical/functional global… more
    Oracle (11/25/25)
    - Related Jobs
  • Medical Trend Analytics Manager 1

    Baylor Scott & White Health (Springfield, IL)
    **JOB SUMMARY** 100% remote position** The Medical Trend Analytics Manager 1 is responsible for leading the design, execution, and communication of analytical output ... insights for stakeholders. The ideal candidate combines strong technical analytics capabilities with excellent healthcare business acumen and communication skills.… more
    Baylor Scott & White Health (11/26/25)
    - Related Jobs
  • Interoperability Regulatory Strategist,…

    Oracle (Springfield, IL)
    …products and services, including AI/ML solutions, cloud-based healthcare platforms, data analytics , electronic health records (EHR), and patient engagement ... **Job Description** Modern healthcare demands integrated solutions. At Oracle Health , we connect patients, providers, payers, and public health organizations… more
    Oracle (11/25/25)
    - Related Jobs