- CVS Health (Springfield, IL)
- …every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Care Management Associate . In this role you will support comprehensive ... applicable, while adhering to company policy and procedures. (*) ** Remote Work Expectations** + This is a 100% ...Familiarity with basic medical terminology and concepts used in care management . + Strong customer service skills… more
- CVS Health (Springfield, IL)
- …+ 3+ year(s) of experience in Nursing. + 3+ year(s) of experience Care Management . (eg. linking members to resource, contacting appropriate external agency, ... for a scheduled 8-hour shift. This is a fully remote role. **Position Summary** CVS Health Aetna has an...understanding of the care management process.) + 2+ year(s) of… more
- Humana (Springfield, IL)
- …situations or data requires an in-depth evaluation of variable factors. The Value-Based Care Infrastructure Associate Actuary will play a crucial role in ... supporting the design, implementation, and management of vended complex value-based care initiatives. This position will focus on contracting, implementation,… more
- Humana (Springfield, IL)
- …progressive benefits that advance the employment experience and vitality of the associate community. Through offerings anchored in a whole person view of human ... Cybersecurity Strategy Advancement role is responsible for the development, management , and promulgation of the EIP (Enterprise Information Protection) Cybersecurity… more
- CVS Health (Springfield, IL)
- …clinical models. You can have life-changing impact on our members, who are enrolled in Care Management and present with a wide range of complex health and social ... this exciting opportunity as we grow and expand our Care Management Programs to change lives in...and written communication skills + Bilingual (English/Spanish) + Previous remote work experience **Education** + High School Diploma or… more
- Cognizant (Springfield, IL)
- …connection required. **QUALIFICATIONS:** High school diploma GED Certificate or equivalency. Associate or bachelor's degree in healthcare management preferred. ... **CUSTOMER SERVICE REPRESENTATIVE ( remote )** This is a remote position...customer service including six months in a lower-level customer care representative role. Understanding of the insurance industry, electronic… more
- Prime Therapeutics (Springfield, IL)
- …teams + Coordinate the preparation and review of pharmacy benefit management service agreements, business associate agreements, non-disclosure agreements, ... drives every decision we make. **Job Posting Title** Sr. Contract Manager - REMOTE **Job Description** The Sr. Contract Manager will be responsible for coordinating… more
- Prime Therapeutics (Springfield, IL)
- …decision we make. **Job Posting Title** Pharmacy Rebate Specialist, Government Remote **Job Description** This position is responsible for status reports, resolving ... + Invoicing practices, including pre-invoicing review for fee for service, managed care , diabetic supply and supplemental rebate programs. + Assists account … more
- Sharecare (Springfield, IL)
- …with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost effective, ... and for intervening with the participants and their Primary Care Provider according to the disease management ...High School diploma and a Diploma in Nursing, an Associate 's Degree in nursing or Bachelor's Degree in nursing… more
- Sharecare (Springfield, IL)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... environment. + Able to work effectively with all levels of management . + Must demonstrate exceptional organizational and communication skills and ability… more
- Hilton (Springfield, IL)
- …other team members at the same level and/or position within the Company\.\#LI\- REMOTE **Job:** _Technology Operations_ **Title:** _Senior Associate GDCM Property ... _\*\*\*The location for this position is virtual/ remote \*\*\*_ This is your chance to be a...the hospitality industry around the world\! As a Senior Associate GDCM Property Systems Specialist \- Point of Sale,… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Associate VP, Sales Support provides timely and effective sales administrative support to assist ... with the acquisition or retention of customers. The Associate VP, Sales Support requires a in-depth understanding of...develops and implements strategic plans for the scope of management that are aligned with the Segment or Business… more
- Norstella (Springfield, IL)
- Life Science Associate Partner - Global Market Access Company: Dedham Group Location: Remote , United States Date Posted: Nov 14, 2024 Employment Type: Full Time ... **About us:** We set out to develop a health care innovation organization that could separate the background "noise"...Manage project teams and allocate resources effectively. 5) **Team Management ** **:** Lead, mentor, and develop a team of… more
- Fujifilm (Springfield, IL)
- **Position Overview** The Regional Sales Associate is responsible for providing regional support to assigned Regional Sales manager. This support includes Assisting ... FUJIFILM Sonosite, we reinvent how healthcare is delivered with point-of- care ultrasound technology. As the leader in bedside ultrasound...move opportunities through the sales funnel + Work with Management to develop and grow the sales pipeline to… more
- Norstella (Springfield, IL)
- Associate Consultant, Life Sciences Consulting (Market Access) Company: Dedham Group Location: Remote , United States Date Posted: Jun 3, 2025 Employment Type: ... Dedham Group** We set out to develop a health care innovation organization that could separate the background "noise"...from pipeline to patient. **About the role:** As an Associate Consultant, you will support Consultants and Senior Consultants… more
- Humana (Springfield, IL)
- …work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient ... business relationships, value based care , population health, or disease or care management . Medical Directors support Humana values, and Humana's Bold Goal… more
- Humana (Springfield, IL)
- …in the Lincoln, Clinton, and Decatur areas).** + 1-year experiences in health care and/or case management . + 1-year experience with Medicare & Medicaid ... Humana Gold Plus Integrated is seeking a Health Services Care Coach to assess and evaluate member's needs and...needs. + Coordinates services, monitors, and evaluates the case management plan against the member's personal goals. + Ensures… more
- CenterWell (Springfield, IL)
- …Current CPR certification. + Good working knowledge of home health, hospice, and palliative care services. + Good time management skills. + Ability to learn and ... will allow for off-days during the week.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...+ Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Springfield, IL)
- …help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ... to troubleshoot and resolve basic technical difficulties in a remote environment + Minimum of three, (3), years varied...one, (1), year of experience auditing and/or performing case management or utilization management chart reviews +… more
- CVS Health (Springfield, IL)
- …facilitate optimal care /treatment. + Identifies members who may benefit from care management programs and facilitates referral + Identifies opportunities to ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...and every day. **Position Summary** This is a fully remote role open to candidates with an active RN… more