- Cardinal Health (Springfield, IL)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- CVS Health (Springfield, IL)
- …License + Certified Case Manager (CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee… more
- Health Care Service Corporation (Springfield, IL)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... Professional Counselor (LCPC) Licensed Professional Counselor (LPC) Certified Case Manager (CCM) Persons with HIV/AIDS Waiver Care ...Case Manager (CCM) Persons with HIV/AIDS Waiver Care Coordinators must meet one (1) of the three… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements ... care and wellbeing of members. The Field Care Manager Nurse employs a variety of...Experience with health promotion, coaching, and wellness. + Previous managed care experience. + Bilingual - English,… more
- Humana (Springfield, IL)
- …field. + Certified Case Manager (CCM). + Previous experience working in a managed care field. + Five (5) or more years of previous management/supervisor ... care coordinators and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments ... with members. The Field Care Manager serves as the primary point...social service agencies and additional community resources + Previous managed care experience + Bilingual **Additional Information**… more
- Humana (Springfield, IL)
- …planning and patient education for adult acute care . + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare & ... our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, you will play a pivotal role… more
- Highmark Health (Springfield, IL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Humana (Springfield, IL)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Springfield, IL)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CVS Health (Springfield, IL)
- …Qualifications** + 8+ years of professional work experience within the PBM or Managed Care arenas. + Experience establishing relationships with key internal ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Springfield, IL)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- Veterans Affairs, Veterans Health Administration (Springfield, IL)
- …Professional Mental Health Counselor, or a Social Worker at the Program Manager /Coordinator level. Serves as a Licensed Professional Mental Health Counselor Program ... Manager , RCS Vet Center Director (VCD) and is responsible...oversight of all readjustment counseling, outreach, referrals and follow-up care coordination services provided to eligible individuals within the… more
- CVS Health (Springfield, IL)
- …outcomes that deliver on results. + Collaborate with other state contracted entities, managed care organizations and community organizations to design efforts to ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Summary** must live in Illinois The Health Equity Program Manager is a key role to the heath plan… more
- CVS Health (Springfield, IL)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Springfield, IL)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Pacific Northwest National Laboratory (Springfield, IL)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more
- UMB Bank (Springfield, IL)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- CVS Health (Springfield, IL)
- …conduct a thorough analysis **Required Qualifications** + 8+ years of experience in managed care , with a focus in pharmacy benefit management, pharmaceutical ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Centene Corporation (Springfield, IL)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...performance metrics, and identify opportunities for improvement in patient care and clinical practices. + Value-Based Care … more