- Humana (Springfield, IL)
- …our organization's standing within the Medicaid markets. **Complex Ad-Hoc Requests:** The Data and Reporting Professional 2 will address complex ad-hoc ... caring community and help us put health first** The Medicaid Data and Reporting Analyst...operating objectives, including their linkages to related areas. The Data and Reporting Professional 2… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... data warehouse queries and scripts. The Senior Data and Reporting Professional work...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Springfield, IL)
- …etc. Partner with actuarial, financial, and clinical teams to align on data definitions, methodologies, and reporting . Identify cost drivers, utilization ... patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to...degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills +… more
- Health Care Service Corporation (Chicago, IL)
- …clients., large employers, brokers, or consultants. + 7 years experience requiring data analysis and information reporting relating to healthcare data ... and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for planning, managing and… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Senior Agency Professional ; Finance & Accounting supports data analysis related to compliance and ... determine the best course of action. The Senior Agency Professional ; Finance & Accounting provides support for handling and...Finance & Accounting provides support for handling and analyzing data that pertains to the compliance and commissions of… more
- Humana (Springfield, IL)
- …our caring community and help us put health first** The Supply Chain Budget Professional reports to the Director of Enterprise Print Management (EPM) and plays a key ... Print and Postage operations through effective budget development, management, financial reporting , and cost tracking. This position ensures accuracy and efficiency… more
- CVS Health (IL)
- …abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools (eg, Tableau, Power BI ... a full time role and is ideal for a data professional with strong coding skills in...to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting . This is… more
- Humana (Springfield, IL)
- …and overall market sales support. The ideal candidate will be able to summarize reporting data and present ideas and results. If you are detail oriented ... and help us put health first** The Sales Support Professional 1 will provide sales support to the Large...high level of accountability + Synthesizing and analyzing financial data (ex. budgets and income statement forecasts) with consideration… more
- Option Care Health (Bannockburn, IL)
- … data into actionable insights. + Demonstrated proficiency and enthusiasm for data analysis and reporting tools and techniques, such as PowerBI, Tableau, ... and the ability to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this… more
- Elevance Health (Chicago, IL)
- …requirements from internal and external requestors to ensure that the team is meeting reporting needs and facilitates seamless data transfer. + Develops ad hoc ... studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You... and Medicare Advantage risk adjustment initiatives. + Performs data mining and data -driven analyses to evaluate… more
- CVS Health (IL)
- …systems and data warehouses. **Education** + Bachelor's Degree or equivalent professional work experience required. + Advanced degree in a relevant field, such ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …also tasked at using technology for call planning/targeting, field communications, field reporting , sales data analysis, reporting and generating insights. ... Enhanced approach to customer targeting and engagement Remote engagement Use of analytical data to generate insights Better use of existing tools like excel, word… more
- Cardinal Health (Springfield, IL)
- …leaders and employees and proactively provides guidance and trainings on policies. Reporting to the Director, Ethics & Compliance, this position supervises and ... manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and… more
- DATAMAXIS (IL)
- …any one Test Management tool Preferred Qualifications + Healthcare domain experience (commercial, Medicaid and Medicare claims data , EDI X12 transactions in the ... with the scrum team, and documenting test results. The QA professional ensures compatibility with existing product features and interfaces, understands … more
- Humana (Springfield, IL)
- …on performance metrics and to ensure member needs are met. + Develop reporting tools in collaboration with leadership to identify clinical performance. + Interviews, ... Nurse **(RN)** license, Licensed Clinical Social Worker **(LCSW)** **OR** Licensed Clinical Professional Counselor **(LCPC)** in the state of Illinois. + Five (5) or… more
- Mosaic (Macomb, IL)
- …continues to grow. Mosaic can assist BCaBAs and BCBAs with CEUs, licensure, and medicaid enrollment. Mosaic is an ACE provider and assists BCBAs and BCaBAs with ... their goals. + Monitoring and coaching staff and caregivers, data collection, and the implementation of ABA strategies. +...social work, etc. + Ongoing monitoring of progress and reporting information to the team. Extras we think you'll… more