14 human resources specialist jobs found in Springfield, IL

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Client Audit Specialist - Remote Job Description As a member of the Client Audit Management (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or client-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the related deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, client, and/or functional audit expectations....

Our Company SpringHealth Behavioral Health and Integrated Care Overview At SpringHealth, we provide services for children and adults, using positive programming and non-aversive strategies to deliver the best quality support. Our services are tailored to meet the unique needs of individuals with autism spectrum disorder (ASD), intellectual and developmental disabilities (IDD), or mental illness to help them achieve their best overall health and well-being. Our evidence-based programs and therapies are designed to give youth and adults more positive, active, and social lives. We conduct appointments in various locations. These include residential homes, schools, family homes, workplaces, and other community-based settings. Some of the things our clinicians love about working for SpringHealth are: The ability to work from home when not in session. Flexible Work Schedule Opportunity for Advancement Great work/life balance Opportunity to...

Our Company SpringHealth Behavioral Health and Integrated Care Overview At SpringHealth, we provide services for children and adults, using positive programming and non-aversive strategies to deliver the best quality support. Our services are tailored to meet the unique needs of individuals with autism spectrum disorder (ASD), intellectual and developmental disabilities (IDD), or mental illness to help them achieve their best overall health and well-being. Our evidence-based programs and therapies are designed to give youth and adults more positive, active, and social lives. We conduct appointments in various locations. These include residential homes, schools, family homes, workplaces, and other community-based settings. Some of the things our clinicians love about working for SpringHealth are: The ability to work from home when not in session. Flexible Work Schedule Opportunity for Advancement Great work/life balance Opportunity to...

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public. Bilingual skills welcome Reasonable Accommodation Statement The State of Illinois is committed to working with and providing reasonable accommodations to people with disabilities. Further, federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job, interview for a job, or for any other activity related to the hiring process. Examples of reasonable accommodation include, but are not limited to, making a change to the application process (if possible), providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. To be provided a Reasonable Accommodation during...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description Under administrative supervision, the Program Services Specialist performs professional social service/counseling functions for the Certified Recovery Support Specialist (CRSS) Program. Examples of Duties Administration (100%) Assists the program director, training instructor(s) and principal investigator in planning, developing and implementing the CRSS Program. Interviews and assesses program participants to identify individual needs, including social determinants of learning. Assists in program stipend determination and disbursements. Assists the training instructor(s) with the facilitation of in-person and online classes. Collaborates with training instructors to assess classroom behavioral competencies. Recognizes the need for services that may not be obvious to program participants. Provides information...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Provider Relations Specialist - Remote Job Description The Provider Relations Specialist is responsible for providing ongoing support to Prime's participating pharmacies, clients, and internal and external stakeholders. The role conducts the necessary claims research for escalated pharmacy and client inquiries, offering issue resolution for claims processing and pharmacy payment in order to resolve inquiries. Responsibilities Research all pharmacy inquiries received through the Provider Relations email box and phone lines and collaborate with internal stakeholders to resolve as needed; also includes drug pricing analysis complaints and pharmacy remittance requests Manage and draft provider communication from...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Billing Specialist - Remote Job Description The Billing Specialist is responsible for ensuring the accuracy and completeness of billing data, supporting payment reconciliation processes, and maintaining thorough documentation of billing-related activities. This role plays a critical part in the financial operations of the organization by validating billing inputs, assisting with adjustments and re-billings, and ensuring all records are properly maintained for audit and reporting purposes. Responsibilities Validate billing data to ensure accuracy and completeness Assist in reconciling payments, adjustments, and re-billings Maintain detailed and organized documentation of billing, payment, and related...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Client Audit Specialist - Remote Job Description As a member of the Client Audit Management (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or client-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the related deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, client, and/or functional audit expectations....

Candidate Care Specialist Job ID 250955 Posted 03-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest People/Human Resources Location(s) Bentonville - Arkansas - United States of America, Charlotte - North Carolina - United States of America, Dallas - Texas - United States of America, Detroit - Michigan - United States of America, Layton - Utah - United States of America, Little Rock - Arkansas - United States of America, North Salt Lake - Utah - United States of America, Raleigh - North Carolina - United States of America, Remote - US - Remote - US - United States of America, Richardson - Texas - United States of America, Salt Lake City - Utah - United States of America, Syracuse - Utah - United States of America, Tuscon - Arizona - United States of America JOB SUMMARY Supports the recruiting function by administering the post-offer employment process from job offer to ready-to-hire. ESSENTIAL DUTIES AND RESPONSIBILITIES...

Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Job Description Cardiovascular Utilization Management Reviewer (Interventional Cardiologist) Are you ready to make a meaningful impact on patient care in a non-clinical...

Become a part of our caring community and help us put health first Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country. CenterWell Medical Group is the newest line of business under the CenterWell umbrella, providing virtual wraparound services to a broad population of members who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep patients healthier. Our team is mission-driven, collaborative, and unafraid to challenge the status quo in healthcare. About the Role We're seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands-on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical...

Become a part of our caring community and help us put health first This team would support mass moves, provider departures, center consolidations / relocations, mergers and acquisitions and health plan terminations. Their goal would be to reduce membership loss / enable us to retain the highest amount of membership across these experiences. We want a team to be able to help navigate the members we gain from these efforts through changes, questions or concerns and generally provide churn reducing, customer service. We envision this role would not involve any sales, would be the most entry level role in my org and would help to potentially develop a career path into our other existing roles. W * * ork schedule: M-F, 8:30am-5:00pm EST Role Responsibilities: Conduct outbound and answer inbound calls related to any attrition mitigation marketing communications PCP Terminations - Help ensure engaged members get their questions answered, understand the...