- Prime Therapeutics (Springfield, IL)
- …Posting Title** Mgr Reporting & Analytics - Remote **Job Description** The Manager Reporting and Analytics is responsible for developing strategic priorities and ... improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Sedgwick (Chicago, IL)
- …activities of absence programs for specific client; to assist/support Benefits Program Manager ; to implement customer surveys; to assist in client training and ... team to coordinate resolution of escalated issues involving absence program. + Assists manager in evaluating results of absence programs and best practice in absence… more
- 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
- Elevance Health (Chicago, IL)
- …**Medical Coding Education Associate** is responsible for comprehensive analysis of claims data to generate refined and industry-relevant concepts that govern the ... industry standards to recommend concepts. + Conducts analyses of claims data to bolster the creation of educational concepts....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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