• System Implementation Specialist - Public Sector

    Public Consulting Group (Springfield, IL)
    …will be performed using the SaaS platform tools, Java, JavaScript, and other coding languages. + Produce clean, efficient code based on defined functional and ... Agile approaches. + Proficient in Java, JavaScript, or other relevant coding languages for system configuration, development, and troubleshooting. + Participation in… more
    Public Consulting Group (06/10/25)
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  • Medical Director- South Central

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
    Humana (07/11/25)
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  • Inpatient Coder

    TEKsystems (Gurnee, IL)
    Location: + Remote Description + Review and analyze inpatient medical records to assign accurate ICD and CPT codes. + Utilize Epic, 3M (InCoder), and Viziant ... (REM score calculator) to support coding accuracy and compliance. + Work from a designated...a collaborative team culture. Qualifications: + Strong knowledge of medical terminology, anatomy & physiology, and pathophysiology. + Proficient… more
    TEKsystems (07/10/25)
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  • Medical Director - National Medicare

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (07/12/25)
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  • Medical Director - Commercial Appeals

    CVS Health (Springfield, IL)
    …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... clinical quality and effective use of health care resources. **This is a remote based (work from home) position.** Preferred candidates will have Internal Medicine… more
    CVS Health (07/04/25)
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  • Medical Director - Mid West Region

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and… more
    Humana (05/14/25)
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  • Payer Contracting Manager

    Rush University Medical Center (Chicago, IL)
    **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Rush Health Contracting ... Schedule:** 8 Hr (7:00:00 AM - 3:00:00 PM) - Remote - May have to come in the office...and complex care management. Our network includes Rush University Medical Center, Rush Oak Park Hospital, Rush Copley … more
    Rush University Medical Center (05/19/25)
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  • Quality Practice Advisor

    Centene Corporation (Springfield, IL)
    …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (07/11/25)
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  • Regional Account Director, IA

    Sanofi Group (Chicago, IL)
    …accounts + Demonstrated knowledge of payer decision-making for formulary processes, coverage, coding and patient access to drugs, biologicals, medical devices + ... **Job Title:** Regional Account Director, IA-IL **Location:** Remote /Field Based **About the Job** The Regional Account Director reports to the Regional Accounts… more
    Sanofi Group (06/17/25)
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  • Senior Guidewire PolicyCenter Developer

    Kemper (Chicago, IL)
    Location(s) Jacksonville, Florida, Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -OH, Remote -PA, Remote -WI ... Experience with cloud development practices. + Advanced certifications for coding /development. Current Guidewire Certified Ace preferred. + Demonstrates advanced… more
    Kemper (06/27/25)
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