- Public Consulting Group (Springfield, IL)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. The Consultant will take a client-centric view and ... Integrity, and other staff to execute contractual obligations. In addition, the Consultant will focus on growth and retention, ensuring that client relationships are… more
- Public Consulting Group (Springfield, IL)
- …and the revenue generated from those identified opportunities. The Senior Consultant will manage complex projects and/or produce sophisticated deliverables; they ... and supervise staff; work independently with minimal supervision; serve as an internal consultant to other projects or product lines; play a key role in proposals… more
- CVS Health (Springfield, IL)
- …actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting. This is an individual contributor role. Job ... data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid … more
- Baylor Scott & White Health (Springfield, IL)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Oracle (Springfield, IL)
- …Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients through ... visualization tool like BO or Tableau + Healthcare experience with Medicaid /Medicare Claims Reporting **Expectations** + Perform other responsibilities as assigned +… more
- Humana (Springfield, IL)
- …with the organization's strategy and long-term goals. * Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that ... and consulting. + Knowledge of healthcare business domains, including Medicare, Medicaid , Group, Specialty, etc. + Development level knowledge utilizing the Power… more
- Humana (Springfield, IL)
- …and help us put health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- CVS Health (Skokie, IL)
- …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 challenges. With ... 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
- Humana (Springfield, IL)
- …AI governance initiatives, policies, and standards. + Serve as an internal consultant and subject matter expert on Responsible AI topics such as fairness, ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… 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 ... and other office equipment as necessary. * Advanced knowledge of Medicare, Medicaid and insurance benefits. * Normal office and clinical environments. **Preferred… more