• Medical Director , Medical…

    Highmark Health (Springfield, IL)
    …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
    Highmark Health (12/24/25)
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  • Medical Director - Medicaid (remote)

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (01/01/26)
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  • Medical Director - OneHome

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (12/30/25)
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  • OneHome - Medical Director - Part…

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (11/27/25)
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  • Medical Director

    Genesis Healthcare (Moline, IL)
    …balance flexibility, with no on call! We are seeking a FFS Attending Physician/ Medical Director for float position between our centers located in Moline, ... IL and Mt. Morris, IL. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family Medicine… more
    Genesis Healthcare (11/19/25)
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  • Medical Director - IP Claims…

    Humana (Springfield, IL)
    **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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Springfield, IL)
    **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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Springfield, IL)
    …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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
    Humana (11/15/25)
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  • Medical Director - Pharmacy Appeals

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
    Humana (12/03/25)
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  • Director Medical Affairs, Rare…

    Lundbeck (Deerfield, IL)
    …of patients, healthcare professionals, payers and policy makers. The Director will drive medical insight generation, material development, scientific ... Director Medical Affairs, Rare Epilepsies Evidence...rare disease best practices, including advocacy engagement, access and policy initiatives, media relations, and patient support programs. +… more
    Lundbeck (12/11/25)
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