- The Robison Group (Springfield, IL)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... results (except when undergoing documented medical treatment). + College Degree preferred . TRAINING The Robison Group provides remote training to ensure that… more
- Siemens (Buffalo Grove, IL)
- …continuous improvement across our supplier base. Reporting to the Supplier Quality Manager , you will work closely with Procurement, Engineering, and suppliers to ... for improvement. Develop and maintain supplier quality metrics such as PPM, claim rates, NCCs, etc. to monitor supplier performance and drive accountability.… more
- Pearle Vision (Schaumburg, IL)
- …management. JOB TITLE: Optometric Office Technician REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of ... Adjust scheduling for priority patients * Scheduling appointments * Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and… more
- Deloitte (Chicago, IL)
- …as general health and group benefits skills. Key Responsibilities + Lead project manager for specific projects or key workstream lead on larger projects. + Evaluate ... Pharmacy Benefit Manager (PBM) contracts, deal terms, and financial proposals. +...reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against… more
- Zurich NA (Schaumburg, IL)
- …a subject matter expert for IBM FileNet P8, including IBM Content Navigator Case Manager and Process Engine + Work with IT Leadership and stakeholders in the ... liaison between the Business and IT, as assigned. + Support the Portfolio Manager in building the Business Case, including cost / benefit analysis, risk assessment,… more
- Evolent (Springfield, IL)
- …experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration, authorizations, clinical data) is preferred + Prior ... value, in keeping with the MVP model + Works with the Product Manager to translate the roadmap features into well-defined development criteria including features,… more
- Hy-Vee Food Stores (Macomb, IL)
- …Reporting Relations: Accountable and Reports to: District Store Director; Store Manager ; Assistant Managers of Health Wellness Home, Store Operations and ... Perishables; Pharmacy Department Manager ; Staff Pharmacists Positions that Report None Primary Duties...prescriptions to be mailed. + Prepares and submits insurance claims . + Files prescriptions after they have been dispensed.… more
- Intermountain Health (Springfield, IL)
- **Job Description:** Provides assistance to the Reimbursement Manager to control or review the following areas for government and third party payers for assigned ... iCentra, Epic, Workday, PeopleSoft, etc.) for processing and monitoring third-party claims are appropriate and functioning. Performs quality and accurate work and… more
- Medtronic (IL)
- …tenured field team + Leads coordination of new-hire training with accountability to hiring manager (CSM or RM) + Responsible for new hire sign-off + Delivers new ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- CVS Health (Northbrook, IL)
- …and energy to the team and organization. This role reports to the Sr. Manager of PBM BIAA Automation. **Key Responsibilities:** + Provide a strong conceptual and ... 3+ years of development experience in SQL and Python ** Preferred Qualifications** + 3+ years of UiPath, Automation Anywhere...(AA), or other RPA tools + 3+ years analyzing claims data and/or other large datasets + 3+ years… more