- CVS Health (Springfield, IL)
- …it all with heart, each and every day. **Position Summary** + Network implementation manager. + Configure custom, domestic, and direct-to-employer networks. + ... Subject matter expert for network files, network IDs, and PPO codes. + User Acceptance Testing for new implementations and issue resolution. + Performs research… more
- CVS Health (Springfield, IL)
- …all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience programs to ... risk management and positive relationships supporting high value initiatives with our Network Providers. This role acts as the primary contact for an assigned… more
- CVS Health (Springfield, IL)
- …for plan members and payors, and improving health outcomes. The Sr. Analyst 's main responsibilities will include successfully leading proposals across all market ... segments and appropriate levels of complexity. The Sr. Analyst will impart department best practices to ensure consistency and accuracy in our responses. The Sr. … more
- CVS Health (Springfield, IL)
- …heart, each and every day. **Position Summary** The Resource Planning Technology Sr. Analyst will partner with other team members to lead and drive all initiatives ... + Project Management experience + Managing a remote workforce in a network environment + Demonstrated knowledge of testing and training process + Technical… more
- Highmark Health (Springfield, IL)
- …complex benefit coding, new client and group installation, as well as set-up of network structures (eg non standard tiering) and pricing methods in a senior ... benefit coding, new client and group installation, as well as set-up of network structures (eg non-standard tiering) and pricing methods. + Analyze and verify… more
- CVS Health (Springfield, IL)
- …execute financial modeling of comprehensive pricing offers that include retail network , mail order, specialty, and pharmaceutical manufacturer rebates for PBM client ... contracts. Some of your key responsibilities will include: + Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for net new business growth and margin… more
- CVS Health (Springfield, IL)
- …times in multiple time zones. + Responds to customers' requests for network analysis, benefit plan design changes, benefit questions, and clarifications on billing, ... eligibility, and claims processes. + Collaborates with account management team to achieve growth/renewal objectives. + Effectively manage and negotiate renewals and provider benefit strategy as needed to retain clients. + Assists in preparation of reports. +… more
- Lionbridge Technologies (Springfield, IL)
- Location: Work from Home , Any State Position Title: Pricing Analyst Req: 55928 **Pricing Analyst ** Are you a strategic thinker with a talent for analyzing ... market trends and financial data? We are looking for a Pricing Analyst to develop and implement pricing strategies that enhance profitability and strengthen our… more
- Humana (Springfield, IL)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence Engineer will be… more
- ASM Research, An Accenture Federal Services Company (Springfield, IL)
- As a Help Desk Analyst within the Defense Army Account's ITSM team, you will be at the forefront of technical support, playing a crucial role in maintaining the ... proper documentation as it relates to specialized field which may include Network Security, incident management, or similar technical related issues. + Performs… more
- HomeSafe Alliance (Springfield, IL)
- …various special projects from time-to-time. + **MANAGERIAL & SUPERVISORY** - Currently one Senior Analyst reports to this position but depending on the direction ... integrator, we provide earlier visibility into upcoming moves and greater network throughput capacity-ensuring household goods shipments are picked up and delivered… more
- Cognizant (Springfield, IL)
- …or at any time in the future. **Job Summary:** The Business Analyst (BA) is primarily responsible for researching, analyzing, defining, designing, configuring, ... projects and/or cloud-based implementations in a BA role. * Senior -Level BA: Strong proven experience with IT delivery projects,...member of the Veteran Jobs Mission. Our Cognizant Veterans Network Assists Veterans in building and growing a career… more