- US Tech Solutions (Springfield, IL)
- **Position Summary:** Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare ... either degree being in behavioral health or human services required **Skills:** + Case management , Behavioral health, social services, Travel **About US Tech… more
- UNUM (Springfield, IL)
- …others, and join Team Unum today! **General Summary:** The Underwriting Consultant will demonstrate expert risk evaluation, selection and retention of profitable ... as a technical resource for junior underwriters and provide developmental feedback on case level decisions within the context of a mentoring relationship + Act as… more
- Highmark Health (Springfield, IL)
- …providers. + Maintain current case related information on all applicable case management tracking systems. + Provide investigative support and mentoring to ... and work with those agencies through closure of the case . Conduct audits for proactive and investigative purposes to...charts to timely identify trends and patterns of potential healthcare fraud, waste and abuse. Communicate findings to company… more
- NASCO (Springfield, IL)
- …understand true elements towards solving for Value-based Care + 5 years of management experience in Solution or Healthcare Product space forproduct organizations ... Solution Consultantleads our pre-sales solutions architectureteam in delivering best-in-class healthcare technology solutions to our clients. This role plays a… more
- CVS Health (Springfield, IL)
- …and healthcare personnel as appropriate. * Implements and coordinates all case management activities relating to catastrophic cases and chronically ill ... with members/clients in their homes, worksites, or physician's office to provide ongoing case management services. * Assesses and analyzes injured, acute, or… more
- Edwards Lifesciences (Springfield, IL)
- …+ Must be able to work in a team environment, including serving as consultant to management + Ability to interact with suppliers, vendors and/or customers ... programmers + Collaborate with CDM to review draft CRFs ( Case Report Form), databases and perform edit checks +...and perform edit checks + Partner with clinical data management team to ensure that the databases is defined… more
- Rocket Software (Springfield, IL)
- …either inside a global enterprise or as an integration and transformation management consultant . Deal experience and background should include global, large, ... achieve cross-functional, value-driving initiatives that require central strategy, ongoing management , alignment throughout the business, and tangible outcomes. Identify,… more
- Rocket Software (Springfield, IL)
- …enterprise, as well as earlier experience as an integration and transformation management consultant . Deal experience and background must include global, large, ... Drive cross-functional, value-driving initiatives that require central strategy, ongoing management , alignment throughout the business, and tangible outcomes. Identify,… more
- Elevance Health (Springfield, IL)
- …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... review determinations. + Serves as a resource and consultant to other areas of the company. + May...and propose new medical policies based on changes in healthcare . + Leads, develops, directs, and implements clinical and… more