- CVS Health (Springfield, IL)
- …every day. **Position Summary** Must Reside in Illinois Must hold a Clinical License** The Manager of Health Care Quality will support the functions of the ... Adhere to NCQA standards and work with the National Quality Management Accreditation team to maintain the plan...state of Illinois **Preferred Qualifications** + Experience with NCQA Health Plan survey preparation and submission +… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...every day. **Position Summary** The Specialty Pharmacy Off-Phone Audit Manager leads the internal audit function for CVS Specialty's… more
- Prime Therapeutics (Springfield, IL)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr ... Health Plan Account Manager serves as a line...multiple projects, under pressure and strict timeframes, without compromising quality * Ability to confidently represent the business and… more
- CVS Health (Springfield, IL)
- …decision-making regarding best payer practices related to disparity reductions, including providing health plan teams with relevant and applicable resources and ... every day. **Position Summary** must live in Illinois The Health Equity Program Manager is a key...Manager is a key role to the heath plan and will oversee the strategy, development, implementation and… more
- CVS Health (Oak Brook, IL)
- …it all with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and Supports ... At CVS Health , we're building a world of health...assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality… more
- CVS Health (Chicago, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Grove IL as needed/requested by Management.** BH Clinical Case Manager is responsible for telephonically and/or face to face… more
- ADM (Effingham, IL)
- **102428BR** **Job Title:** Quality Manager - Effingham, IL **Department/Function:** Quality & Food Safety **Job Description:** ** Quality Manager ... This is an exempt level position. **Job Summary** The Quality Manager will lead the Quality...root cause analysis and corrective actions + Develop a plan to eliminate the root cause and follow through… more
- ADM (Decatur, IL)
- **103146BR** **Job Title:** Sr. Quality Assurance Manager - Decatur, IL **Department/Function:** Health , Safety & Environment **Job Description:** **East ... This is an Exempt position. **Job Summary:** The Senior Quality Manager is a leadership role within...resolve customer issues. + Routinely conducts GMP, Food Safety Plan / HACCP, and GFSI (SQF) compliance inspections. +… more
- CVS Health (Springfield, IL)
- …As a Project Manager within the Implementation Management Office at CVS Health Specialty Pharmacy, you will be responsible for operating an agile based /SDLC for ... At CVS Health , we're building a world of health...an implementation of large, complex business-oriented projects. The Project Manager will also be responsible for execution, risk and… more
- CVS Health (Springfield, IL)
- …relevant regulations and are consistent across all lines of business + Work with health plan business leaders and corporate leaders to develop deliverables on ... **May reside anywhere in the US** **Position Summary** The Health Service Manager -Policy Writer for Medicaid...Notification communications. These activities enable Aetna Medicaid to improve health care quality services, and processes by… more