• Director , Coding

    R1 RCM (Chicago, IL)
    …to partner with external stakeholders. **Here's what you will experience working as a Coding Director :** + Ensure service level agreements are met by monitoring ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Director , Coding ** , you will help to ensure successful middle revenue… more
    R1 RCM (07/30/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Springfield, IL)
    …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
    Humana (07/29/25)
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  • Medical Director - Florida

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (07/29/25)
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  • Medical Director - South Carolina SE Region

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (07/22/25)
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  • Medical Director - Mid West Region

    Humana (Springfield, IL)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (05/14/25)
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  • Director of Client Success, Payer Risk…

    Datavant (Springfield, IL)
    …professional, educational and life experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP of Client Success and ... and delivery perspective working closely with Client Success Managers. The Director of Client Success will communicate regularly with customer executives to… more
    Datavant (07/18/25)
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  • Associate Medical Director…

    Sumitomo Pharma (Springfield, IL)
    …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... assessment of ICSRs, including seriousness, expectedness, safety narratives, adverse event coding , concomitant medication coding , and causality statements. +… more
    Sumitomo Pharma (05/16/25)
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  • Associate Director , Field Reimbursement…

    J&J Family of Companies (Chicago, IL)
    …Engagement and Customer Solutions (PECS) team is recruiting for an **Associate Director , Immunology** **Rheum** for the **Great Plains** district which includes the ... stay on treatments across the portfolio. **Job Description** The Associate Director , Field Reimbursement Immunology Rheum is accountable for effectively leading,… more
    J&J Family of Companies (07/30/25)
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  • Associate Director , Field Reimbursement…

    J&J Family of Companies (Chicago, IL)
    …and Customer Solutions (PECS) team is recruiting for an **Associate Director , Field Reimbursement Immunology** **Derm** for the **Upper Midwest** district which ... stay on treatments across the portfolio. **Job Description** The Associate Director , Field Reimbursement Immunology Derm is accountable for effectively leading,… more
    J&J Family of Companies (07/30/25)
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  • Director , Registered Nurse/Certified Risk…

    Ankura (Chicago, IL)
    …of medical records, the determination of medical necessity and appropriate medical coding , and the computation of financial impacts that may lead to repayments. ... regulatory compliance guidelines and policies + Competent in medical coding + Proficient in review of revenue cycle data...experience related to clinical care, clinical documentation, compliance, or coding of medical services + Medical coding … more
    Ankura (07/22/25)
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