- JPMorgan Chase (Chicago, IL)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... good judgment in confidential situations, and proven experience interacting with senior management + Strong interpersonal, written, and oral communication skills +… more
- Prime Therapeutics (Springfield, IL)
- …Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs, ... stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners… more
- CVS Health (Springfield, IL)
- …Monitor service performance and implement improvements, as necessary. Gain in-depth knowledge of claims system and Call Tracking System to be able to lookup and ... to prevent future problems. Escalate complex issues to Account Managers and senior leadership when necessary. Foster a collaborative and supportive team environment.… more
- Humana (Springfield, IL)
- …public relations strategies. + Develops corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug ... Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming… more
- Highmark Health (Springfield, IL)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... processes, Coordination of annual audits (such as PWC Revenue Audit and Support Senior Vice President of Operations in Monthly/Annual budget and expense analysis for… more
- Air National Guard Units (Peoria, IL)
- …Select appropriate inspection methods and formats to present findings to senior leadership or command. Execute a Maintenance Standardization Evaluation Program to ... You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
- Sanofi Group (Chicago, IL)
- …knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We ... performance and recommend operational optimizations. + Provide timely updates to senior leadership and account management teams, highlighting trends, gaps, and… more
- CVS Health (Springfield, IL)
- …times, and client satisfaction. Provide regular reports and insights to senior management to inform strategic decision-making and drive continuous improvement in ... levers, underwriting and financial models. + Understanding of healthcare and pharmacy claims data and common tools used to manipulate data. + Exceptional… more
- CenterWell (Springfield, IL)
- …Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and… more
- Bowman (Springfield, IL)
- …complex assignments, tasks, and execution. Work is frequently reviewed by more senior staff to ensure application of sound techniques and principles. Review work ... and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but… more