• Medicaid Provider Hospital…

    Humana (Springfield, IL)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (09/09/25)
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  • Senior Medicare Analyst

    R1 RCM (Chicago, IL)
    …works with a large variety of hospitals and systems to review and audit Medicaid eligible days for Medicare DSH reimbursement . **Job Responsibilities:** + Assist ... R1 is the leading provider of technology-driven solutions that transform the patient...workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst. Working as… more
    R1 RCM (09/03/25)
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  • Dental Recontracting Professional - VSP

    Humana (Springfield, IL)
    …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
    Humana (09/03/25)
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  • Compliance Audit Manager

    Cardinal Health (Springfield, IL)
    …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
    Cardinal Health (08/27/25)
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  • Hospice Nurse Practitioner

    Gentiva (Frankfort, IL)
    …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
    Gentiva (09/09/25)
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  • Ambulatory Pharmacy Tech

    Prime Healthcare (Chicago, IL)
    …DAYS- Monday-Friday- ONSITE position Facility: Prime St Mary of Nazareth Hospital Location:Chicago, IL Site:Will be working in a cancer center Responsibilities ... eligibility and obtaining supporting documentation. The pharmacy technician will also provide ongoing support to enrolled patients by performing adherence checks and… more
    Prime Healthcare (08/09/25)
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  • Area Manager

    Prime Healthcare (Chicago, IL)
    Overview Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and ... engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent community hospitals across the country… more
    Prime Healthcare (08/15/25)
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  • Clinical Documentation Specialist RN

    Trinity Health (Maywood, IL)
    …to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting ... insurers, third party payors, and review entities such as EQ Health for Medicaid to relay clinical information and to certify inpatient care for payment. Records… more
    Trinity Health (07/23/25)
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