- City of Chicago (Chicago, IL)
- …in settlement negotiations. The workers' compensation defense work involves analyzing claims and medical records, writing motions and draft opinions, taking medical ... depositions, presenting experts, making recommendations and negotiating settlements, conducting hearings and trials before arbitrators and the Illinois Industrial Commission, and representing the City in appeals to the Circuit Court of Cook County.… more
- Meijer (Flossmoor, IL)
- …pharmacy dispensing system. + Creating prescription labels and adjudicating insurance claims . + Completing paperwork related to filling prescriptions and receiving ... drug orders. + Ordering prescription medication for the Pharmacy Department. + Stocking prescription medication. + Promoting pharmacy initiatives and clinical services to the customer. + Prioritizing workload. + Using effective communication skills and be… more
- BrightSpring Health Services (Bensenville, IL)
- …exceptional customer service to patients and healthcare providers . Process insurance claims and handle medication inquiries . Ensure inventory control and proper ... storage of medications during transit . Adhere to all safety and security protocols while transporting medications . Communicate effectively with pharmacy teams and healthcare professionals . Supervisory Responsibility: No Qualifications EDUCATION/EXPERIENCE +… more
- Lundbeck (Deerfield, IL)
- …working with patient-level healthcare industry data (eg, IQVIA, Symphony or Komodo claims data, specialty pharmacy status data, EHR data, hub/copay program data, ... etc.). + Strong understanding of US healthcare system dynamics, including payer reimbursement pathways, specialty distribution models, and the design and operational flow of patient services programs such as hub, copay, and PAP. + Proficiency in SQL, Python,… more
- Cognizant (Springfield, IL)
- …Knowledge and experience on programming languages, healthcare applications design such as Claims , Pharmacy, Managed Care or Member functional areas of Medicaid. . ... Knowledge and experience of QNXT. **Salary and Other Compensation:** **Applications will be accepted until September 10th, 2025** The annual salary for this position is between $65,447 to $117,000 depending on the experience and other qualifications of the… more
- CVS Health (Springfield, IL)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... Service Representative guides the member through their members plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines. **Position Overview** + **Schedule:** Monday-Friday **10:45am… more
- CVS Health (Springfield, IL)
- …position is open in a data engineering team that is responsible for processing Claims , Revenue, Medicare Specific files and data from 30+ payors into our Data ... Warehouse. **Architectural Leadership:** Design and build highly scalable, reliable, and fault-tolerant data pipelines and platforms. Drive the architectural direction for how we ingest, transform, and store data. **Technical Execution:** Be a hands-on expert… more
- Humana (Springfield, IL)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in… more
- Lowe's (Carbondale, IL)
- …all administrative tasks related to Worker's Compensation, General Liability, and Auto Claims . To be successful, the individual in this role must be organized ... and able to balance many administrative tasks throughout the day. The Scheduling and Staffing Administrator works closely with the Store Manager, Assistant Store Managers and Human Resources to support administrative duties and allow these roles to focus on… more
- CVS Health (Northbrook, IL)
- …of UiPath, Automation Anywhere (AA), or other RPA tools + 3+ years analyzing claims data and/or other large datasets + 3+ years converting business requirements to ... technical specifications + 2+ years developing BPA solutions in a distributed cloud environment, preferably GCP + Experience in healthcare/insurance, PBM, or pharmacy services + Experience leveraging GenAI and other emerging frameworks to automate complex… more