• Utilization Management Administration…

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . ... best and most appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. This team sits in the Home Solutions… more
    Humana (10/10/25)
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  • Medical Records Technician (Coder) In/Out

    Veterans Affairs, Veterans Health Administration (North Chicago, IL)
    Summary The MRT Coder is a position located under the Health Information Management Division of the Resources Directorate at the Captain James A. Lovell ... medical coding, and the structure and format of a health records. OR Education. An associate 's degree...a major field of study in health information technology/ health information management… more
    Veterans Affairs, Veterans Health Administration (10/16/25)
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  • Utilization Management Nurse

    CenterWell (Springfield, IL)
    **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers ... experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
    CenterWell (11/22/25)
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  • Medical Coding Auditor Evaluation…

    Humana (Springfield, IL)
    …Evaluation & Management Services - Inpatient, Office, ER, Telehealth, Home Health , and minor procedures + Strong attention to detail + Working knowledge of ... Evaluation & Management Services - Inpatient, Office, ER, Telehealth, Home Health , and minor procedures + Experience with the Claims Life Cycle + Experience… more
    Humana (11/18/25)
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  • Director Product Management - Adobe…

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Director, Product Management Conceives of, develops, delivers, and manages products ... for customer use. The Director, Product Management requires an in-depth understanding of how organization capabilities...part of our caring community and help us put health first** Humana's Product organization is seeking a Director… more
    Humana (11/21/25)
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  • Senior Workforce Management Professional;…

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and ... insights for workforce decision-making (eg, staffing, learning and development, talent management , diversity and human resource compliance). The Senior Workforce … more
    Humana (11/20/25)
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  • Spvr - HIM Coding IP - CFH

    Carle Health (Champaign, IL)
    …Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding ... Specialist (CCS) - American Health Information Management Association (AHIMA);...Related Field; Associate 's Degree: Healthcare, Work Experience: Health information Responsibilities Ensures team members under… more
    Carle Health (10/22/25)
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  • Chief Psychiatrist - Behavioral Health…

    Humana (Springfield, IL)
    …Chief Medical Officer(CMO) to integrate the day-to-day administration and strategic management of behavioral and physical health services, including Utilization ... specialists + Develops comprehensive care programs for the management of adult behavioral health concerns typically...lacking ongoing interruptions to protect member PHI / HIPAA information . ​ **Interview Format** As part of our hiring… more
    Humana (10/23/25)
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  • Identity and Access Management Engineer

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** (**Role is eligible for EIP Avenues) The Identity and Access Management Engineer 2 ... deletions and disables from various systems. The Identity and Access Management Engineer 2 work assignments are varied and frequently require interpretation… more
    Humana (11/20/25)
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  • Utilization Management Nurse

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... BSN or Bachelor's degree in a related field + Health Plan experience + Experience in utilization management...experience a plus + Milliman MCG experience preferred **Additional Information ** + Hours for this role are: Monday-Friday 8am-5pm… more
    Humana (11/24/25)
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