• PCO Medical Director- UM - Full Time

    CenterWell (Springfield, IL)
    …CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other team members, ... on project teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Springfield, IL)
    …guidelines, state and CMS requirements, Humana policies, clinical standards, and contracts . The ideal candidate supports and collaborates with other team members, ... organizational committees. All other duties as assigned. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    Humana (10/25/25)
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  • Network Operations Coordinator

    Humana (Springfield, IL)
    …data for health plans including but not limited to demographics, rates, and contract intent. Operates within fast-paced environment with ability to manage and meet ... deadlines. Manages provider audits, provider service and relations, credentialing, and contract management systems. Executes processes for intake and manage provider… more
    Humana (12/12/25)
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  • Care Manager, Telephonic Behavioral Health

    Humana (Springfield, IL)
    …meet **ALL** of the following requirements: + Our Department of Defense Contract requires US citizenship for this position + Successfully receive interim approval ... to do work in Puerto Rico per our government contract . We are not able to hire candidates that...Extensive analytical skills + Bilingual a plus **Work at Home/ Remote Requirements** : To ensure Home or Hybrid Home/Office… more
    Humana (12/11/25)
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  • Sr Veg Mgmt Program Manager

    Exelon (Rockford, IL)
    …change management activities and drive safety performance, with both internal and contract personnel. Position may be required to work extended hours for coverage ... performance of program/project teams through oversight of 100 to 300 contract field personnel. This includes performing safety observations and incident… more
    Exelon (12/10/25)
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  • Oncology Sales Representative - South Orange…

    Merck (Springfield, IL)
    …prescribed (outpatient vs in-patient infusion, as part of hospital or GPO contract , etc.) + Comprehend complex accounts and local market interdependencies to ... Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate , Medicare Account Executive, and more. **Qualifications:** **Minimum Requirements:**… more
    Merck (12/10/25)
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  • Lead, Technology and CyberSecurity Risk

    Humana (Springfield, IL)
    …exceptional expertise in cybersecurity, IT risk management, regulatory compliance, and contract negotiation. The individual will lead and manage complex engagements ... and alignment with regulatory requirements and business objectives. **Inquiry & Contract Management** + Respond to customer security and technology questionnaires,… more
    Humana (12/16/25)
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  • Risk Management Professional

    Humana (Springfield, IL)
    …to make an impact** **Required Qualifications** + Our Department of Defense contract requires US Citizenship + Successfully receive interim approval for government ... to do work in Puerto Rico per our government contract . We are not able to hire candidates that...PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (12/13/25)
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  • Senior Pharmacy Contracting Professional

    CenterWell (Springfield, IL)
    …of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy claims and purchasing ... Healthcare experience + Process improvement and/or methodologies experience **Workstyle** Remote Work at Home **Location** United States **Schedule** Typically, 8:00… more
    CenterWell (12/13/25)
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  • Referrals Coordinator

    Humana (Springfield, IL)
    …to make an impact** **Required Qualifications** + **Our Department of Defense Contract requires US citizenship for this position** + **Successfully receive interim ... depending on progression of trainee - 1 - 2 months **Work at Home/ Remote Requirements** To ensure Home or Hybrid Home/Office associates' ability to work effectively,… more
    Humana (12/12/25)
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