• Lundbeck (Kansas, IL)
    …guidelines. **ESSENTIAL FUNCTIONS** + Engages in account portfolio planning using utilization data, and knowledge of therapeutic class management behavior ... Regional Payer Account Director - Central Requisition ID: 7112 Location: Kansas...by MCO/PBMs and how they impact patients and physician's utilization + Resourcefulness in getting access to decision makers,… more
    DirectEmployers Association (11/14/25)
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  • Teleflex (Chicago, IL)
    …We equip clinicians with some of the most advanced medical devices on the market today, from our world-class brands including: + LMA and Rusch airway management ... reduce the risk of airway-related complications. + Arrow pain management products designed to improve patients' post-operative pain experience....The US Remote Sales Manager reports directly to the Director of Sales (DoS) and can be based from… more
    DirectEmployers Association (11/22/25)
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  • Nurse Manager - Utilization Review

    Huron Consulting Group (Chicago, IL)
    …regulatory agencies, and hospital contractual payor agreements. This position reports to the Director of Utilization Management and works with hospital ... staff and function for the system, reporting to the Director of Utilization Management within...limited to specific skills or certifications, years of experience, market changes and required travel. This job is also… more
    Huron Consulting Group (11/27/25)
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  • Associate Market Clinical Director

    ChenMed (Oak Lawn, IL)
    …expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical ... workplace concerns. + Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations. Other duties as… more
    ChenMed (10/07/25)
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  • National Director of Sales, Market

    Cardinal Health (Springfield, IL)
    …global healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial ... access sales strategy into actionable, target-exceeding results. Furthermore, the _National Director of Sales, Market Access_ will directly support the team's… more
    Cardinal Health (11/05/25)
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  • Director , Sales TAA Performance…

    Wolters Kluwer (Riverwoods, IL)
    …to empowering individuals and businesses with tools that streamline financial management and enhance compliance. We pride ourselves on delivering exceptional value ... clients through cutting-edge technology and unparalleled customer service. The role of Director , Performance Sales is responsible for the overall sales strategy and… more
    Wolters Kluwer (11/22/25)
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  • Medical Director - IP Claims…

    Humana (Springfield, IL)
    …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (12/11/25)
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  • Medical Director - Medicaid N. Central

    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 ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (10/25/25)
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  • Medical Director , DSNP - Illinois

    Centene Corporation (Springfield, IL)
    …functions for the business unit. + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. + ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
    Centene Corporation (10/04/25)
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  • Medical Director - Medicaid (remote)

    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 ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (12/07/25)
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