• Staff Utilization Management Pharmacist

    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
    Humana (08/13/25)
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  • Provider Support Model Lead, Provider Engagement

    Humana (Springfield, IL)
    …on-time, on-budget, and on-target results. + Intermediate to Advanced using MS Office , utilizing multiple shared systems, platforms, and being able to troubleshoot ... : None, except for annual meeting at a Humana office location. **Work at Home Guidance** To ensure Home...of starting base pay for full time (40 hours per week) employment at the time of posting. The… more
    Humana (08/13/25)
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  • Director of DevSecOps Automation and Engineering

    Humana (Springfield, IL)
    …and objectives, and improves performance. This role reports directly to the Associate Vice President of Product Security **Responsibilities** : * Manages team of ... best for your schedule. To ensure Home or Hybrid Home/ Office employees' ability to work effectively, the self-provided internet...of starting base pay for full time (40 hours per week) employment at the time of posting. The… more
    Humana (08/15/25)
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  • Warehouse Janitorial Custodian

    Ryder System (Wilmington, IL)
    …you are assigned. **Responsibilities** + Cleaning restrooms, break room, locker room, and office areas per sanitation schedule. + Cleaning the exterior areas of ... per sanitation schedule. + Sweeping and scrubbing the warehouse floors and office areas per sanitation schedule. + Wiping down racks, guard rails, and… more
    Ryder System (08/19/25)
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  • Encounter Data Management Professional

    Humana (Springfield, IL)
    …payment and processing + Minimum 1 year of experience analyzing and researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) ... operational and compliance key performance indicators. In addition, the associate will participate in cross functional teams and support...a high-speed DSL or cable modem for a home office . Associates or contractors who live and work from… more
    Humana (08/16/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Chicago, IL)
    …CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in- office 1 - 2 days per week, fostering collaboration and connectivity, ... flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic… more
    Elevance Health (08/16/25)
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  • Utilization Management Nurse

    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...of starting base pay for full time (40 hours per week) employment at the time of posting. The… more
    CenterWell (08/08/25)
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  • Merrill Market Supervision Manager

    Bank of America (Chicago, IL)
    …work experience + Market Supervision Manager experience, or completion of Merrill's Office Management Team Associate Development Program​ **Skills:** + Decision ... Wealth Management Market Executive's overall managerial responsibilities for parent and associate offices + This individual functions independently, or with minimal… more
    Bank of America (05/28/25)
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  • Clinical Research Scientist 2

    Humana (Springfield, IL)
    …and development of opportunities that optimize healthcare delivery, lower medical cost while improve member health outcomes, through applying mathematical, ... informaticists to define various clinical concepts and extract clinical information from medical , pharmacy, and lab claims for analytics and modeling purposes +… more
    Humana (08/15/25)
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  • Senior CoreValve Therapy Development Specialist…

    Medtronic (Springfield, IL)
    …**A Day in the Life** **Bring your talents to** **a leader** **in medical technology and healthcare solutions. Rooted in our long history of mission-driven ... innovation, our medical technologies open doors. We support your growth with...supporting interventional cardiology, vascular or surgical products OR + Associate degree and 6 years' experience in a clinical… more
    Medtronic (08/08/25)
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