- Humana (Springfield, IL)
- …and help us put health first** Humana Healthy Horizons is seeking a Medicaid Compliance Business Intelligence Lead who describes the tools, technologies, ... off current and historical compliance information in their Market and others. The Medicaid Compliance Business Intelligence Lead will support the Medicaid … more
- Humana (Springfield, IL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- CVS Health (Northbrook, IL)
- …Position SummaryWe have an outstanding opportunity for an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment ... sends a personal message that how we deliver our services is just as important as what we deliver....across the Aetna Better Health Plans. Reporting to the Provider Engagement Lead Director of Medicaid… more
- Public Consulting Group (Springfield, IL)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience...outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction… more
- Humana (Springfield, IL)
- …value. The Senior Product Manager plays a critical role in developing and managing Medicaid and Dual Eligible insurance products and services that meet the needs ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Springfield, IL)
- …population with a strong lens on intersecting behavioral and social health needs. + Provide support to Medicaid markets within the region, aiding in case review, ... Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Springfield, IL)
- …innovate **Additional Information:** Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending on size of ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Highmark Health (Springfield, IL)
- …business data subject matter expert hands on where possible, and guide, lead and educate staff knowledge and growth. Responsible for customer relationship ... as necessary; may have budgetary responsibility and authority. + Provide leadership for data analysis, including requirement solicitation, collaboration with… more
- Molina Healthcare (Springfield, IL)
- …collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with ... network. In partnership with Director, manages and coordinates the Provider Services activities for the state health...to meet internal/external standards. * Manages and directs the Provider Service staff including hiring, training and… more
- Humana (Springfield, IL)
- …our caring community and help us put health first** The Value-Based Programs Lead supports successful value-based provider relationships with a focus on ... in VBP and have advanced technical knowledge and experience. The Value-Based Programs Lead supports successful value-based provider relationships with a focus on… more
- Humana (Springfield, IL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Springfield, IL)
- …development of Medicaid RFP content to effectively represent the products, services , brands, and/or the organization to customers. **The Lead , Content ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Springfield, IL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... business and the experiences we create for our members, provider partners & associates. We partner closely with our...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Carle (Urbana, IL)
- Lead Social Worker (LCSW) - Co Responder Social Service Unit + Department: Behavioral Health Admin - CTP_10_552 + Entity: Peoria Service Area + Job Category: ... in a call to the Peoria Police Department. The Lead LCSW position will provide clinical oversight...provide clinical oversight and supervision for the social service staff. Qualifications: EDUCATIONAL REQUIREMENTS Master's Degree in Social… more
- CVS Health (Springfield, IL)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... convenient and affordable. This position is classified as remote Position SummaryThe Lead Director Financial Reporting & Analytics will report directly to the Chief… more
- Humana (Springfield, IL)
- …Humana's business segments to drive enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- BrightSpring Health Services (Woodridge, IL)
- …Come join our closed-door specialty infusion pharmacy! Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical ... the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network...Knowledge of scheduling tools + Understands the scope of services that Amerita can provide + Strong… more
- Public Consulting Group (Springfield, IL)
- …practical guidance and support to management and consultants in compliance areas including Medicaid regulations. + Take a lead role in compliance investigations ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Springfield, IL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Rush University Medical Center (Chicago, IL)
- …Present necessary medical information such as history, diagnosis, and clinical notes. Provide specific medical information to financial services to maximize ... Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Pre- Authorization Specialist Lead is responsible for obtaining and resolving referral, precertification, and/or prior… more