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Insurance Medical Director Jobs in Springfield, IL

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Insurance Medical Director information

See Springfield, IL salary details

$12.9K

$230.3K

$353.8K

How much do insurance medical director jobs pay per year?

As of Sep 1, 2026, the average yearly pay for insurance medical director in Springfield, IL is $230,302.00, according to ZipRecruiter salary data. Most workers in this role earn between $196,200.00 and $282,000.00 per year, depending on experience, location, and employer.

What does an Insurance Medical Director do?

An Insurance Medical Director is a physician who reviews medical claims, evaluates policyholder cases, and ensures treatments align with insurance guidelines. They analyze complex medical information to determine coverage eligibility and assess the necessity of procedures. They also collaborate with claims adjusters, underwriters, and other medical professionals to ensure fair and accurate decision-making. Their role helps insurance companies manage risk while maintaining compliance with healthcare regulations.

What are the typical daily responsibilities of an Insurance Medical Director?

Insurance Medical Directors typically review medical claims, assess prior authorization requests, and provide clinical guidance on complex cases to ensure that coverage decisions comply with current medical standards and company policies. They also collaborate closely with underwriters, case managers, and other healthcare professionals, participating in multidisciplinary meetings and developing policies for medical management. Additionally, Insurance Medical Directors may engage in quality improvement initiatives, conduct peer reviews, and assist in training staff on clinical procedures and regulatory changes. The role requires a balance of high-level decision-making, medical expertise, and effective communication with both internal teams and external providers.

What are the key skills and qualifications needed to thrive in the Insurance Medical Director position?

To thrive as an Insurance Medical Director, you need a medical degree (MD or DO), board certification, clinical expertise, and experience with healthcare regulations and utilization review. Familiarity with claims management systems, ICD-10 coding, and tools like Milliman or InterQual guidelines is often required. Strong analytical skills, clear written and verbal communication, and the ability to make objective decisions are essential soft skills. These competencies are crucial for ensuring ethical, evidence-based determinations that balance patient care with organizational and regulatory requirements.

What job categories do people searching Insurance Medical Director jobs in Springfield, IL look for?

The top searched job categories for Insurance Medical Director jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Insurance Medical Director jobs?

Cities near Springfield, IL with the most Insurance Medical Director job openings:

Insurance Medical Director jobs near you

Regional Medical Director (80418)

Springfield, IL • On-site

Centurion, LLC
Construction • 1 - 10 employees
Learn more about Centurion, LLCexternal

$295K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Regional Medical Director

IL Regional Office - Springfield, IL 62794-9277

Overview

Position Type: Full-Time Job Shift: Day Education Level: Professional Degree Category: Leadership

Description

Centurion Health is proud to be the NEW provider of healthcare services to the Illinois Department of Corrections.

We are currently seeking a full-time Regional Medical Director to join our team providing oversight to our Medical Directors and our facilities located in the south-central area of Illinois.

The Regional Medical Director provides the clinical direction needed to meet service delivery requirements, direct clinical services for patients, and clinical supervision for medical staff at the assigned sites in the region under the supervision of the Statewide Medical Director. The Regional Medical Director ensures efficient and clinically appropriate medical services are provided and participates in various committees to include Continuous Quality Improvement (CQI), Infection Prevention and Control, and Pharmacy and Therapeutics as requested.

Annual salary starting at $295,000 or higher based on years of experience.

Qualifications
  • Medical degree (MD or DO) from an accredited medical school required
  • Active, unrestricted MD/DO Illinois license or ability to obtain
  • Active, unrestricted DEA
  • Ability to pass credentialing, drug screening and background check
  • BC in a primary care specialty is required
Available Shift
  • Monday - Friday
  • Day shift
  • No nights, holidays or weekends
  • Choice of 5, 8-hour shifts or 4, 10-hour shifts
We Offer Comprehensive Benefits
  • Health, dental, vision, disability and life insurance
  • 401(k) with company match
  • Generous paid time off
  • Paid holidays
  • Flexible Spending Account
  • Continuing Education benefits
  • Much more...
Advantages of Working in Correctional Healthcare
  • Freedom from complex, restrictive managed care policies and reimbursement hassles
  • Time to initiate change, track progress and conduct better follow-up
  • Ability to work with a clinically rich and diverse patient population

About Us

Centurion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings. Our dedication to making a difference and our passionate team of the best and the brightest healthcare employees has made us one of the leaders of the correctional health industry. Whether you are driven by purpose and impact or on a journey of professional growth, our opportunities can offer both.

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