- Sedgwick (Springfield, IL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Medicare Associate **PRIMARY PURPOSE** **:** To gather documentation ... records/billing industry experience preferred. Two (2) years of experience as Medicare Associate required. **Skills & Knowledge** + Excellent oral and written… more
- CVS Health (Springfield, IL)
- …Summary** Responsible for managing to resolution of Fast Track Appeals for Medicare products, which may contain multiple issues and, may require coordination of ... business units and outside entities. Ensure timely, customer focused response to Medicare Fast Track Appeal requests. Identify trends and emerging issues and report… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize ... risk. The Senior Risk Management Professional work assignments involve moderately complex...Responsibilities include: + Research new or emerging regulatory guidance ( Medicare and Medicaid): + Identify pertinent Utilization Management contractual… more
- Humana (Springfield, IL)
- …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... shape Humana's future enterprise clinical strategies and initiatives. The Senior Research Scientist applies mathematical, statistical, epidemiologic and data science… more
- Humana (Springfield, IL)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... Medicaid organizations. The ** Senior Business Intelligence Engineer** : + Develops and maintains...Apps and Power Automate + Knowledge of Medicaid and/or Medicare services + Advanced data analytics skills and reporting… more
- Humana (Springfield, IL)
- …and Humana's services using technology and analytics. We are looking for a Senior Data Scientist who will utilize cutting-edge AI, NLP, GenAI techniques, build ... talented team of Data Scientists with broad skills and applications, the Senior Data Scientist will work cross-functionally and collaboratively with teams across the… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Genesys DevOps Engineer Supports development and execution of cloud implementation strategy ... within organization's existing IT infrastructure. The Senior Cloud Solutions Engineer work assignments involve moderately complex to complex issues where the… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Cloud Security Engineer ensures that cybersecurity policies are engineered and deployed in ... and approaches to assignments. **Join our team as a Senior Cloud Network Security Engineer!** We are looking for...and/or **Palo Alto Networks Systems Engineer** - **Prisma Cloud Associate ** desired. + Additional certifications such as **CISSP** ,… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report ... system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Senior Acquisition Implementation Professional manages all aspects of Medicaid State Implementations, from ... finish, so that it is completed on time and within budget. The Senior Acquisition Implementation Professional works on problems of diverse scope and complexity… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Senior HR Business Partner leads the people management agenda in a business unit/area, and ... broad experience in various Humana Resources (HR) areas of expertise. The Senior HR Business Partner work assignments involve moderately complex to complex issues… more
- Humana (Springfield, IL)
- …our caring community and help us put health first** Humana is seeking a Senior Enterprise Architect who is smart, curious and loves the challenge of solving problems ... alignment across the organization at multiple levels. Join Our Visionary Team as a Senior Enterprise Architect at Humana At Humana, we are on a mission to transform… more
- Humana (Springfield, IL)
- …great benefits? Then we have a role for you! Humana is seeking a Senior Business Intelligence Engineer who will solve complex business problems and issues using data ... aesthetically-pleasing reports and dashboards in Power BI. Apply today! The Senior Business Intelligence Engineer on the MarketPoint Sales Reporting team collects,… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Senior Counsel provides a full range of legal advice and services. The Senior Counsel ... problems of diverse scope and complexity ranging from moderate to substantial. The Senior Counsel typically a Legal generalist or provides counsel in a combination… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... position is in the Home organization at Humana. This Associate Actuary role provides an opportunity to work in...the frontier of healthcare. The role provides a non-traditional Medicare Advantage opportunity outside of bid season. They will… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to ... transform high volumes of complex data into advanced analytic solutions. The Senior Data Scientist work assignments involve moderately complex to complex issues… more
- Humana (Springfield, IL)
- …Enterprise Observability engineering team is looking for a well versed and experienced Senior Software Engineer-Splunk. As a Senior Engineer, you should be ... and maintaining Splunk configuration files and apps. As a Senior software engineer, you will provide support for the...time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect ... financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Disability Financial Underwriter computes rates for both renewing and prospective moderate to ... complex group accounts. The Senior Financial Underwriter work assignments involve moderately complex to complex issues where the analysis of situations or data… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... for pharmacy point of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional work assignments involve moderately complex to… more