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61 Jobs in Springfield, IL

  • Business Intelligence Valuation Lead

    Springfield, Illinois
    ... Valuation Lead position uses mathematics, statistics, economic principles, business analysis and financial ... with stakeholders and ensure financial resources are appropriately prioritized. The Lead position is ...
  • Associate VP of Sales, Group Medicare and Specialty Marketing and Enablement

    Springfield, Illinois
    ... Medicare Advantage portfolio. This incumbent will combine proven business acumen, expertise, and leadership ... Humana to win in the marketplace. They will be responsible for B2B and B2C lead generation and sales ...
  • Strategy Advancement Advisor (FIDE SNP) - Virginia Medicaid

    Springfield, Illinois
    ... management and Call Center secret shopper, Member Material strategy including AIP Model Docs, Member ID Cards ... through presentation development, change management, and communication. Manage FIDE SNP program ...
  • Lead Software Engineer, Claims Adjudication System (CAS) Modernization

    Springfield, Illinois
    ... is at the heart of our core services, providing essential claims processing and management solutions ... it with Humana's architectural standards, we are eager to welcome a visionary Lead Software Engineer ...
  • SVP, Risk Adjustment Operations and Interoperability

    Springfield, Illinois
    ... health systems on payer platforms. The SVP will report directly to the SVP, HQRI and lead a multi ... . Drives innovation in risk management methodologies and technologies Owns strategic relationships and ...
  • Community Health Worker

    Springfield, Illinois
    ... Integrated enrollees. Join this amazing and dedicated team and lead change in how health care for the ... Humana's Care Management Support teams, including case managers/Care Coordinators, Health Equity Team and ...
  • Associate Communications Lead, Finance

    Springfield, Illinois
    ... communication team. As the Associate Communications Lead, Finance, you will have the opportunity to step into ... ** Lead communications strategy for various initiatives within the Finance team, implementing ...
  • RN - Telephonic Utilization Management Nurse- Medicare- Remote - Southeast Region

    Springfield, Illinois
    ... Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ...
  • Senior Software Engineer

    Springfield, Illinois
    ... Become a part of our caring community and help us put health first Healthcare Quality Reporti ...
  • Medical Director- South Central

    Springfield, Illinois
    ... internal associates, and possible participation in care management. The clinical scenarios predominantly ... , population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold ...
  • DoD SkillBridge or Military Spouse Fellowship Expanded Benefits Consumer Intern

    Springfield, Illinois
    ... Become a part of our caring community and help us put health first Are you a transitioning mi ...
  • Senior Financial Data Analyst

    Springfield, Illinois
    ... Become a part of our caring community and help us put health first The Senior Business Intell ...
  • DoD SkillBridge or Military Spouse Fellowship Senior Consumer Experience Intern

    Springfield, Illinois
    ... assignments and understand department strategy Excellent time management skills Experience making ... ** Process Improvement & Project Management experience Prior contract loading experience ...
  • Senior HR Project Manager

    Springfield, Illinois
    ... Qualifications** Bachelor's degree or equivalent experience 3 or more years of HR project management ...
  • Senior Data Scientist

    Springfield, Illinois
    ... Quality Review Workforce Management Demand Management New Hire Experiences Incident Routing and Classifications Knowledge Management AI Chatbot Modeling **Use your skills to make an ...
  • Director, Career Marketing

    Springfield, Illinois
    ... lead-generation and enrollment objectives. Decisions are typically related to resources, approach for ... . The Director, Career Marketing will lead a team of Marketing Managers, providing value-based ...
  • Director, Customer Success

    Springfield, Illinois
    ... management experience Active Health Insurance license in the residing state (OR the willingness AND ...
  • Market Development Advisor

    Springfield, Illinois
    ... Transformation, this individual ensures the effective management of provider performance and quality improvement ... program. Acting as provider performance knowledge leader, lead external and internal training for ...
  • Provider Reconciliation Program Lead

    Springfield, Illinois
    ... to join our team as the Provider Reconciliation Program (PRP) Lead within the Healthcare Quality ... CMS in adherence with the Stars Rating Program. The Provider Reconciliation Program (PRP) Lead ...
  • Strategy Advancement Principal

    Springfield, Illinois
    ... chance to help lead and grow as we transform the information technology of healthcare. **Primary ... experience with a top management consulting firm 6-10 years of corporate, business, and/or IT strategy ...
  • Director, Pharmacy Stars

    Springfield, Illinois
    ... experienced management professional to lead the Pharmacy Stars team. In this role, the selected candidate will ... -functional collaboration, relationship management, influencing, and interpersonal skills Impeccable oral ...
  • Associate Director, Sales Enablement Technology

    Springfield, Illinois
    ... working remote anywhere in the U.S. You will lead and develop a team of 5 marketing professionals that lead the implementation of technology solutions that support the end-to- end agent and market leader ...
  • Medical Director - Mid West Region

    Springfield, Illinois
    ... internal associates, and possible participation in care management. The clinical scenarios predominantly ... , population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold ...
  • Market Leadership Advisor

    Springfield, Illinois
    ... professional experience working within managed care 2 or more years of project lead experience ... insights Project Management experience Clear oral and written communication skills Flexible ...
  • Delaware Valley ACO Fellowship/Provider Engagement Professional

    Springfield, Illinois
    ... System, and Jefferson Health System. Humana takes the lead in providing administrative support in various ... related to population health management, healthcare business planning, and leadership. Based on interests ...
  • Senior Informaticist

    Springfield, Illinois
    ... influence providers, members, market partners, and utilization management vendors. The work will require the ... and establish strong and effective working relationships with Clinical Vendor Management Professionals ...
  • Data and Reporting Professional

    Springfield, Illinois
    ... Experience creating automated reports and self-service tools Advanced time management and prioritization ...
  • Medical Director - Gulf South

    Springfield, Illinois
    ... care management. The clinical scenarios predominantly arise from inpatient or post-acute care ... business relationships, value based care, population health, or disease or care management. **Use your ...
  • Lead Full Stack Software Engineer

    Springfield, Illinois
    ... Way: The Lead Full Stack Software Engineer The Lead Full Stack Software Engineer, a pivotal role ... , prioritizing data protection and ensuring a secure user experience. Furthermore, the Lead Full Stack Software ...
  • Senior Project Manager

    Springfield, Illinois
    ... Manager is an individual with Project Management skills who is a servant leader ready to support projects ... assignments that involve all aspects of Program Delivery including but not limited to Risk Management, Project ...
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