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1 - 10 of 27 matches in 0.008 seconds
Behavioral Health Care Manager (JC188206794)
Last Updated: 2021-07-20
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Manages members with severe mental illness who have high rates of behavioral health utilization and/or severe psychosocial…

Compliance Lead (IL Medicaid) - Schaumburg, IL (JC188085753)
Last Updated: 2021-07-19
Employer: Humana
Location: Elk Grove Village, IL

Description

The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Compliance Lead is responsible for the day to day management of compliance risk for the Illinois Medicaid Market.

+ Develops and implements compliance…

Market Development Professional 2 - Remote, Illinois (JC188005506)
Last Updated: 2021-07-19
Employer: Humana
Location: Elk Grove Village, IL

Description

The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of…

Compliance Lead (IL Medicaid) - Schaumburg, IL (JC188085684)
Last Updated: 2021-07-19
Employer: Humana
Location: Naperville, IL

Description

The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Compliance Lead is responsible for the day to day management of compliance risk for the Illinois Medicaid Market.

+ Develops and implements compliance…

Market Development Professional 2 - Remote, Illinois (JC188004877)
Last Updated: 2021-07-19
Employer: Humana
Location: Lombard, IL

Description

The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of…

Market Development Professional 2 - Remote, Illinois (JC188004729)
Last Updated: 2021-07-19
Employer: Humana
Location: Naperville, IL

Description

The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of…

Compliance Lead (IL Medicaid) - Schaumburg, IL (JC188085839)
Last Updated: 2021-07-19
Employer: Humana
Location: Lombard, IL

Description

The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Compliance Lead is responsible for the day to day management of compliance risk for the Illinois Medicaid Market.

+ Develops and implements compliance…

Compliance Lead (IL Medicaid) - Schaumburg, IL (JC188086029)
Last Updated: 2021-07-19
Employer: Humana
Location: Oak Brook, IL

Description

The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Compliance Lead is responsible for the day to day management of compliance risk for the Illinois Medicaid Market.

+ Develops and implements compliance…

Market Development Professional 2 - Remote, Illinois (JC188004938)
Last Updated: 2021-07-19
Employer: Humana
Location: Oak Brook, IL

Description

The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of…

Director, Medical Management Operations (JC187852419)
Last Updated: 2021-07-15
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

Design, implement, evaluate, modify, and oversee specific Medical Management Operations within the corporation

+ Oversee the centralized medical management operations including the development of key performance metrics, policies, procedures, workflows, training and auditing

+ Monitor and manage workflow/work volumes in centralized medical management operations

+ Evaluate existing medical…

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