- CVS Health (Wheaton, IL)
- …experience. Technicians assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients' prescriptions are filled promptly, safely, and ... Pharmacy Manager. A Technician is responsible for contributing to safe and effective operations of the pharmacy, including but not limited to: + Living our purpose… more
- The Hartford (Chicago, IL)
- …to shareholders that we will lead the insurance industry in AI. The AI Accelerator - Claims & Operations is at the heart of that commitment, serving as the ... claims processing, while also advancing other strategic AI projects across Claims & Operations . This is a rare opportunity to shape how AI innovation is… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …supporting the company's portfolio, focusing on technical oversight of CDMO manufacturing operations . + Build, lead, mentor, and manage the MSAT team, fostering a ... with cross-functional teams including R&D, Quality Assurance, Regulatory Affairs, and Operations to align strategies and optimize product lifecycle management + Lead… more
- Marriott (Chicago, IL)
- …Remotely?** N **Position Type** Management **JOB SUMMARY** Manages security/loss prevention operations on a daily basis. Areas of responsibilities include protection ... or related professional area. **CORE WORK ACTIVITIES** **Managing Security/Loss Prevention Operations ** * Assists in the development and implementation of emergency… more
- Highmark Health (Springfield, IL)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and collaborate… more
- Veterans Affairs, Veterans Health Administration (Springfield, IL)
- …location. Major duties include, but not limited to: Supervise and coordinate operations of the Ambulatory care including emergency and routine treatment procedures. ... These operations are carried out with assistance from staff members...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Sedgwick (Springfield, IL)
- …great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages overall clinical operations for more than 3 assigned teams/offices; develops and implements ... locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Prime Therapeutics (Springfield, IL)
- …industry guidelines, on both pre- and post-service requests. Coordinates with operations , clinical, medical, reporting and other internal departments as needed. ... + Available for consultation in pharmacy related questions to resolve claims submission related to medication edits. + Contacts physicians/prescribers to obtain… more
- Cognizant (Springfield, IL)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …and execution through standardized dashboards. + Partner with Commercial Operations to **streamline reporting processes** and provide clear, actionable insights ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more