- Baylor Scott & White Health (Springfield, IL)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, ... maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. **SALARY** The… more
- The Joint Commission (Oakbrook Terrace, IL)
- …from the field, analysis of periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of- compliance reports. + ... inductive reasoning skills to determine a health care organization's degree of compliance with applicable standards and functionality of care delivery systems. Field… more
- Humana (Springfield, IL)
- …necessary. Adhere to established guidelines and procedures to ensure consistency and compliance . * Advocate for our agile development approach and our North Star ... with the organization's strategy and long-term goals. * Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
- Deloitte (Chicago, IL)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice,...for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions… more
- Humana (Springfield, IL)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- ChenMed (Berwyn, IL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- ChenMed (Glenwood, IL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- CVS Health (Skokie, 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 ... chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative… more
- CVS Health (Springfield, IL)
- …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... clinical tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Facilitates… more
- Rush University Medical Center (Chicago, IL)
- …each case. **Summary:** The Transition of Care Specialist serves as an expert consultant to hospital staff, and a clinical educator and advocate for patients, with ... communication skills and organizational skills. * Knowledge of and guarantees compliance with: state and federal regulations, accrediting body standards, HDM… more