- Humana (Springfield, IL)
- …limits. **Preferred Qualifications** + Bachelor's Degree. + Understanding of claims systems , adjudication, submission processes, coding, and/or dispute ... payment, prior authorizations & referrals). + Work with internal resources and systems (eg, claims , reimbursement, provider enrollment) to provide Exceptional… more
- WESCO (Glenview, IL)
- …basis. You will function as lead person on special projects as assigned by manager on more complex suppliers and rebates **Responsibilities:** + Manages claim ... process for assigned supplier lines. + Works to maintain claim dollars where justified. + Functions as liaison between...3 years of loading data files into data management systems . + Microsoft Office products, especially Microsoft Excel. +… more
- Elevance Health (Chicago, IL)
- …to create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- ICW Group (Lisle, IL)
- …Builds strong relationship with external vendors and serves as liaison between the claims department and vendors. + Acts as a gatekeeper for referrals between ... in-house telephonic nurse case managers, claims examiners and vendors. Reviews open referrals and ensures...Information Technology (IT) to connect new vendors to internal systems . + Reviews and analyzes reports on FCM program… more
- Walgreens (Peoria, IL)
- …duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ... **Job Description:** + Delivers patient prescriptions in a hospital system setting and records sale upon return to the store. Suggests Walgreens products and… more
- Walgreens (Chicago, IL)
- …duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ... with Company policies and procedures. + Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Assists… more
- Sysco (Danville, IL)
- …team, and partner with EHS function to implement the global EHS management system . The role aims to accomplish the following: Supporting their sites in executing ... workplace hazards. Escalating resistance/challenges to leadership and direct line manager to facilitate problem solving. **Duties and Responsibilities:** + Execute… more
- International (Lisle, IL)
- …The position will report to the Governance, Risk, & Compliance IT Senior Manager . This role is for a self-starter that will problem-solve and perform risk-based ... IT control testing and detailed reviews. + Evaluate information systems and controls including but not limited to applications,...(Azure, AWS, Oracle etc.) + Knowledge of SAP ERP system is a plus + Prior experience in manufacturing… more
- Walgreens (Bloomington, IL)
- …duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ... in accordance with Company policies and procedures. Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. If PTCB… more
- Elevance Health (Chicago, IL)
- …level. + Proven track record of delivering large-scale healthcare technology solutions ( claims systems , care management platforms, or cost optimization tools). + ... responsible for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems , and clinical insights platforms that… more
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