• Medicaid Provider Hospital

    Humana (Springfield, IL)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (06/18/25)
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  • VP, Revenue Cycle Management and Payer Strategy

    Cardinal Health (Springfield, IL)
    …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
    Cardinal Health (05/17/25)
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  • Inpatient Coder

    Trinity Health (Maywood, IL)
    … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Utilizes encoder software applications, which includes all ... Full Time - Days Position Summary: Under direct supervision, reviews physician/ provider documentation in Inpatient health records to determine the principal… more
    Trinity Health (06/13/25)
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  • Accredited Coder - Inpatient

    Trinity Health (Maywood, IL)
    … Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement . Utilizes encoder software applications, which includes all ... **Description:** Part-time 32 hours weekly Under direct supervision, reviews physician/ provider documentation in Inpatient health records to determine the principal… more
    Trinity Health (05/03/25)
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  • Inpatient DRG Quality Auditor

    Humana (Springfield, IL)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (06/17/25)
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  • Clinical Case Manager Behavioral Health Field

    CVS Health (Springfield, IL)
    …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... choices. * Helps member actively and knowledgably participate with their provider in healthcare decision-making. * Analyzes all utilization, self-report and clinical… more
    CVS Health (06/23/25)
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  • Ambulatory Pharmacy Tech

    Prime Healthcare (Evanston, IL)
    …pharmacy financial assistance programs, insurance processing, and insurance systems (Medicare/ Medicaid ) preferred. Saint Francis Hospital offers competitive ... Schedule: Full Time Monday through Friday Days Facility: Prime St Francis Hospital Location:Evanston, IL Company is an equal employment opportunity employer. Company… more
    Prime Healthcare (06/11/25)
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  • Senior Manager, Outsourced Accounting - Skilled…

    Wipfli LLP (Tinley Park, IL)
    …budgets and forecasts * Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems * Ensure client accounting engagements are completed ... development of best practices. You will oversee and manage multiple client teams, provide training to and promote development of staff, have direct client contact… more
    Wipfli LLP (05/07/25)
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  • Area Manager

    Prime Healthcare (Chicago, IL)
    Overview Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and ... engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent community hospitals across the country… more
    Prime Healthcare (05/23/25)
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