- WTW (Chicago, IL)
- …clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions ... We provide solutions encompassing creative plan design, vendor evaluation and management , pricing and funding strategies, data analytics, valuation support, and… more
- WTW (Chicago, IL)
- …including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product based ... We provide solutions encompassing creative plan design, vendor evaluation and management , pricing and funding strategies, data analytics, valuation support, and… more
- Humana (Springfield, IL)
- …Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical ... individual leverages a broad understanding of managed care and pharmacy benefit management (PBM) to develop and implement strategies and programs that drive trends… more
- CVS Health (Springfield, IL)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management -to ensure effective ... And we do it all with heart, each and every day. Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team… more
- AIG (Chicago, IL)
- …expertise of US financial lines in order to provide technical direction to management , less senior underwriting staff, producers, and claims adjusting personnel. ... underwriting guidelines, to ensure rating, pricing, profitability, and structuring adequacy. + People management is a key aspect of the role - you will promote a… more
- CDM Smith (Chicago, IL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...other duties as assigned. \#LI-LP2 **Job Title:** FEMA Disaster Management Accountant **Group:** WAF Field Mod Fringe **Employment Type:**… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... responsible for providing strategic insight and ensuring smooth day-to-day data lifecycle management processes and activities for data assets as follows: + Providing… more
- MAT Holdings, Inc (Long Grove, IL)
- …Collaborate with Marketing on sales materials and monitor customer returns and warranty claims , ensuring accurate reporting and Program Management . + Monitor and ... with Marketing on sales materials and monitor customer returns and warranty claims , ensuring accurate reporting and Program Management . + Ensure consistent… more
- Travelers Insurance Company (Downers Grove, IL)
- …Analysis (CFA) for adherence to quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are handled timely. + ... results of others. + Applies the Company's claim quality management protocols and Best Practices to all claims... management protocols and Best Practices to all claims ; documents the rationale for any departure from applicable… more
- CVS Health (Springfield, IL)
- …**Position Summary** This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and validate claims ... candidate will be able to work independently and with others to review claims tied to different overpayment projects in the Overpayment Tracking System, revalidate… more