- Sumitomo Pharma (Springfield, IL)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Regulatory Advertising & Promotion** . The Director is ... (GRA) team based in the US. He/she will primarily function as the Regulatory reviewer for assigned products. This position is responsible for providing strategic,… more
- Rush University Medical Center (Oak Park, IL)
- …maintain patient safety * Monitors and ensures compliance with the State Nurse Practice Act, State Board of Nursing Regulations, regulatory agency standards and ... community partnerships. General **Summary:** Under the guidance and direction of the unit director , the Assistant Unit Director RN (AUD) is the clinical liaison… more
- Humana (Springfield, IL)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources...the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of… more
- Humana (Springfield, IL)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- Rush University Medical Center (Chicago, IL)
- …maintain patient safety. 14. Monitors and ensures compliance with the State Nurse Practice Act, State Board of Nursing Regulations, regulatory agency standards ... circumstances of each case. **Summary:** Under the guidance and direction of the unit director , the Assistant Unit Director RN (AUD) is the clinical liaison and… more
- Humana (Springfield, IL)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources,… more
- Sunrise Senior Living (Bloomingdale, IL)
- …Sunrise of Bloomingdale **Job ID** 2025-231125 **JOB OVERVIEW** The Associate Executive Director (AED) is responsible for assisting the Executive Director (ED) ... recognition, communication, family services, resident well-being, quality assurance, and regulatory compliance. Additionally, a key strategic component is the… more
- CVS Health (Springfield, IL)
- …CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work from home opportunity. The ... Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs Department… more
- Evolent (Springfield, IL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical leadership team, providing ... timely medical review of service requests. Oversees the Surgery Field Medical...+ Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of… more
- Humana (Springfield, IL)
- …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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more