- Prime Therapeutics (Springfield, IL)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is ... analysis of large datasets and audit findings to detect high-risk pharmacy claims , identify billing irregularities, and uncover patters of non-compliance or systemic… more
- Lineage Logistics (University Park, IL)
- …physical and virtual product inventories via daily activities of cycle counting, claims management and accounts administration within the facility. Manage data ... concerned with ordering, receiving, storing, issuing, and shipping products for/from the facility. Order shipping materials supplies and equipment to maintain inventory throughout the facility. **KEY DUTIES AND RESPONSIBILITIES** + Keep inventory, purchasing,… more
- Oracle (Springfield, IL)
- …of inpatient/outpatient workflows including verification, dispensing, automation, inventory, and claims management + Strong communication and presentation ... skills, with prior Federal deployment experience a plus **Why You'll Love Working Here** At Oracle Health, you'll be part of a global mission that matters. We're reimagining healthcare with next-generation cloud and AI solutions - and your expertise will help… more
- USIC (Bloomington, IL)
- …in the field using their company-provided vehicle. We use best-in-class ticket and claims management systems to ensure clear and complete mark-out services for ... the excavator or property owner at the work site. Your Responsibilities as a Locator: + Correctly, safely, and efficiently locate underground utilities, including telecommunications, electric power, cable TV, gas, water, and sewer systems. + Thoroughly search… more
- CVS Health (Springfield, IL)
- …in a leadership role. + Proven experience within the healthcare industry (eg, UM/CM management , claims and appeals ) + Strong proficiency with data visualization ... Develop and drive the long-term analytics strategy in support of workforce management goals, aligning closely with broader business objectives. + Develop and execute… more
- The Hartford (Chicago, IL)
- …accomplish theirs, too. Join our team as we help shape the future. Vice President, Claims Data Science & AI The Hartford is hiring a Vice President to lead the ... Claims Data Science organization. This role is pivotal in...and effectively calibrate the approach to staffing, including budget management . + Partner with technology, data, AI platform, AI/MLOps… more
- Robert Half Legal (Chicago, IL)
- …with an insurance company located in downtown Chicago who is seeking to hire a Claims Attorney with at least 2-4+ years of experience to join their in-house team. ... company handles complex environmental, asbestos, and other latent type insurance claims . In this position, you will be responsible for coordinating activities… more
- The Hartford (Naperville, IL)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... and important role within the Hartford Global Specialty (HGS) Claims Division. As a Claim Consultant, you will be...basis for any needed adjustment + Presenting cases to management for expense and indemnity reserve authority above established… more
- The Hartford (Chicago, IL)
- …is hiring an AVP leading Generative and Agentic AI solutions for the Claims and Operations organizations. This leader will play a pivotal role in transforming ... the end-to-end Claims and Service customer journey by developing and embedding...techniques, prompt engineering, RAG, agentic frameworks, model evaluation, guardrail management , MLOps and model lifecycle management . +… more
- Carrington (Springfield, IL)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more