- Walgreens (Buffalo Grove, IL)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... in Community Specialty Pharmacy and Health System Pharmacy locations) ** Preferred Qualifications:** + Previous people management/ leadership experience. + Previous… more
- Saia, Inc (La Salle County, IL)
- …+ Follows established bill and quality control procedures to ensure timely, claims -free, and cost-efficient shipments. + Logs, reports, and processes any shortages ... to freight. + Promotes and maintains a safe and clean work environment. ** Preferred Qualifications** + High school diploma or GED. + Warehouse, freight, dock,… more
- WTW (Chicago, IL)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy ... demonstrates strong technical and/or client service skills (analyst type of internship preferred ) + Passion for solving problems and sharing solutions to exceed the… more
- Ankura (Chicago, IL)
- …Adjustment and/or RADV Audit Methodology + Associate's or Bachelor's degree preferred , but not required + Strong understanding of clinical terminology, disease ... processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D… more
- Xylem (Rockford, IL)
- …counted and properly labeled . + Trace lost shipments and/or customer claims of lost shipments; initiate proof of delivery documents. + Maintain department ... inventory and logistics management related experience + SAP experience strongly preferred + Demonstrated experience managing a professional organization; ability to… more
- Humana (Springfield, IL)
- …space lacking ongoing interruptions to protect member PHI / HIPAA information ** Preferred Qualifications** + Certification in Power BI or the Power Platform ... Analytics + Experience with Power BI report builder + Experience analyzing medical claims or health care provider contracting **Additional Information** + As part of… more
- Humana (Springfield, IL)
- …Information Technology, Enrollment, Member Services, Grievance and Appeals, Claims , Encounters, Program Integrity and Subcontractor Management. Key responsibilities ... Proficiency in Microsoft Office Products (ie Word, Excel, PowerPoint, Visio) ** Preferred Qualifications** + MBA programs with a specialization in Healthcare… more
- Humana (Springfield, IL)
- …record reviews + Assess discharge plans + Review and extract information from claims + Complete documentation for Quality Reviews for Peer Reviews + Discuss cases ... + Adept experience working with computers and comfortable learning new programs ** Preferred Qualifications** + Bachelor's degree in nursing (BSN) + Behavioral Health… more
- Humana (Springfield, IL)
- …Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming ... with staff in different positions and all levels of management position ** Preferred Qualification** + Master's degree in public health, Business, or related field… more
- Path Construction (Chicago, IL)
- …projects + Project scheduling, including pre-construction activities + Oversight of project claims and resolution + Oversee and facilitate purchasing and issuance of ... construction management experience + Degree in engineering or construction management preferred + Proficient in estimating, scheduling, cost controls and financial… more