- Humana (Springfield, IL)
- …Engineer will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. ... The associate will support existing Medicaid business and expansion into...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
- Sedgwick (Moline, IL)
- …customers understand and manage their insurance policies while navigating multiple systems and adhering to compliance standards. This phone-based role requires you ... and supervisors in a high-volume, team-oriented environment + Navigate between multiple systems and tools (internal platforms, CRM, quoting systems , underwriting… more
- Evolent (Springfield, IL)
- …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 ... the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs...flow + create & maintain queries required to analyze system processing in detail + provide summary information to… more
- International (Lisle, IL)
- …the electrified, connected, and software-enabled truck ecosystem. Reporting to the Associate Director of Product Planning, this position supports long-term portfolio ... across planning horizons (3-10 years). + Familiarity with truck technology systems (E/E, propulsion, autonomy, software integration). + Demonstrated capability in… more
- Walgreens (Evanston, IL)
- …accordance with Company policies and procedures. + Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB ... and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Evolent (Springfield, IL)
- …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 ... across the organization, training and development, provider relations, member services, claims management and our implementation team will also be available. **What… more
- International (Lisle, IL)
- …at our headquarters in Lisle, Illinois and reports to the Associate Director, IT Enterprise Architecture. Responsibilities + Assure that International's integration ... technology teams on use of integration technology, integration modeling, and overall system architecture to embed integration best practices. + Provide oversight in… more
- Humana (Springfield, IL)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- Humana (Springfield, IL)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Highmark Health (Springfield, IL)
- …to work closely with the section's Accountant, Accounting Coordinators, Associate Analyst, providing, guidance, feedback, training, motivation, and support. This ... receipts, checks, invoices, amounts, group numbers, etc., using the Billing system , Maintenance of bank lockbox accounts, Developmentand analysis of aging reports,… more