- Prime Therapeutics (Springfield, IL)
- …stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners ... across the enterprise. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory… more
- Prime Therapeutics (Springfield, IL)
- …that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given ... as to the candidate's proficiency and ability to contribute in the role based upon the following: + Professional/related publications written and/or contributed to + Contributions to Blogs + Technical certifications such as those offered by SAS, IBM, Microsoft… more
- Cushman & Wakefield (Buffalo Grove, IL)
- …tenants and vendors comply with insurance requirements and coordinate all claims , as required **KEY COMPETENCIES** 1. Communication Proficiency (oral and written) ... 2. Technical Proficiency 3. Problem Solving/Analysis 4. Leadership 5. Teamwork Orientation 6. Relationship Management 7. Financial Management **IMPORTANT EDUCATION** * Bachelors degree in Facilities Management, Corporate Real Estate, Project Management, or… more
- AbbVie (Mettawa, IL)
- …cross-functional use cases that unlock insights from diverse data sources (eg, EMR, claims , PROs, clinical trial data). 3. Portfolio & Project Management . Build and ... manage a portfolio of V&E-focused Convergence projects, ensuring strategic alignment, resource optimization, and measurable impact across the evidence lifecycle. . Lead planning, budgeting, and execution of initiatives, ensuring the right mix of scientific,… more
- Ervin Cable (Taylorville, IL)
- …results and reduce damages. + You will provide witness testimony in small claims and litigated cases when necessary. **As required by Illinois regulation, the pay ... range for this position if performed in Illinois is $18-23 per hour.** **Who we are looking for ** + You have 5 or more years of locating experience and/or equivalent. + You are able to troubleshoot difficult locates and proficiently interpret all utility… more
- Rush Enterprises (Chicago, IL)
- …guidelines and policy. + Process and maintain all returned parts, file freight claims on damaged parts upon reciept. Basic Qualifications: + High school diploma or ... general education diploma (GED). + Related experience preferred + If required to drive, for any reason, on behalf of the company, must possess a current and valid driver license with a driving record that meets the insurability guidelines set forth by the… more
- AbbVie (North Chicago, IL)
- …range of legal, regulatory and compliance issues, including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, the Sunshine Act, ... Foreign Corrupt Practices Act and competition law in connection with product labeling, promotional and non-promotional activities, etc. + Responsible for preparing, reviewing and negotiating complex commercial agreements, 3rd party vendor agreements, service… more
- CVS Health (Buffalo Grove, IL)
- …NextGen Production Support Environment team, focusing on Non-Production Support: + Claims system: Health Rules Payer (HRP) + Enrollment systems: Market Prominence ... (MP) & Softheon The position requires collaboration with business, QA, release delivery, infrastructure, and vendor partners, driving system stability and maintaining code releases. Key Responsibilities + Monitor system upgrades. + Analyze defect reports… more
- Meijer (Urbana, IL)
- …pharmacy dispensing system. + Creating prescription labels and adjudicating insurance claims . + Retrieving the appropriate medication from inventory. + Completing ... paperwork related to filling prescriptions and receiving drug orders. + Ordering prescription medication for the Pharmacy Department. + Stocking prescription medication. + Excellent organization skills with the ability to prioritize workload. + Effective… more
- Highmark Health (Springfield, IL)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... participate in higher level AR tasks and projects, typically related to: Analysis and reconciliation of cash in transit discrepancies, Streamlining, development and documentation of AR policies or procedures, Reduction of AR balances and coordination of… more