• Corporate Medical Director…

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (09/05/25)
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  • Medical Director - Medicare…

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (09/06/25)
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  • Member Services Lead

    Humana (Springfield, IL)
    …Works closely with other managers (especially the Quality Manager, Utilization Manager, and Medical Director ) and departments to address and resolve member ... provider referrals, self-referral services, preventive and enhanced services, and member grievances and appeals procedures + In close coordination with other key… more
    Humana (09/10/25)
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