- Astellas Pharma (Northbrook, IL)
- …degree in business-related field. + Minimum 8 years of pharmaceutical analytics, operations or related experience required that includes data analysis and reporting, ... modeling, etc. + Working knowledge of sales data sources, eg, Symphony patient claims data and sub-national data, IQVIA NPA data. + Excellent skills in the… more
- Centene Corporation (Springfield, IL)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to ... May be required to work weekends and holidays in support of business operations , as needed. **Education/Experience:** + Medical Doctor or Doctor of Osteopathy. +… more
- CVS Health (IL)
- …work on meaningful projects that directly impact healthcare strategy and operations , while growing your technical and analytical skillset. **Required Skills:** ... drivers** , **utilization metrics** , and **provider performance** + Familiarity with ** claims data** , **risk adjustment** , or **value-based care models** +… more
- Actalent (Romeoville, IL)
- …+ Resolve third-party insurance rejects by gathering information and resubmitting claims . + Operate automated machinery to sort, count, label, pack, and ... fulfillment. + Identify and communicate issues to staff to ensure smooth operations . Essential Skills + Eligibility for licensure as a pharmacy technician in… more
- Walgreens (Deerfield, IL)
- …product returns; ensures appropriate disposition of returned medication and insurance claims . + Reviews product complaints for potential manufacturer replacement and ... GED. + At least 2 years of experience in Specialty Pharmacy Operations (call center/customer service work environment or fulfillment work environment). **Preferred… more
- CVS Health (Buffalo Grove, IL)
- …Pharmacy Benefits Management space. They have accountability for the development, operations and support for web-based tool development platforms. This position ... works closely with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives and to build a comprehensive… more
- Superior Ambulance Service (Elmhurst, IL)
- …Benefits Coordinator position is responsible for administration in the day-to-day operations of group benefit programs (group health, dental, vision, long-term ... payroll deduction. + Assist employees with health, dental, life, and other related benefit claims . + Administer COBRA. + Prepare and set up meetings designed to help… more
- GE HealthCare (Arlington Heights, IL)
- …advise the business on complex legal/compliance issues that arise out of PDx operations . . Manage outside counsel. . Coordinate with PDx General Counsel and regional ... the food drug and cosmetic act, the anti-kickback statute and the false claims act. + Demonstrated experience providing legal advice in a highly regulated… more
- Zurich NA (Schaumburg, IL)
- … Claims , Corporate Communications, Finance, Human Resources IT, Marketing, Operations , Risk Engineering and Underwriting. Zurich interns enjoy competitive pay, ... paid time off and 401(k) contributions, while adding solid credentials from a renowned global insurance organization to their resumes. Our well-structured internship program provides opportunities to participate in community impact projects, mentorship and… more
- Deloitte (Chicago, IL)
- …expertise. We innovate and deliver creative, industry-specific solutions that streamline operations and accelerate speed-to-value. Recruiting for this role ends on ... of Health Plan Actuarial liabilities for Incurred But Not Paid (IBNP) claims and Loss Adjustment Expense (LAE) for products covering Medical, Pharmacy, and… more
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