- Zurich NA (Schaumburg, IL)
- …management or product development areaOR + Zurich Certified Insurance Apprentice, including Associate Degree and 7 or more years' experience in the product ... management or product development area Preferred : + Practical experience managing, implementing projects, and operational...JIRA or similar tooling + P&C - Commercial Insurance, Claims , or Underwriting system experience desired + Strong verbal… more
- NASCO (Springfield, IL)
- …Effective change management skills + Effective financial management skills ** Preferred Knowledge, Skills, and Abilities:** + Experience developing multi-customer, ... with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS… more
- Zurich NA (Chicago, IL)
- …landscape by helping them manage and mitigate risk, improve safety and reduce claims and associated costs. These services add an important layer of protection for ... Experience with Microsoft Office + Experience working in a team environment Preferred Qualifications: + Bachelor's Degree in Engineering, Fire Science, or related… more
- Humana (Springfield, IL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... health or post acute services such as inpatient rehabilitation. ** Preferred Qualifications** + **Internal Medicine, Family Practice, Geriatrics, Hospitalist,… more
- Humana (Springfield, IL)
- …contributing to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Bachelor's Degree or equivalent experience + 1 ... coverage + Experience in negotiation + Experience working with healthcare or claims related data **Additional Information** **Work At Home / Internet Information:**… more
- Deloitte (Chicago, IL)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... industries/sectors you serve. + Limited immigration sponsorship may be available. Preferred Qualifications: + Master's degree in mathematics, statistics, or a… more
- Humana (Springfield, IL)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Medical utilization management experience, + working with… more
- Humana (Springfield, IL)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Compliance regulations knowledge and compliance auditing experience +… more
- CVS Health (Springfield, IL)
- …members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... and active LPN licensure in the state of Illinois ** Preferred Qualifications** - 3 years LPN nursing experience -...and written communication skills - Bilingual - Spanish - Associate 's Degree, Bachelor's Degree in Nursing **Education** High School… more
- Compass Group, North America (Chicago, IL)
- …by mitigating health and safety risk to employees. This position shall reduce claims and lost time injuries by providing safety and workers compensation support to ... presentations, conference calls, and the distribution of safety materials. ** Preferred Qualifications** Bachelor's Degree or equivalent Experience in implementing a… more