- CVS Health (Springfield, IL)
- …to travel and participate in legal proceedings, arbitrations, trials, etc. ** Preferred Qualifications** - Experience overseeing or defending premises litigation. - ... experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and… more
- Sedgwick (Springfield, IL)
- …locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs ... (BSN) from an accredited college or university or equivalent work experience preferred . **Experience** Ten (10) years of related experience or equivalent combination… more
- Amgen (IL)
- …with analytics focused on Patient Services and Market Access** , including claims analysis, hub data tracking, affordability program utilization, and payer trend ... , ensuring data accuracy from sources such as specialty pharmacies, claims aggregators, and market research providers. + Participate in the **development… more
- Prime Therapeutics (Springfield, IL)
- …+ Available for consultation in pharmacy related questions to resolve claims submission related to medication edits. + Contacts physicians/prescribers to obtain ... plan`s required timeframes. + Regularly reviews and monitors information on pended claims identified as outliers by internal and/or external analysis of pharmacy … more
- Prime Healthcare (Aurora, IL)
- …key stakeholders on employment issues. This attorney must be experienced with wrongful termination claims , wage and hour class actions, PAGA claims , as well as ... Accredited Law School. + Member in Good Standing of State Bar of California. Preferred qualifications: + Minimum of seven (7) years of prior legal experience in law… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …appropriate objectives Up to 30% travel is required*, based upon business needs. Preferred + Prior experience with successfully launching a brand + Experience within ... 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
- Walgreens (Deerfield, IL)
- …for verifying patient eligibility, coordinating benefits, running test claims , and determining patient coverage/responsibility for services. Handles inbound ... reviews FDA guidelines, and prior authorization requirements to ensure payment of claims . + Resolves questions and problems submitted by customers and Major Medical… more
- Norstella (Springfield, IL)
- …service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard ... by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data *Your… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …teams. + Knowledge of compliance requirements related to pharmaceutical samples. ** Preferred :** + Pharmaceutical or healthcare industry experience. + Experience with ... 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
- Humana (Springfield, IL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more