- CVS Health (Springfield, IL)
- …Start times between 7:50 am and 11:45 am EST** The Worklife Resource Consultant is part of the Worklife Team and provides education about community resources, ... needs, elder/adult care, and health related needs. + The Resource Consultant assesses resource needs, proposes options and research/screens potential community… more
- Humana (Springfield, IL)
- …Recent example projects include assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth ... total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the enterprise, as they deliver… more
- CVS Health (Springfield, IL)
- …Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business . + Conduct market and competitive analyses to understand industry trends, client ... channel, clinical, and other solutions. + Deep understanding of different lines of business (ex. fully insured, ASO, Medicaid, Medicare , Exchanges) to provide… more
- The Joint Commission (Oakbrook Terrace, IL)
- …without limitation the following: + Review and evaluate pre-survey/pre-review information and conduct all pre-survey/pre- review activities. This includes using ... organization-specific information and selecting appropriate patient records to identify diverse patient populations, diagnoses and experiences. + Conduct a thorough… more
- Humana (Springfield, IL)
- …The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the ... Medicaid line of business . Makes decisions on moderately complex to complex issues...to encourage others incollaborativeproblemsolving.Acting as both a broker and consultant regarding resources, you engage others in problem solving… more
- Prime Therapeutics (Springfield, IL)
- …client needs; align account management activities across all lines of business and develop methodologies, processes and reporting capabilities that inform and ... consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and… more
- CVS Health (Chicago, IL)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... country. Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.… more