- The Joint Commission (Springfield, IL)
- …periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. + Collaborate in a productive manner with ... leadership or senior management experience. Recent experience as a consultant to health care organizations may be considered. +...March 2, 2026.** The Joint Commission offers a comprehensive benefits package. For an overview of our benefits… more
- The Joint Commission (Oakbrook Terrace, IL)
- …in Home Healthcare and Hospice care required. + Experience working in a Medicare Certified home health agency is required. + Ideal candidates will have experience ... All positions require 100% nationwide travel (paid). We offer a full benefits package including medical, dental, vision, 401k, pension and a generous paid… more
- Health Care Service Corporation (Chicago, IL)
- …deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience + Advanced analytical skills, databases ... driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and… more
- Elevance Health (Chicago, IL)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...York.** In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Humana (Springfield, IL)
- …our caring community and help us put health first** Senior Healthcare Network Consultant / Senior Network Performance Professional at Humana, you will play a pivotal ... through strategic initiatives and strong relationship-building. Senior Healthcare Network Consultant /Senior Network Performance Professional + **Provider Collaboration** :… more
- Health Care Service Corporation (Chicago, IL)
- …written and verbal communication skills + CMS regulatory requirements, including Medicare Marketing Guidelines + Experience with Medicare products (including ... Advantage, Medicare Prescription Drug Plan (PDP) and Medicare Supplement products) **This is a Flex (Hybrid) role:...be part of an organization committed to offering meaningful benefits to our employees to support their life outside… more
- ChenMed (Glenwood, IL)
- …and we need great people to join our team. The Membership Growth Consultant (MGC) is an outside healthcare sales representative who's responsible for generating ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Start cultivateing strong relationships… more
- Oracle (Springfield, IL)
- …Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients through ... visualization tool like BO or Tableau + Healthcare experience with Medicaid/ Medicare Claims Reporting **Expectations** + Perform other responsibilities as assigned +… more
- Health Care Service Corporation (Chicago, IL)
- …business readiness activities across large-scale technology transformation programs in Medicare , including the separation from Cigna and the platform integration ... to ensure consistency and efficiency. As a Senior Business Consultant , you will support implementation of initiatives with high...be part of an organization committed to offering meaningful benefits to our employees to support their life outside… more
- Baylor Scott & White Health (Springfield, IL)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH… more
