- CVS Health (Springfield, IL)
- …well as for internal staff that aligns PE/Network functions with Operations and Claims as needed + Research, review, and prepare responses for all governmental, ... interpretation * Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and/or Network Performance Standards… more
- Burns & McDonnell (Chicago, IL)
- …execute contract administration responsibility for RFIs, submittals, change management and claim mitigation. + Assist in project reporting status, risks, schedule ... and cost. + Enforces standards and practices. **Qualifications** + Bachelor Degree in Mechanical Engineering or related degree from an ABET accredited program. and 7 years mechanical engineering experience. EPC project experience preferred. + Bachelor Degree… more
- Travelers Insurance Company (Downers Grove, IL)
- …designation. **What is a Must Have?** + Four years of underwriting, claim , operations, risk assessment, actuarial, sales, product, or finance experience. **What Is ... in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k)… more
- CVS Health (Springfield, IL)
- …team or the Aetna Provider Contact Center. Concerns submitted vary- Claim inquiries, Retro contract loads/pricing concerns, EDI transmissions, Delayed payments, etc. ... + Must be able to use all Meritain applications to review and respond effectively to the submitted inquiry. + Ability to effectively communicate findings to the submitter and or to other Meritain departments and Wholesale Operations. + Ability to handle an… more
- International (Lisle, IL)
- …1831, to the 15,000-person-strong company we are today, few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors, ... LLC* creates solutions that deliver greater uptime and productivity to our customers throughout the full operation of our commercial vehicles. We build International(R) trucks and engines and IC Bus(R) school and commercial buses that are as tough and as smart… more
- AdventHealth (Bolingbrook, IL)
- …oversight, and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. + Serves as a resource for automation technology, training & ... involvement with IV workflow, carousels, Pyxis, automated dispensing cabinets, troubleshooting, compounding, and robotics. + Provides advanced cross-training for dedicated buyers, staff, operating room satellite, and retail. + May monitor compliance with… more
- International (Lisle, IL)
- …1831, to the 15,000-person-strong company we are today, few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors, ... LLC* creates solutions that deliver greater uptime and productivity to our customers throughout the full operation of our commercial vehicles. We build International(R) trucks and engines and IC Bus(R) school and commercial buses that are as tough and as smart… more
- International (Lisle, IL)
- …1831, to the 15,000-person-strong company we are today, few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors, ... LLC* creates solutions that deliver greater uptime and productivity to our customers throughout the full operation of our commercial vehicles. We build International(R) trucks and engines and IC Bus(R) school and commercial buses that are as tough and as smart… more
- Sargent & Lundy (Chicago, IL)
- …contract administration responsibilities, including RFIs, submittals, change management, and claim mitigation. + Assisting in project reporting for status, risks, ... schedule, and cost. + Enforcing standards and practices. This position is based on a hybrid work schedule and will require in-office work 3 days per week. Qualifications We do not sponsor employees for work authorization in the US for this position. Required… more
- Discover (Riverwoods, IL)
- …and oversees execution of scope of the Discover-selected third-party Claims Administrator. Has experience with the payments market landscape, conducting ... analysis, and leading execution of major business growth, business development, and/or business optimization activities. Actively manages and escalates risk and customer-impacting issues within the day-to-day role to management. **How You'll Do It** + Leads… more