- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** As an Enrollment Analyst for a Fortune 10 organization, you will impact and support customers ... data integrity and ensure excellent service delivery. You will resolve data enrollment issues on a daily basis and utilize your exceptional time management… more
- Baylor Scott & White Health (Springfield, IL)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... Medicaid, MCO, TPA business requirements preferred.Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits… more
- CenterWell (Springfield, IL)
- …a detail-oriented and experienced Home Health Facility Licensure & Regulatory Compliance Analyst to join our team. The successful candidate will oversee facility ... Federal, and local agencies. + Oversee and manage Medicaid and Medicare enrollment , renewal, and compliance activities. + Track expiration dates and coordinate… more
- Evolent (Springfield, IL)
- …Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple sources using SAS and SQL programs. Import and load ... data from disparate sources to facilitate reporting for multiple health plans. Build new client relationships to understand analytical and reporting needs. Create actionable, innovative analytics solutions that drive decision-making for clients by performing… more
- Highmark Health (Springfield, IL)
- …or proposals for action. **REQUIRED QUALIFICATIONS** + Full or part-time enrollment in an accredited college or university baccalaureate program in related ... field. + Problem solving capabilities, critical thinker, able to investigate root causes and recommend solutions. + Basic understanding of SQL / querying capabilities. Experience with end-user reporting tools **ESSENTIAL JOB FUNCTIONS** 1. Communicate… more
- Highmark Health (Springfield, IL)
- …+ 3 - 5 years in a relevant operational area (eg customer service, claims, enrollment and billing, etc.) to include 1 - 3 years of technical application experience ... **Preferred** + 1 - 3 years in the Health Insurance Industry + 1 - 3 years in the Healthcare Industry + 1 - 3 years in Lean/Six Sigma **LICENSES AND CERTIFICATIONS** **Require** + None **Preferred** + (Lean) Six Sigma + Project Management Professional (PMP)… more
- Highmark Health (Springfield, IL)
- …undocumented processes. Analyzing the impacts to create a log for Business Analyst /Consultant Standard Operating Procedures (SOPs). This log would serve as a ... for completing those steps n. **REQUIRED QUALIFICATIONS** + Full or part-time enrollment in an accredited college or university baccalaureate program in a related… more
- Public Consulting Group (Springfield, IL)
- …(NCQA/HEDIS, CMS Core Set) + Experience with health plan eligibility and enrollment data + Experience programming with R, Python, or other programming languages ... work experience, preferably at CMS institution. **Supervisory Responsibility** + Business Analyst + Consultants **Working Conditions** + Office Setting + Some travel… more