- CVS Health (Rockford, IL)
- …we do it all with heart, each and every day. **Position Summary** This Analyst , Case Management Field position is with Aetna's Long-Term Services & Supports (LTSS) ... resolution and/or meeting needs by evaluating members' benefit plan and available internal aid and external programs/services. + Identifies high risk factors and… more
- CVS Health (Springfield, IL)
- …travel requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate healthcare outcomes for members by providing care ... and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Identifies high risk factors and service needs… more
- Intermountain Health (Springfield, IL)
- …Emergency Room Coder is responsible for accurately assigning ICD-10 CM ( Clinical Modification) diagnosis codes and Current Procedural Terminology (CPT) codes for ... intermediate level of complexity and ensures compliance with coding guidelines, documentation requirements, and reimbursement policies, as well as ensures claims… more
- CVS Health (Oak Brook, IL)
- …resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. + Identifies high risk factors and service ... impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. + Coordinates and… more
- Rush Copley Medical Center (Aurora, IL)
- …Communicate reporting changes, enhancements, and modifications-verbally or through written documentation -to management and other employees to ensure issues and ... **Required Job Qualifications:** + Bachelor's degree in Computer Science, Clinical , or a related field required. + Minimum of...to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay… more
- CVS Health (Chicago, IL)
- …and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Identifies high risk factors and service needs ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. -Coordinates and implements… more
- Highmark Health (Springfield, IL)
- …initial problem identification and resolution activities, maintains program/system documentation and prepares/maintains operations documentation for assigned ... external sources such as HC4, HMS, Medco, Acxiom, NCQA, and BCBSA with internal Highmark data. This position routinely utilizes data including, but not limited to:… more
- US Tech Solutions (North Chicago, IL)
- …files. Code complaint information according to procedures. + Assess incoming documentation , including clinical forms and medical information, for complaint ... SUMMARY:** + Under general direction, the **Post Market** Quality Assurance (PMQA) Analyst I will investigate and maintain **complaint files,** in compliance with… more
- Oracle (Springfield, IL)
- …of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will ... and workflows. Position Overview: We are seeking a highly experienced Nursing analyst to collaborate directly with clients at a prominent academic medical center… more
- Huron Consulting Group (Chicago, IL)
- …reports, study budgets, study calendars, charge segregation, and other trial documentation required for clinical research studies, including industry, federally ... and create your future. Your passion and expertise in clinical research will make you a key member of...an organization and providing timely updates both from an internal and external standpoint. + Innovative Problem Solving: Ability… more
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