- ADM (Chicago, IL)
- …and direct according to business priorities for product stewardship, market entry, claims , and maintenance of the regulatory aspects of the portfolio. + Strategic ... H&W teams are maintaining the regulatory database(s) for business partners ( Operations , Marketing, Products Development and Applications, Research and Innovation). +… more
- BMO Financial Group (Chicago, IL)
- …processes and guidelines and vendor agreements + Prepares and logs departmental expense claims and reports. Tracks expenses to ensure they stay within budget. + ... and new furniture requirements while ensuring minimal interruptions to business operations . + Maintains supplies inventory by checking stock to determine inventory… more
- The Hartford (Chicago, IL)
- …standards. + Requires a solid understanding of product management/ operations , current industry/regulatory environment, economic modeling, and management principles. ... quantitative, and statistical skills in the development of pricing, financial and claims models to drive profitable growth, fight fraud, and make sound business… more
- Prime Therapeutics (Springfield, IL)
- …in federal healthcare laws and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + ... Experience engaging with regulatory bodies (eg, CMS, OIG, state pharmacy boards) and contributing to internal or external policy initiatives Every employee must understand, comply with and attest to the security responsibilities and security controls unique to… more
- AbbVie (Mettawa, IL)
- …closely with Copay Center of Excellence (CCOE), AbbVie Patient Services, Data Operations , BTS and Brand teams, communicating gaps in data reliability, timeliness, ... prescribing, institutional sales data, payer-prescriber-level data, formulary data, Symphony/IQVIA claims , etc. + Candidate must have strong leadership skills, a… more
- Public Consulting Group (Springfield, IL)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more
- American Academy of Pediatrics (Itasca, IL)
- …state, and local laws and judicial decisions that could impact business operations and recommend strategies to mitigate legal risks. Ensure compliance with federal, ... Collaborate with Human Resources on employment related matters and claims , including investigations, discipline, termination, workplace safety, training, leaves,… more
- AIG (Chicago, IL)
- …strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners, ... property casualty networks. It is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ever-better solutions to… 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
- Adecco US, Inc. (Downers Grove, IL)
- …to HIPAA regulations, and organizational policies always. . Utilize prescription claims data to generate clinical recommendations according to Medication Therapy ... team as needed for special projects . Other duties as assigned by Operations Manager **Qualifications of the Pharmacist:** . Bachelor's Degree in Pharmacy or PharmD… more