- Molina Healthcare (Chicago, IL)
- …with community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider ... Illinois** is seeking a dynamic **Community Engagement & Growth Specialist ** in/near the **Chicagoland** area **.** This role will...Relations, Medicare , and Marketplace) to align activities and ensure a… more
- Molina Healthcare (Rockford, IL)
- …accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance ... and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program -, and /...Healthcare. **Preferred Experience** + 1 year of experience in Medicare and in Medicaid. + Experience with data reporting,… more
- Deloitte (Chicago, IL)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… more
- Novo Nordisk (West Chicago, IL)
- …impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... legal requirements. Manages discretionary territory budget and marketing promotional program budget to support territory sales goals + Demonstrates...$106,000 * CMCS II - $113,000 to $138,000 * SR . CMCS - $128,000 to $156,000 In addition, this… more
- Huron Consulting Group (Chicago, IL)
- …member of Huron's Research Office Team. As a Clinical Research Administrative Specialist II, you'll assist Huron's Research Office team in developing coverage ... You will also assist in review and feedback for Clinical Research Administrative Specialist I projects and will begin to support client contacts for client specific… more
- CVS Health (Springfield, IL)
- …within budgeted costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, ... Pharmacist + 7-10 years work experience in healthcare + Medicare and/or Medicare -Medicaid Integrated Product Experience +...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Springfield, IL)
- …quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD-10 codes that are submitted to the Centers for ... Medicare and Medicaid Services (CMS) for the purpose of...+ CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required **Preferred… more
- Evolent (Springfield, IL)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more