• Medicare Compliance…

    CVS Health (IL)
    …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
    CVS Health (09/18/25)
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  • Senior Corporate Compliance…

    Baylor Scott & White Health (Springfield, IL)
    JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance... Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on … more
    Baylor Scott & White Health (09/07/25)
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  • Growth Strategy Consultant (Distribution)

    Humana (Springfield, IL)
    …customers at the center of everything it does. The Growth Strategy Consultant (Distribution) provides data-based strategic direction to identify and address business ... support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with limited direction… more
    Humana (10/02/25)
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  • Pharmacy Network Consultant Sr - Remote

    Prime Therapeutics (Springfield, IL)
    …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
    Prime Therapeutics (10/04/25)
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  • Reviewer-Orthopedic Disease Specific Care

    The Joint Commission (Oakbrook Terrace, IL)
    …from the field, analysis of periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of- compliance reports. + ... inductive reasoning skills to determine a health care organization's degree of compliance with applicable standards and functionality of care delivery systems. Field… more
    The Joint Commission (08/02/25)
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  • Account Executive, Hospice

    AccentCare, Inc. (Rosemont, IL)
    Overview Hospice Care Consultant Location: Rosemont, IL Position: Hospice Care Consultant Position Type: Full-Time Remote/Virtual Position: No Coverage Area: ... non acute facilities Find Your Passion and Purpose as a Hospice Care Consultant Salary: 85,000-110,000 (based on experience) What You Need to Know Reimagining Your… more
    AccentCare, Inc. (09/17/25)
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  • Enterprise Architect

    Humana (Springfield, IL)
    …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
    Humana (10/03/25)
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  • Senior Responsible AI Data Scientist

    Humana (Springfield, IL)
    …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
    Humana (09/26/25)
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  • Nurse Practitioner - Spanish Speaking

    ChenMed (Berwyn, IL)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
    ChenMed (09/04/25)
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  • Primary Care Physician

    ChenMed (Berwyn, IL)
    …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
    ChenMed (08/20/25)
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