- Public Consulting Group (Springfield, IL)
- …lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers ... using the SaaS platform tools, Java, JavaScript, and other coding languages. + Produce clean, efficient code based on...how they are used **Minimum Qualifications** + Must have experience with COTS, SaaS, PaaS, or IaaS solutions +… more
- Humana (Springfield, IL)
- …us put health first** The Medical Director actively uses their medical background, experience , and judgement to make determinations whether requested ... other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as… more
- Humana (Springfield, IL)
- …30-60 days of hire. The Medical Director actively uses their medical background, experience , and judgement to make determinations whether requested services, ... other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as… more
- Humana (Springfield, IL)
- …us put health first** The Medical Director actively uses their medical background, experience , and judgement to make determinations whether requested ... other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as… more
- CVS Health (Springfield, IL)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as ... eg, Clinical Practice and Health Care Industry. *Prior UM (Utilization Management) experience *Active and current state medical license without encumbrances… more
- TEKsystems (Gurnee, IL)
- …communication skills. + Ability to work independently and as part of a team. Preferred Experience : + Prior experience coding inpatient charts in a hospital ... Remote Description + Review and analyze inpatient medical records to assign accurate ICD and CPT codes....physiology, and pathophysiology. + Proficient in ICD and CPT coding systems and MS-DRG classification. + Experience … more
- Rush University Medical Center (Chicago, IL)
- …a managed care environment with direct payer contracting experience . + Experience in multi-facility health system, large academic medical center or insurer ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Schedule:** 8 Hr (7:00:00 AM - 3:00:00 PM) - Remote - May have to come in the office… more
- Sanofi Group (Chicago, IL)
- …formulary processes, coverage, coding and patient access to drugs, biologicals, medical devices + Experience in Specialty Pharmacy and patient support ... **Job Title:** Regional Account Director, IA-IL **Location:** Remote /Field Based **About the Job** The Regional Account...services + Experience with … more
- Centene Corporation (Springfield, IL)
- …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and… more
- 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 ... and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises._ Kemper is seeking a Senior… more
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