- Humana (Springfield, IL)
- …This role drives quality improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, ... align clinical programs with payer-specific needs (MA, D-SNP). + Provide clinical input into network development, contract ...+ 5 + years in managed care industry, either provider or payer. + Thorough knowledge of health… more
- Highmark Health (Springfield, IL)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
- Option Care Health (Springfield, IL)
- …-Flexible Spending Accounts -Tuition Reimbursement -myFlexPay -Family Support -Mental Health Services -Company Paid Life Insurance -Award/Recognition Programs ... Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of...therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion… more
- R1 RCM (Chicago, IL)
- …Property & Casualty Insurance Program. + Obtain and track certificates of insurance (COIs). + Conduct vendor contract reviews. + Handle accounts payable ... R1 is the leading provider of technology-driven solutions that transform the patient...transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one… more
- Cardinal Health (Springfield, IL)
- …team to establish contract groups, ensuring revenue is attributed to the correct contract based on provider , group and plan type + Use analytics to identify ... + Ensure proper mapping of fee schedule codes to provider profiles + Configure and maintainaccurate insurance ...- $111,060.00 USD Annual **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- Option Care Health (Bannockburn, IL)
- …data. Pay Range is $180,599.08-$301,005.81 **Benefits:** -401k -Dental Insurance -Disability Insurance - Health Insurance -Life Insurance -Paid Time ... off -Vision Insurance _Option Care Health subscribes to a policy of equal employment opportunity,...therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion… more
- Veterans Affairs, Veterans Health Administration (Sterling, IL)
- …be assigned duty as a supervising or collaborating physician for a mid-level provider . Physicians are expected to provide clinical oversight and review. ... panels at the Iowa City VA Healthcare System. The provider will manage scheduled and unscheduled patients in the...401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our ... day-to-day administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and… more
- Highmark Health (Springfield, IL)
- …**EXPERIENCE** **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + ... 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing, facility Patient Financial Services, HIM,… more
- Robert Half Finance & Accounting (Chicago, IL)
- …actuarial coordination and review of claims administration and reserve setting + Health care insurance including actuarial coordination and review of claims ... /temporary professionals, including medical, vision, dental, and life and disability insurance . Hired contract /temporary professionals are also eligible to… more