- CenterWell (Springfield, IL)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... highest standards of care, building high-performance care teams, developing clinical leadership talent, and quantifiably improving outcomes and performance across… more
- CenterWell (Springfield, IL)
- …a part of our caring community and help us put health first** The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug ... development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM… more
- CenterWell (Springfield, IL)
- …a part of our caring community and help us put health first** The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist Program & Automation ... polices for clinically appropriate automation opportunities. In addition, the Senior Clinical Pharmacist Program & Automation Strategy Expert will provide government… more
- CenterWell (Springfield, IL)
- …community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address business issues ... business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex to complex issues where the… more
- CenterWell (Springfield, IL)
- …an in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy ... and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of Humana's Healthy… more
- CenterWell (Springfield, IL)
- …sales processes and streamline workflows. + Comprehends the work domain, professional principles, regulatory standards and operational strategies within one's role. ... + Manages work often guided by precedent and/or documented procedures/regulations/ professional standards with some interpretation. + Update and maintain CRM… more
- CenterWell (Springfield, IL)
- …area implements and supports strategy and targeted initiatives aimed at increasing clinical efficiencies, processes, education, and compliance as it relates to ... data-based insight to direct process improvement efforts within the clinical and shared services community. Advises executives and market...+ Remote role + Occasional travel, 25% to various CenterWell and Conviva markets or team on-sites **Work at… more
- CenterWell (Springfield, IL)
- …a part of our caring community and help us put health first** The Clinical Pharmacy Lead requires a broad understanding of pharmacy, managed care, PBM, market and ... drug strategies to mitigate cost trend and improve health outcomes. The Clinical Pharmacy Lead work assignments involve moderately complex to complex issues where… more
- CenterWell (Springfield, IL)
- …such as drug pipeline updates and market event notifications + Partners with clinical and business professionals, actuaries and operations in a team environment + ... the state(s) in which you are required to practice + Eight (8) years of clinical experience in managed care or equivalent experience + Five (5) years' experience in… more
- CenterWell (Springfield, IL)
- …**Cross-Functional Collaboration** + Coordinate with various departments (eg, finance, legal, compliance , and operations) to gather necessary information and ensure ... compliance with organizational standards. + Facilitate meetings and discussions...many other opportunities. Application Deadline: 06-26-2025 **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe,… more
- CenterWell (Springfield, IL)
- …and issues. + May participate or inform coder education programs on coding compliance . + Follows state and federal regulations as well as internal policies and ... reviews. + May participate or inform provider education programs on coding compliance . + Exercises independent judgment and decision making on complex issues… more
- CenterWell (Springfield, IL)
- …and many other opportunities. Application Deadline: 06-02-2025 **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable ... patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication… more
- CenterWell (Springfield, IL)
- …and many other opportunities. Application Deadline: 06-12-2025 **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable ... patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication… more
- CenterWell (Springfield, IL)
- …and many other opportunities. Application Deadline: 06-12-2025 **About us** About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable ... patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication… more
- CenterWell (Springfield, IL)
- …and many other opportunities. Application Deadline: 07-04-2025 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides ... by also addressing other factors that can impact a patient's well-being. About CenterWell , a Humana company: CenterWell creates experiences that put patients at… more
- Humana (Springfield, IL)
- …community and help us put health first** The Senior Technology Solutions Professional drives technical solutions and collaborates with various support teams to ... application/service disruptions and performance issues. The Senior Technology Solutions Professional 's typical work assignments involve issues where analysis of… more
- Humana (Springfield, IL)
- …medical records. May participate in provider education programs on coding compliance . Understands own work area professional concepts/standards, regulations, ... help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical records and... ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and… more
- Humana (Springfield, IL)
- …to meet specific population health needs and achieve specific cost and clinical success outcomes. Once products are launched, the Senior Product Manager monitors ... the project team including executive-level communications. + Partners with operational, clinical and process team colleagues to drive process improvement and… more
- Humana (Springfield, IL)
- …multiple domains, and can be in the following areas: + Primary Care & Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market ... in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a...and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the… more
- Humana (Springfield, IL)
- …remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns appropriate codes ... Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to make an… more