36 Results for

Work From Home Jobs in Springfield, IL

Senior Field Clinician Educator Home Health

CenterWell

$86300 - $118700

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

30+ days ago
Branch Director, Home Health

CenterWell

$94900 - $130500

Springfield, IL

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance indicators, and people management/development.

30+ days ago
UM Administration Coordinator

Humana

$40000 - $52300

Springfield, IL

Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Member Services Lead

Humana

$104000 - $143000

Springfield, IL

Ensures the delivery of orientation and ongoing training for member services helpline representatives to support accurately informing members of how Humana operates, availability of covered services, benefit plans and limitations, health screenings, emergency services, PMP assignment and changes, specialty provider referrals, self-referral services, preventive and enhanced services, and member grievances and appeals procedures. The Member Services Lead roles and responsibilities include: + Advises executives to develop functional strategies on matters of significance, and lead execution of member grievance and appeal trends, working closely with cross-departmental management.

30+ days ago
UM Administration Coordinator

CenterWell

$39000 - $49400

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Inpatient Medical Coding Auditor

Humana

$71100 - $97800

Springfield, IL

The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Care Manager- Telephonic Nurse Part Time

CenterWell

$71100 - $97800

Springfield, IL

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

30+ days ago
Care Manager- Telephonic Nurse - Part Time Evenings & Weekends

CenterWell

$71100 - $97800

Springfield, IL

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

30+ days ago
Remote Travel Customer Representative

Cross Borders with Alex

Springfield, Illinois

In this 100% work-from-home role, you will assist clients with travel-related questions, provide trip support, and ensure a smooth, stress-free experience from start to finish. This position is ideal for someone who enjoys helping people, is highly organized, and is excited about working remotely in the travel industry.

15 days ago
Manager, Fraud and Waste

Humana

$78400 - $107800

Springfield, IL

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Senior Genesys Cloud Engineer remote

Humana

$106900 - $147000

Springfield, IL

Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. The Senior Genesys Cloud Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

30+ days ago
Utilization Management Strategy Lead

Humana

$115200 - $158400

Springfield, IL

Remote Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Our team employs a rigorous process to set specific business priorities, identifies the greatest sources of value, and leads a multi-disciplinary process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.

30+ days ago
Social Services Care Manager

Humana

$59300 - $80900

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/care givers toward and facilitates interaction with resources appropriate for the care and wellbeing of members.

30+ days ago
Lead Business Intelligence Engineer

CenterWell

$117600 - $161700

Springfield, IL

To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Lead Business Intelligence Engineer should have a data-first mindset aimed at tackling complex problems and designing solutions to make customers’ lives easier while creating value for the business through strategic research and data analysis aimed at gaining organizational alignment to prioritize work across functions.

30+ days ago
Director, Network Contracting and Support

Humana

$150000 - $206300

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Director, Network Contracting and Support (Director, Contract Tools, Education, Processes) decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance.

30+ days ago
Provider Contract Templates Lead

Humana

$104000 - $143000

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Contract Tools, Education, Processes Lead (Provider Contract Templates Lead) exercises independent judgment and decision making on complex issues related to our Medicare and Medicaid provider contract templates.

30+ days ago
Compliance Registered Nurse

Humana

$71100 - $97800

Springfield, IL

Work at Home Guidance To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is required. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Senior Product Owner - EMR

CenterWell

$94900 - $130500

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

30+ days ago
Lead Product Manager

Humana

$126300 - $173700

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design, data science, strategy, and business stakeholders to drive product strategy, define product vision, and ensure successful delivery of innovative AI and GenAI platforms/solutions.

30+ days ago
Medicaid Pharmacy Director

Humana

$126300 - $173700

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Pharmacy Director, internally known as a Clinical Pharmacy Lead, plans, directs, and monitors all financial, operational, professional, and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Illinois Medicare - Medicaid health plan.

30+ days ago
Behavioral Health Executive Leader

Humana

$115200 - $158400

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required. + Directs the development of multi-year behavioral health strategy, working closely with senior executives and advising functional areas on high-impact initiatives, including Medicaid innovation, 1115 Waiver integration, and CCBHC expansion.

30+ days ago
Senior Data Scientist

Humana

$117600 - $161700

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Lead Data Scientist - AI-Human Interaction

Humana

$142300 - $195700

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Sr Full Stack Engineer

Humana

$106900 - $147000

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Sr Full Stack Engineer Is involved in all stages of software development, including front-end development, back-end development, database integrations, network and hosting management, user interface, user experience, and back-end server management.

30+ days ago
Lead Data Scientist - Autonomous Goal Management

Humana

$142300 - $195700

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Medical Director - Medicare Grievances and Appeals Corporate

Humana

$246100 - $344200

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

30+ days ago
Senior Contract Management Professional

Humana

$86300 - $118700

Springfield, IL

Sole Source or Single Source Justification form if applicable, Statement of Work) required prior to the development of a Request for Proposal (RFP), Creating an RFP package tailored to the product or service being procured, Determining the appropriate Federal Acquisition Regulations (FAR) ,Defense Federal Acquisition Regulations Supplement (DFARS) clauses and Special Prime Contract Terms and Conditions applicable to the procurement and correct interpretation and application each, Negotiating all elements of the Subcontract that results in holding Subcontractors accountable and providing adequate protection for both Humana Government Business and the Government, Analyzing Subcontractor proposals packages for completeness ,responsiveness and reasonableness, including Change Order proposals, Conducting Cost analyses and Price analyses, and maintaining all other required procurement file documentation in a manner that will pass a CPSR. To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.

30+ days ago
Lead Data Scientist

Humana

$142300 - $195700

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
Corporate Medical Director - Medicare Grievances and Appeals (32-Hours)

Humana

$246100 - $344200

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. CMD represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding job duties and related tasks; works under minimal supervision; and assists in supporting the medical director team and leaders in meeting enterprise-wide business needs.

30+ days ago
Lead Data Scientist - Safety Alignment

Humana

$142300 - $195700

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

30+ days ago
CenterWell Strategy & Operations Senior Consultant

Humana

$94900 - $130500

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. This role will collaborate closely with CenterWell leadership and senior leaders across our Primary Care, Home, and Pharmacy businesses to advance delivery of personalized and integrated care that improves experience, quality, and outcomes while addressing some of the segments’ most important opportunities and challenges.

30+ days ago
Utilization Management Behavioral Health Professional

Humana

$65000 - $88600

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia. + Bachelor’s degree in nursing OR a master's degree in a Human Services field with a professional individual or compact licensure in the state of Kentucky without disciplinary action.

30+ days ago
Sr Full Stack Software Engineer

Humana

$106900 - $147000

Springfield, IL

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Sr Full Stack Software Engineer is responsible for producing scalable software solutions utilizing a range of different technologies and languages (such as Java, JavaScript, HTML, PHP, C#) to develop applications approaching software holistically in order to cater to both user experience and functionality.

30+ days ago
Field Care Manager - RN

Humana

$71100 - $97800

Springfield, IL

The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families toward resources appropriate for the care and wellbeing of members. + Humana's Driver Safety Program This role is a part of Humana's Driver Safety program and therefore requires andindividual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,00 limits.

30+ days ago
Chief Psychiatrist - Behavioral Health Medical Director

Humana

$223800 - $313100

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is required. + Oversees, monitors, and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, clinical appropriateness of use; consultations and clinical guidance for contracted primary care Providers (PCPs) treating behavioral health‐related concerns not requiring referral to behavioral health specialists.

30+ days ago
Credentialing Professional - Variable Staffing Pool

CenterWell

$48900 - $66200

Springfield, IL

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

30+ days ago