- CenterWell (Springfield, IL)
- …a part of our caring community and help us put health first** **This full time 40 hours a week position will be scheduled Monday-Friday, 10am-6:30pm EST. This ... and complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to a… more
- Humana (Springfield, IL)
- …Research and Resolution Professional 2 reports to the Claims Research and Resolution Associate Director and is responsible for tracking and trending IL FIDE D-SNP ... review, overpayment, appeal/dispute functionality, virtual credit card payment program/process, and medical record management that can be relayed to the provider. +… more
- CenterWell (Springfield, IL)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced...a good faith estimate of starting base pay for full time (40 hours per week) employment at the… more
- Wolters Kluwer (Springfield, IL)
- …of subject-matter experts. We understand the complex challenges that face the Office of the CFO and translate that knowledge into intuitive, enterprise-scale CCH(R) ... | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/cch-tagetik)** **What We Offer: ** The Associate Director, Sales Channel/Affiliates & BDR's role offers growth… more
- Canon USA & Affiliates (Itasca, IL)
- …You Bring** - Bachelor Degree or equivalent - Technical Training Diploma or Associate Degree in Electronic plus 10+ years in management, 5+ years managing managers ... rewarding career. We demonstrate commitment to our employees by offering a full range of rewards, including competitive compensation and benefits. **And Even More… more
- Edwards Lifesciences (Naperville, IL)
- …or equivalent. 5 years related experience in high reliability field Required Associate 's Degree or equivalent medical device experience preferred Preferred ... implement process changes. Act as SME - for the full range of legacy electronic systems operations, including data...previous related experience in high reliability field, required + Associate 's Degree or equivalent Previous medical device… more
- Humana (Springfield, IL)
- …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall utilization, and identifying unusual usage patterns.… more
- UMB Bank (Rockford, IL)
- …culture carrier and great teammate. + You are proficient in the Microsoft Office Suite (Word, Excel, PowerPoint, SharePoint). **Bonus points if:** + You have ... in Salesforce CRM software, and familiarity in other front office software used by wealth advisors such as eMoney...factors. In addition, this range does not encompass the full earning potential for this role. Please see the… more
- AdventHealth (Hinsdale, IL)
- …responsibility for performance improvement, risk management, safety and clinical quality, continuing medical education, the medical staff office , medical ... revise bylaws and rules and regulations. + Oversee the medical staff office function insomuch that data...Medical Education experience as a Program Director or Associate Program director with knowledge of ACGME rules and… more
- Black Hawk College (Moline, IL)
- …$57,005.00 Annually Location Quad Cities Campus - Moline, IL Job Type Full -Time Staff / Temporary Assignment Job Number 22-00476 Department Student Services Opening ... Responsibilities The Workforce Empowerment Initiative (WEI) Program Recruiter is a full -time position grant funded through the Workforce Empowerment Grant from July… more