- 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
- 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 (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 (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
- 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
- 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
- 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 (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
- 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
- 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
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