- 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
- 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
- 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
- Prime Therapeutics (Springfield, IL)
- …decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data Visualization Consultant ... 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)
- …every decision we make. **Job Posting Title** Senior Principal Process Improvement Consultant - Remote **Job Description** The Senior Principal Process Improvement ... Consultant is responsible for partnering with subject matter experts...as assigned **Minimum Qualifications** + Bachelor's degree in Business, Healthcare Administration or related area of study, or equivalent… 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
- 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
- Highmark Health (Springfield, IL)
- …relationships within the organization, external local, regional and national healthcare industry leadership to both inform market transformation strategies as ... populations with the goal of maximizing quality while reducing healthcare costs. + Work with reimbursement, actuary, and analytic...+ Collaborate with and support the senior Strategic Partners Consultant role as needed + Other duties as assigned… 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
- Walgreens (Springfield, IL)
- …Walgreens omnichannel business includes Walgreens.com. Approximately 400 Walgreens stores offer Healthcare Clinic or other provider retail clinic services. As the ... call home. **Job ID:** 1543279BR **Title:** Beauty and Wellness Consultant **Company Indicator:** Walgreens **Employment Type:** Full-time **Job Function:** Retail… more
- UNUM (Springfield, IL)
- …others, and join Team Unum today! **General Summary:** The Underwriting Consultant will demonstrate expert risk evaluation, selection and retention of profitable ... of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term… more