- US Tech Solutions (Springfield, IL)
- **Position Summary:** Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare ... costs and improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also… more
- US Tech Solutions (Springfield, IL)
- …+ Determines medical necessity/ appropriateness + Facilitates optimal outcomes + Identifies and follow through with continuous quality/ compliance opportunities . May ... also include + identification of aberrance's and initiation of corrective action + Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy + Optimize total costs + Implementation and evaluation of policy based on usage and… more
- Evolent (Springfield, IL)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data sources ... using Excel and SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that all employees have the… more
- Highmark Health (Springfield, IL)
- …Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + Certified Healthcare Business Consultant (CHBC) + APMP Certification + America's ... proposition that aligns the organization's products/services with the customers' healthcare strategy. Write and create compelling, well-articulated value proposition… more
- US Bank (Springfield, IL)
- …termination of employment. This active posting is for a Client Relationship Consultant role: Client Relationship Consultant 1, Client Relationship Consultant ... Client Relationship Consultant 3 and Client Relationship Consultant 4. Below are the basic qualifications and preferred...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- National Association of Chronic Disease Directors (Springfield, IL)
- Public Health Consultant , Expanding the Non-Communicable Disease Collaborative in the Islands (Contractor) Fully Remote Job Type Contract Description **ABOUT NACDD** ... and partnership engagement using a data-driven planning process. **ROLE OVERVIEW** The consultant will serve as a diabetes subject matter expert and provide… more
- Prime Therapeutics (Springfield, IL)
- …every decision we make. **Job Posting Title** Senior Business Integration Consultant - Remote **Job Description** The Senior Business Integration Consultant ... readiness, and go-live planning/support + Support Principal Business Integration Consultant on client implementation activities to facilitate workstream delivery… more
- SMX (Springfield, IL)
- HCM Technical Consultant (Payroll) (4013)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States Creoal has recently become a proud subsidiary of SMX, ... technology? Join our team as an Oracle HCM Functional Consultant and play a pivotal role in transforming how...the DoD to highly assured and compliant solutions for healthcare , we understand that digital transformation is key to… more
- Intermountain Health (Springfield, IL)
- …challenges. As part of Intermountain Health's Strategy Office, the Strategic Intelligence Consultant will provide consultative support - with a focus on applying ... provide strategic insights and intelligence Enterprise leaders. The Strategic Intelligence Consultant will be an essential member of Intermountain's Strategy Office,… more
- Cardinal Health (Springfield, IL)
- **_Job Summary_** The Implementation Consultant is responsible for executing implementations of WaveMark Solutions at customer facilities. They serve as the primary ... project team within the WaveMark Project Management Office. As an Implementation Consultant , you will provide oversight for and perform tasks associated with… more
- Norstella (Springfield, IL)
- Life Sciences Consultant Company: Dedham Group Location: Remote, United States Date Posted: Sep 6, 2024 Employment Type: Full Time Job ID: R-435 **Description** ... connect the dots from pipeline to patient. **About the Consultant role:** As a Consultant , you will...+ Expert knowledge of provider and payer dynamics within healthcare , specifically within oncology, cellular therapy / CAR-T, immunology,… more
- Intermountain Health (Springfield, IL)
- **Job Description:** The Workforce Intelligence Consultant will play a pivotal role in advancing strategic workforce planning capabilities and leveraging workforce ... long-term goals. **Internal Consulting and Influence** + Act as a trusted consultant to HRLT and business leaders, providing data-driven insights to influence… more
- Highmark Health (Springfield, IL)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** The **Medical Economics Consultant ** role leverages advanced medical cost analytics to provide data-driven ... strategic insights into emerging cost trends. The consultant will use large datasets (proficiently utilizing SAS, SQL, or similar tools) to create clear, concise… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** Humana, a Fortune 50 Healthcare Company Humana is a publicly traded, Fortune 50 healthcare company with a ... is one of the largest health benefits organizations in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business… more
- Fujifilm (Springfield, IL)
- **Overview** _FUJIFILM Healthcare Americas Corporation is a leading innovator in diagnostic and enterprise imaging solutions designed to meet the evolving needs of ... healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging...visit_ _healthcaresolutions-us.fujifilm.com_ _._ **Job Purpose** -The Lead Technical Clinical Consultant , Cardiology, shall be responsible for all aspects of… more
- Prime Therapeutics (Springfield, IL)
- …and drives every decision we make. **Job Posting Title** Data Visualization Consultant - Remote **Job Description** The Data Visualization Consultant supports ... Prior PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or benefits data + Experience in the implementation of quality… more
- Prime Therapeutics (Springfield, IL)
- …decision we make. **Job Posting Title** Senior Principal Process Improvement Consultant **Job Description** The Senior Principal Process Improvement Consultant ... Other duties as assigned **Minimum Qualifications** + Bachelor's degree in Business, Healthcare Administration or related area of study, or equivalent combination of… more
- Cardinal Health (Springfield, IL)
- …Ohio, Cardinal Health, Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, payers, pharmacists and ... of existing applications. We have an need for a SAP Order To Cash Functional Consultant for Pharma IT segment! **_What is expected of you and others at this level_**… more
- Public Consulting Group (Springfield, IL)
- …Management + Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's behavioral health ... services, and children's behavioral health services. PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's behavioral… more
- HealthEdge Software Inc (Springfield, IL)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... payment methodologies/policies (Medicare, Medicaid, and commercial), payment integrity, and healthcare plan operations (eg, claim life cycle/workflow, network contracting,… more