- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** Reporting to the Manager of Compliance audit, the Corporate Compliance Regulatory Analyst plays a critical ... of participation, conditions of payment, teaching physician guidelines, and false claims . The individual should exemplify the Rush mission, vision and values… more
- Health Care Service Corporation (Chicago, IL)
- …professional development. **Job Summary** We are looking to hire a Lead Data Science Product Manager for The AI Innovation Lab at HCSC. The AI Lab is focused on ... AI technologies to the business challenges of HCSC, and the product manager of this team owns key responsibilities such as stakeholder engagement, product… more
- ASM Global (Peoria, IL)
- Position: Event Nurse/EMT Department: Operations Reports to: Guest Services Manager FLSA Status: Part-time, Hourly, Non-Exempt Summary: Legends Global, the leader in ... injured or ill. + Notifies Building Security, Guest Services Manager , and/or Director/ Manager on Duty of any...as a result of defense or indemnity due to claims made against the aggregate limit of insurance arising… more
- Carle Health (Champaign, IL)
- Overview Reports to the HIM Coding Manager and is responsible for coordinating and directing activities related to coding of individual patient health information ... for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding...works with them to implement changes. In collaboration with manager (or director) conducts regularly scheduled meetings with staff,… more
- Oracle (Springfield, IL)
- …studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external ... MS Word + Highly desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming language At Oracle Life… more
- Humana (Springfield, IL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat...Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg… more
- Elevance Health (Chicago, IL)
- …Reimbursement Admin Sr** is responsible for ensuring accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... with Federal and state mandates. + Works with other departments on claims adjudication workflow development and business process improvements. + May lead the… more
- Ankura (Chicago, IL)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... . Be a key contributor to project delivery teams . Serve as project manager for client services, including large and complex engagements . Support expert witness… more
- Zurich NA (Chicago, IL)
- …Zurich Midwest regional office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent located in the Midwest US. As an ... and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft… more
- Utilities Service, LLC (Taylorville, IL)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... benefits available for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable accommodation can contact… more