• Utilization Management

    CVS Health (Springfield, IL)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
    CVS Health (07/31/25)
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  • Utilization Management Nurse…

    CVS Health (Springfield, IL)
    …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects… more
    CVS Health (07/22/25)
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  • Utilization Management Nurse…

    CVS Health (Springfield, IL)
    clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...that support cost-effective quality care for members. Work in clinical telephone queue for 3 to 4 hours a… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse…

    CVS Health (Springfield, IL)
    …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area + Managed Care experience preferred, especially Utilization Management + Preference for those residing in CST zones **Education**… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse…

    CVS Health (Springfield, IL)
    …- active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active ... shift premium. Occasional Overtime may be required. **Position Summary** Utilizes clinical experience and skills in a collaborative process to implement, coordinate,… more
    CVS Health (07/31/25)
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  • Sales, GI National Fusion and Navigation…

    Philips (Chicago, IL)
    The GI National Fusion and Navigation Clinical Consultant will be accountable for driving the adoption and loyalty of our Fusion and Navigation solutions ... on Philips Ultrasound platforms, building, maintaining, and providing outstanding technical and clinical product support, by being the consultant in multiple … more
    Philips (08/01/25)
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  • Pharmacy Network Management

    Prime Therapeutics (Springfield, IL)
    …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Management Consultant - Remote **Job Description** The Network Management ... Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply… more
    Prime Therapeutics (07/15/25)
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  • Sr. Consultant , Territory…

    Cardinal Health (Springfield, IL)
    **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... Networks in creating value to the members in their clinical , operational, and economical goals. This individual will be...Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date… more
    Cardinal Health (07/25/25)
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  • Workfront Configuration Consultant

    Eliassen Group (Springfield, IL)
    … to support the implementation of Workfront as an Enterprise Portfolio and Project Management tool. As the Senior Consultant , you will work closely with our ... **Workfront Configuration Consultant ** **Anywhere** **Type:** Contract **Category:** Development **Industry:** Insurance **Workplace Type:** Remote **Reference ID:**… more
    Eliassen Group (07/01/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Chicago, IL)
    **Provider Contract/Cost of Care Consultant ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Provider Contract/Cost of Care Consultant ** provides analytical support to the Cost of Care...advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works on large… more
    Elevance Health (07/16/25)
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