- Highmark Health (Springfield, IL)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
- Centene Corporation (Springfield, IL)
- …IN THE STATE OF ILLINOIS TO SUPPORT THE FOSTER CARE/YOUTH CARE PROGRAMS FOR MEDICAID .** **THE ROLE WILL WORK FROM HOME AND HAVE APPROXIMATELY 25% TRAVEL WITHIN THE ... care management staff based on state requirements, care management staff experience, and member needs + Works with senior management on escalated and complex care… more
- Carle Health (Peoria, IL)
- …and accept supervision. -The ability to work constructively with individuals receiving services , other providers of service , and the community. Ability to ... experiencing behavioral health concerns. Function as an effective team member and represent the agency in a professional manner....Coordinates with Emergency Response Service , other crisis service teams, and supervisor for all crisis… more
- Carle Health (Peoria, IL)
- Overview Under the general supervision of the Supervisor , ACT will provide behavioral health assessment and treatment planning, case management, support, education, ... and intervention to ACT clients. Function as an effective team member and represent the agency in a professional manner. Qualifications **License/Certifications:**… more
- Humana (Canton, IL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... to ensure compliance with state contracts on performance metrics and to ensure member needs are met. + Develop reporting tools in collaboration with leadership to… more
- Elara Caring (Divernon, IL)
- …patients call home and wherever they are on their health journey, we care. Each team member has a part to play in this mission. This means you have countless ways to ... findings, problems, changes in condition or environment to the appropriate supervisor , Occupational Therapist, the physician, and other team members involved with… more
- AbbVie (Mettawa, IL)
- …areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please ... Tik Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team within APEX,...role will work on the Market Access and Patient Services (MAPS) team will be responsible for supporting the… more