- Humana (Springfield, IL)
- …The Senior Business Intelligence Engineer will be primarily responsible for implementation , maintenance and support of Medicaid provider reimbursement for hospitals ... RFPs and state contracts to identify provider reimbursement requirements Supporting implementation of new Medicaid pricers including: + Reviewing pricing software… more
- Humana (Springfield, IL)
- …across all operational areas. + Lead and support the design, implementation , and optimization of Stars-related programs and processes within Insurance Operations, ... solutions and measure operational effectiveness, using results to inform broader implementation . + Develop and deliver regular reports on Stars operational… more
- Humana (Springfield, IL)
- …Humana's MA-PD and PDP bid filings by ensuring appropriate interpretation and implementation of CMS guidance, and implementation and execution of review ... to manage large projects involving actuarial and non-actuarial staff **Additional Information** Travel : While this is a remote position, occasional travel to… more
- Guidehouse (Chicago, IL)
- **Job Family** **:** Strategy & Transformation Consulting ** Travel Required** **:** Up to 50% **Clearance Required** **:** None Job Posting **What You Will Do** ... **:** The Patient Services team provides program design, implementation , and monitoring services to pharmaceutical, biotechnology, and medical device, companies. We… more
- Abbott (Abbott Park, IL)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...UT, etc.) preferably near a major airport. + 90% travel , 75%-90% will be overnight travel **What… more
- CenterWell (Springfield, IL)
- …to solve complex problems, and validate benefits achieved from solution implementation . Work assignments involve moderately complex to complex issues requiring ... using query tools and reporting platforms. + Ensure compliance with healthcare regulations and internal standards. + Contribute to continuous improvement efforts… more
- Humana (Springfield, IL)
- …is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As Strategy Advancement Advisor, you ... will support development and implementation of consumer segment strategies that drive growth and...or graduate degree in a management field + Prior healthcare industry experience, preferably in the managed care or… more
- Humana (Springfield, IL)
- …development (R&D) and software development efforts while supporting the implementation of scalable frameworks for ethical, transparent, fair, and ... R&D efforts to advance innovative, high-impact, and ethically-grounded AI solutions in healthcare . + Design and implement processes, tools, and frameworks for the… more
- Oracle (Springfield, IL)
- …inspire innovation, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data.It's a big challenge, but big ... challenges are what we do best. We're already transforming major healthcare organizations - helping them turn data into lifesaving decisions and better patient… more
- Humana (Springfield, IL)
- …for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to drive the ... bridging technical safety research, systems engineering, governance, and product implementation . **Key responsibilities** + Design and implement safety architectures… more