• Revenue Cycle Associate

    R1 RCM (Chicago, IL)
    …solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines ... Billing, Follow Up) is required + Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims… more
    R1 RCM (08/29/25)
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  • Lead Data Scientist

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Enterprise AI organization at Humana is a pioneering force, driving AI innovation ... few: + Work-Life Balance + Generous PTO package + Health benefits effective day 1 + Annual Incentive Plan...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc. $142,300 - $195,700 per year This… more
    Humana (08/29/25)
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  • Senior Application Architect Contact Center…

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture ... few: * Work-Life Balance * Generous PTO package * Health benefits effective day 1 * Annual Incentive Plan...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc. $106,900 - $147,000 per year This… more
    Humana (08/27/25)
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  • Senior Process Improvement Professional

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Senior Process Improvement Professional, DSNP Encounters Data Management supports the ... consumable information within Excel + Knowledgeable in regulations governing health care industries or related adjacent industries **Additional Information**… more
    Humana (08/27/25)
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  • Staff Utilization Management Pharmacist

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... (eg, Micromedex, Lexicomp) + Pharmacy benefit management (PBM) platforms + Electronic health records (EHRs) + Passion for contributing to an organization focused on… more
    Humana (08/27/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages ... few: + Work-Life Balance + Generous PTO package + Health benefits effective day 1 + Annual Incentive Plan...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc. $117,600 - $161,700 per year This… more
    Humana (08/26/25)
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  • Medical Director - OneHome

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The...vary based on demonstrated job related skills, knowledge, experience, education , certifications, etc. $223,800 - $313,100 per year This… more
    Humana (08/25/25)
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  • Utilization Management Strategy Lead

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The UM Strategy team is a multi-disciplinary team focused on creating data-driven ... general technical difficulties in a remote environment. **Role Desirables** + Health care industry experience **Workstyle:** Remote work at Home **Location:** US… more
    Humana (08/23/25)
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  • Encounter Data Management Professional

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Encounter Data Management Professional ensures data integrity for claims errors. The ... Finance, Accounting, Operations or other related fields + X12 experience + Prior health insurance industry experience + Working knowledge of Microsoft SQL or SAS… more
    Humana (08/22/25)
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  • US-Coding Assoc III

    R1 RCM (Chicago, IL)
    …solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines ... CPC or CCS-P, or RHIT coding certificate and experience with women's health , family practice, internal medicine, and/or urgent care coding preferably with FQHCs.… more
    R1 RCM (08/20/25)
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