- Humana (Springfield, IL)
- … compliance as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex ... situations or data requires an in-depth evaluation of variable factors. The Senior Compliance Professional ( Medicaid State Reporting) will be responsible… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. ... The Senior Compliance Professional work assignments involve moderately complex to complex issues...+ _Manage, Organize and Monitor the internal Humana Ohio Medicaid mailbox_ + _Create reports, spreadsheets and Power Point… more
- Prime Therapeutics (Springfield, IL)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description**...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Humana (Springfield, IL)
- …relationships with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you...management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of… more
- Humana (Springfield, IL)
- …company committed to improving the health of the communities it serves. The Senior Insurance Product Content Professional will oversee and manage projects for ... of providing frameworks to maximize available resources to achieve growth. The ** Senior Insurance Product Content Professional ** creates content for insurance… more
- DATAMAXIS (IL)
- …resolution + Share use cases to data analysts for profiling, review results and infer compliance to Medicaid / CMS processes and guidelines + Ability to juggle ... from others and pull information together to create a professional presentation. + Work with team to document updates...needed for Operations Guide + Assist with analysis of Medicaid enrollment, provider and claims data, and document requirements,… more
- Humana (Springfield, IL)
- …Clinical Pharmacy Lead, plans, directs, and monitors all financial, operational, professional , and clinical activities for the purposes of pharmacy program ... Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Illinois Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care… more
- Prime Therapeutics (Springfield, IL)
- …Structure** + Reports to Sr Professional , Manager, Director or Senior Director in the Compliance department Potential pay for this position ranges ... and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) -...and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management… more
- Humana (Springfield, IL)
- …between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional will work with department leadership, ... a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful… more
- Prime Therapeutics (Springfield, IL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The ... Senior Compliance Analyst assists in the implementation...and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management… more
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