• Medicaid Pharmacy Director

    Humana (Springfield, IL)
    …on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, ... formulary management and clinical programming + Represents Humana at all Pharmacy Medicaid meetings including those with the Illinois Department of Healthcare… more
    Humana (07/25/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Springfield, IL)
    …of accounting principles a plus. + Experience in accounts receivable and/or collections. + Medicaid rebate experience. + Retail pharmacy or pharmacy tech ... drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative oversight… more
    Prime Therapeutics (05/07/25)
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  • Associate Director - Pharmacist in Charge

    AbbVie (North Chicago, IL)
    …to function as a licensed pharmacist in charge (PIC), engaged in the practice of pharmacy for Pharmacy Solutions. The PIC is responsible to ensure the daily ... operations of the pharmacy are in compliant and in accordance with all...failures or persistent problems. Partner and align with Compliance Director and Privacy Officer to facilitate/ensure compliance to HIPAA… more
    AbbVie (07/09/25)
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  • Associate Director , Payer Contract…

    AbbVie (Mettawa, IL)
    …love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and Business Insights (MABI) ... channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels + Develop new and...claims data (eg IQVIA LAAD, Symphony Health data) for Pharmacy channel products. + Robust understanding of pharmacy… more
    AbbVie (06/19/25)
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  • Director Stars and Quality - remote

    Prime Therapeutics (Springfield, IL)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Director Stars and Quality - remote **Job Description** The Director Stars and ... plans that achieve Star Ratings and quality outcomes for Medicare, Medicaid , Individual Health Insurance Marketplace, and Commercial lines of business. This… more
    Prime Therapeutics (08/01/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Springfield, IL)
    …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of healthcare records +… more
    Humana (07/29/25)
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  • Consultant, MCO Marketing (Managed Care…

    Cardinal Health (Springfield, IL)
    …+ **Payor Marketing Strategy & Execution** + In conjunction with the Director , develop and execute commercialization playbooks for new and existing plan access, ... industry trends, policy updates, and deal structures across commercial, Medicare, and Medicaid markets. + Summarize relevant articles monthly for the MCO team;… more
    Cardinal Health (07/22/25)
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