- Humana (Springfield, IL)
- …service for a member requires prior authorization or referral, ensuring compliance with established guidelines and processes. + Initiate the authorization process ... timely updates as needed through fax or inbound phone line, ensuring compliance with organizational policies and applicable federal regulations. + Document all call… more
- Humana (Springfield, IL)
- …pillars, including continuous integration (CI), continuous delivery (CD), quality, security, compliance , metrics, and reporting. + Ensure compliance with ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Carle Health (Peoria, IL)
- …(BLS) within 30 days - American Heart Association (AHA), Education: Associate 's Degree: Related Field; Certificate of Completion: Radiologic Technology, Work ... site. Maintain regular and consistent attendance at work. Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines....Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its… more
- Carle Health (Urbana, IL)
- …performs various Quality Control and Quality Assurance procedures to maintain compliance with internal and external regulations and protocols; perform rapid on-site ... Or Bachelor's Degree Science And Certificate of Completion Cytotechnology Or Associate 's Degree Science Graduate of CAAHEP (Commission on Accreditation of Allied… more
- Humana (Springfield, IL)
- …health first** This Actuarial Analyst 2 position is a part of the HealthCare Economics team focused on evaluating programs and interventions related to Humana's Star ... consumer experiences **Preferred Qualifications** + 2+ years of actuarial experience in healthcare + SAS or other coding skills + Medicare experience + Familiarity… more
- Humana (Springfield, IL)
- …complex decision-making journeys, particularly in regulated or high-stakes environments like healthcare . You'll play a key role in elevating design quality, scaling ... experiences, especially for older adults + Familiarity with Medicare or healthcare insurance products + Experience with usability testing platforms + Strong… more
- Humana (Springfield, IL)
- …of health (SDOH) to improve self-management of chronic conditions, navigate the healthcare system, and promote prevention and health education that is tailored to ... home environment + Assess member barriers to healthy living and accessing healthcare services and assist enrollees with scheduling physical health and behavioral… more
- Humana (Springfield, IL)
- …someone with a strong foundation in finance and data analysis, especially in healthcare , and a passion for leveraging data to drive strategic decisions. You'll play ... related field. + 5+ years of experience in financial analytics, preferably in healthcare finance. + Advanced SQL skills and experience working with large relational… more
- Datavant (Springfield, IL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Humana (Springfield, IL)
- …and change management skills to balance an evolving set of priorities and deadlines. Healthcare experience is a plus, but not required, though must have a history of ... + Ideal candidate would live w/in 50 miles of a Humana office. + Healthcare industry experience, preferably in the managed care or provider sector + MBA, MA/MS,… more