- CVS Health (Springfield, IL)
- …**This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is 8:30am - 5pm within time zone of residence.** American Health ... Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that… more
- Lumen (Springfield, IL)
- …you will be tasked with establishing both current and future practices, metrics, and methodologies to determine the most suitable solutions. This includes exploring ... and evaluating emerging and established technologies, and consulting on their application to develop innovative solutions that drive our success. Notably, implementing BRIM solutions in Azure, whether in a private or public cloud managed by NS2, is considered… more
- CVS Health (Springfield, IL)
- …This clinical rotation prepares Family Nurse Practitioner students for ambulatory care settings. MinuteClinic accomplishes this goal by not only meeting the academic ... standards of the school, but by providing students with a well-rounded experience that includes specialized online training, patient interaction, visibility to our EMR and the opportunity to work in a new and exciting model of health care. Our preceptors have… more
- Lumen (Springfield, IL)
- …+ Assists in delivering security requirements and coordinating information security risk assessments to ensure compliance with corporate policy, standards, procedures ... **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together, we are building a culture and company from the people up - committed to teamwork, trust and… more
- Evolent (Springfield, IL)
- …**Required** + Bachelor's degree in a quantitative field (eg, Data Science, Statistics, Mathematics, Economics, Public Health, or a related discipline). + 2+ years of ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health… more
- CVS Health (Springfield, IL)
- …+ Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and ... knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services for child and adolescent members. + Consults and lends expertise to other internal and external constituents in the… more
- Highmark Health (Springfield, IL)
- …:** JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a ... remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to… more
- Lumen (Springfield, IL)
- …**The Main Responsibilities** + Strategic Product Marketing Leadership: Develop and execute innovative product marketing strategies and solutions to drive usage and ... **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together, we are building a culture and company from the people up - committed to teamwork, trust and… more
- CVS Health (Springfield, IL)
- …+ Evaluating transaction accuracy using internal procedures, plan documents, industry standards, and government compliance documentation. Errors and results are ... communicated in QuickBase with reports created of accuracy findings. + Producing accurate and complete audit results with an understanding and concern for the steps and tasks involved in the process being audited. + Following stated internal procedures,… more
- Wolters Kluwer (Springfield, IL)
- …and requirements.** _Applicants may be required to appear onsite at a Wolters Kluwer office as part of the recruitment process._ **Compensation:** Target salary range ... Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and services that customers need to make decisions with confidence.… more
- Baylor Scott & White Health (Springfield, IL)
- …The Manager of Reimbursement reviews cost reports for supported entities. Assists Reimbursement Managers and management in understanding reimbursement issues. Serves ... **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We… more
- Lumen (Springfield, IL)
- …+ Act as first point of contact for all firewall or VPN related questions, issues, or requests for assistance + Maintain security of the network by ensuring firewall ... **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together, we are building a culture and company from the people up - committed to teamwork, trust and… more
- Humana (Springfield, IL)
- …+ Bachelor's Degree + Successful completion of at least 3 actuarial exams + Meets requirements for Humana's Actuarial Professional Development Program (APDP) + Strong ... **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions.… more
- Prime Therapeutics (Springfield, IL)
- …The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and operations efforts by providing data, reporting and business ... intelligence services. This role is responsible for acting as a data and reporting expert for other members of the Reporting and Analytics team. **Responsibilities** + Develop reporting solutions following internal reporting standards and best practices by… more
- Norstella (Springfield, IL)
- …**Why Norstella?** At Norstella, we are on a mission to help our clients bring life-saving therapies to market faster and support patients in need. We are seeking a ... Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare data analytics to extract meaningful insights from real-world data (RWD) sources, including claims, laboratory… more
- Nelnet (Springfield, IL)
- …+ Research, design, implement, and manage software applications and tooling incorporating user requirements and efficient, testable coding. + Leverage AI coding ... assistants to enhance productivity and drive best practices for AI-assisted development, including code quality, security, and responsible AI use. + Analyze, maintain, and develop existing applications by identifying areas for improvement and modernization. +… more
- Scholastic (Springfield, IL)
- …New Business Sales Consultant - Work from Home Scholastic Book Fairs are wondrous in-person experiences that empower kids to discover books for themselves. Taking ... place in schools and rooted in Scholastic's greater mission to use the power of books for the betterment of all kids, Fairs bring entire communities together. At Scholastic Book Fairs, we bring "the best school day of the year" in 110,000 unique pop-up shops… more
- Electrolux Group (Springfield, IL)
- …Job Ad Title: Customer Assurance Operator II- 2nd shift. Location: Springfield, TN About Us: At Electrolux, we take responsibility for our development in a supportive ... environment where we embrace our differences and learn from each other. In a truly multicultural setting, we shape living for the better and create remarkable experiences for employees and consumers, all around the globe. For more information, visit Electrolux… more
- Prime Therapeutics (Springfield, IL)
- …The Senior Principal Clinical Solutions Strategist is responsible for developing new, bold clinical solutions and architecting plans for execution, as well as ... evaluating innovative solutions to assess applicability versus Primes' current capabilities, including impact to members, providers and clients. The role will assess drug pipelines and evolving markets for potential business expansion. The position will work… more
- SCI Shared Resources, LLC (Springfield, IL)
- …Do you love sales? Are you passionate about serving your community? Do you want to make a difference with your work? We're looking for a sales professional to join ... our dynamic team! We put people first and value integrity and attention to detail in our work. We'll change everything you ever thought about working in the funeral services industry. This isn't your typical job-and we're not your typical company! Our Sales… more