- CVS Health (Springfield, IL)
- …organization (internal and external). - Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, ... acumen. - Relationship management: Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at… more
- CVS Health (Springfield, IL)
- …processes that connect operations, account management, clinical services, and claims adjudication, ensuring business continuity across the enterprise. + Delivers ... skills **Required Qualifications** + Proven experience as a People Manager (ie leading teams, projects, mentoring/training, escalations, hiring, performance… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- AbbVie (North Chicago, IL)
- …that make use of real-world data bases, eg electronic health records, insurance claims databases, and/or registries. + Play a key role in the cross-functional team ... and ensure that study results and conclusions are scientifically sound, clearly presented, and consistent with the statistical analyses provided. Ensure timely and quality statistical deliverables. Assist other MA&HTA Statistics colleagues or represent MA&HTA… more
- World Insurance Associates, LLC. (Westmont, IL)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... Review all applications, policies, endorsements and audits for accuracy + Complete loss/ claim analysis and summaries + Coordinate expiration list with department … more
- CVS Health (Springfield, IL)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more
- MetLife (Chicago, IL)
- …and possess in-depth knowledge of plan designs, benefit features and how claims are paid * Strong understanding of industry marketplace and legal developments. ... * Proactive customer focused mindset * Strong focus on customer satisfaction and obtaining results * Proven ability in building relationships both internally and externally with people at all levels of the organization * Ability to analyze data to influence… more
- CVS Health (Buffalo Grove, IL)
- …data set, and the team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be successful ... to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- CVS Health (Springfield, IL)
- …each and every day. **Position Summary:** We are seeking a strategic and data-driven Senior Manager to lead analytics for our Weight Management initiatives. This ... development. + Translate complex data into clear, compelling narratives for senior leadership and stakeholders. + Ensure data integrity, governance, and compliance… more
- CVS Health (Chicago, IL)
- …materials with cross-functional Communications partnership for key touchpoints. * Partner with Senior Manager to communicate plans, risks, and opportunities from ... working team up to leadership. * Supports the Senior Manager in developing an effective communication strategy for alerting both internal and external leaders of… more