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- Company Description COMPANY BACKGROUND TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketing, Billing, IT, HR, and...SuggestedLocal areaFlexible hours
Chiro One
Springfield, IL1 day ago $79.1k - $158.2k
...Our mission? To create a human-centric healthcare experience powered by unified global data... ...to the right place. As a Clinical Consultant, you are responsible for driving the customer... ...that will lead to achieved value. Manage ongoing relationships with customers, providing...SuggestedTemporary workWork experience placementLocal areaRemote workFlexible hoursOracle Defunct
Springfield, IL2 days ago$10k
...Baystate Health is a not-for-profit, integrated healthcare system in western Massachusetts which consists of an academic medical center... ...of 2 years of clinical experience with evidence of progressive management responsibilities and leadership in an academic department....SuggestedFull timePart timeImmediate startRelocation packageFlexible hoursBaystate Health
Springfield, IL1 day ago- Position Summary Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues Duties Determines medical necessity/...Suggested
$79.1k - $158.2k
...Our mission? To create a human-centric healthcare experience powered by unified global data... ...come to the right place. As a Clinical Consultant, you are responsible for driving the customer... ...that will lead to achieved value. Manage ongoing relationships with customers, providing...SuggestedTemporary workWork experience placementLocal areaRemote workFlexible hours- ...Director in Springfield, Illinois. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ---------------- Register now to apply for this job and for access to 120,000+ other openings. DocCafe Offers:...SuggestedPart timeStart working todayImmediate start
DocCafe
Springfield, IL1 day ago - ...impeccable leaders to join our team who are committed to creating meaningful patient experiences. As a clinical supervisor, you'll manage the coordination, supervision, and implementation of professional and supportive services for our hospice patients in a safe, cost-...SuggestedFull timeTemporary workImmediate startRelocation package
Agape Care Group
Springfield, IL1 day ago - ...treatment/development and rehabilitation of persons with mental illness. Four (4) years of professional experience in clinical consultation on service delivery and active treatment relative to mental health policies and procedures. Three (3) years of professional experience...SuggestedWork at officeImmediate startFlexible hoursWeekend work
- ...regular review of documentation and treatment outcomes. Collaborate with other departments to support comprehensive care and case management. Engage in strategic planning initiatives to enhance service delivery and client satisfaction. Act as a liaison with external...Suggested
$221.3k - $420.5k
...28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization... ...teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals....SuggestedFull timePart timeWork at officeRemote workFlexible hoursWeekend work$170k
Company : Highmark Inc. JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using...SuggestedFor contractorsPrivate practiceWork at officeLocal area- ...welcome to all candidates interested in making a difference in healthcare delivery by joining the Theoria team Theoria Medical is... ...high quality care at the skilled nursing facilities (SNF) it manages. We have a wide variety of roles available suited for providers...SuggestedFull timePart timeRemote workRelocation packageFlexible hoursShift workDay shift2 days per week3 days per week
- ...standards. Knowledge of related accreditation and certification requirements. Ability to work with computers and possess good time management skills. Ability to rely on instructions and pre-established guidelines to perform the functions of the job. License,...SuggestedFull timeWork experience placementFlexible hours1 day per week
$174.07k - $374.92k
...skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New...SuggestedHourly payFull timeTemporary workLocal areaWork from homeFlexible hoursWeekend work$174.07k - $374.92k
...You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of care. You will support the Medical Management staff ensuring timely and...SuggestedHourly payFull timeTemporary workLocal areaRemote workWork from homeFlexible hours$70k
Mental Health Association (MHA) is seeking a dedicated and experienced Clinical Director to provide leadership and clinical oversight in a residential recovery program. This role is ideal for a licensed clinician who is passionate about empowering individuals on their recovery...Monday to Friday$246.1k - $344.2k
...appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures... ..., post-residency clinical experience Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$223.8k - $313.1k
...interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS... ...prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning...Full timeTemporary workApprenticeshipRemote work$70k - $97.5k
Who is Gateway Foundation? Gateway Foundation, Inc. is a national non-profit dedicated to helping individuals with substance use and mental health disorders. Established in 1968, Gateway provides essential tools and knowledge for recovery, positively impacting hundreds...Temporary workWork experience placementFlexible hoursRotating shiftAfternoon shift$85k
...Developmental Disabilities (DD) Waiver services. This role combines program expansion, clinical oversight, staff development, and compliance management to ensure that adults with developmental disabilities receive evidence-based, person-centered care while supporting...Full timeTemporary work$110.24k - $165.36k
...programs as well on best practices in terms of trend identification and analysis. This is a high-level individual contributor role - management responsibilities limited to leading day-to-day activities and outcomes of a group of employees. May be involved in hiring staff,...Minimum wageLocal areaWorldwide$125k
...health. Oversee all aspects of clinical programming for PHP and IOP levels of care. Supervise and mentor therapists, case managers, and support staff. Ensure full compliance with state and federal regulations and accreditation standards. Collaborate with...Full time- ...impeccable leaders to join our team who are committed to creating meaningful patient experiences. As a clinical supervisor, you'll manage the coordination, supervision, and implementation of professional and supportive services for our hospice patients in a safe, cost-...Full timeTemporary workImmediate startRelocation package
Agape Care Group
Springfield, IL1 day ago $245.45k - $381.11k
...clinical and regulatory strategy. Working with experts and consultants in the field to refine a clinical development strategy. Designing... ...the clinical development strategy, i.e., clinical trials management. Partnering with internal and external clinical experts and...Temporary workLocal areaFlexible hours$28.14 - $42.21 per hour
...skills, training, certifications and education. The Project Manager-Clinical Trials has primary responsibility over the management... ...Acts as a liaison between patients, their families and other healthcare professionals during their participation in a research trial....Full timeTemporary workPart timeFlexible hours- ...current with laws and regulations affecting clinical research. Supervise department staff with assistance from Clinical Research Manager; Interview, hire, discipline, oversee training and provide coverage (as needed) for all personnel within the department to ensure...Full timeContract workWork at officeLocal area
$143k - $243k
...models, digital health initiatives, and patient support program Manage the ongoing development and maintenance of innovation and... ...negotiation, and relationship management abilities Knowledge of healthcare regulations, payer strategies, and compliance requirements Proficient...Remote jobWork experience placementWork at officeLocal areaVisa sponsorshipWork visa$120 - $135 per hour
What You’ll Be Doing Cardiovascular Utilization Management Reviewer (Interventional Cardiologist) - Are you ready to make a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist...Remote jobFull timePart timeWork at officeFlexible hours$66.33k - $145.86k
...heart, each and every day. Position Summary Join Aetna’s Network Management team as a behavioral health Contract Negotiator and play a key... ...Negotiate competitive contracts with behavioral healthcare providers, ensuring alignment with internal guidelines and financial...Hourly payFull timeContract workTemporary workWork at officeLocal areaFlexible hours$6,589 per month
...10/27/25 Closing Date: 11/10/2025 Agency: Department of Healthcare and Family Services Class Title: EXECUTIVE II - 13852 Skill... .... Under the direction of the Error Resolution Section Manager, this position plans and manages the adjudication of medical claims...Full timeContract workWork at officeRemote workMonday to FridayFlexible hours
