- Chicago Transit Authority (Chicago, IL)
- Project Specialist II - Claims - ( 2500006X ) **Description** **SALARY $71,858.36** **POSITION SUMMARY** Under general supervision, provides various office and ... administrative support to Claims Representatives, Claims Management, and Tort attorneys...and third party administrator systems, and retrieves data from Operations systems such as Trapeze. **PRIMARY RESPONSIBILITIES** Assists in… more
- TEKsystems (Chicago, IL)
- …is building a project team to support the coupon process within their claims system. They are currently developing automation that will allow uploaded coupons to ... automatically adjust claims with accurate billing. However, at present, a claim...our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.… more
- Prime Therapeutics (Springfield, IL)
- …combined pharmacy and PBM experience to include: 1 year of work experience in claims processing in an operations , audit or quality assurance environment, and 1 ... recoupment of audits and investigations performed by the Pharmacy Audit Operations and Special Investigations Unit (SIU) teams. **Responsibilities** + Perform and… more
- Prime Therapeutics (Springfield, IL)
- …decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible for ... preparing for subsequent sprints + Work with the product managers and operations teams to understand product discovery/definition and convert to actionable items on… more
- ABM Industries (Rosemont, IL)
- …regular basis to find any unsafe conditions or maintenance issues * Report incidents or claims to Operations Manager or Shift Lead * Drive small and large ... passenger vehicles (SUV's, Van, Pickups, etc.) * Perform pre-inspection and post-inspection activities to ensure proper operating conditions, compliance with proper safety standards A good job for someone just entering the workforce or returning to the… more
- ABM Industries (Chicago, IL)
- …and coordinates bus evacuation activities as appropriate * Immediately reports any incidents or claims to Operations Manager or Shift Lead * Refuel and maintain ... shuttle equipment and fuel use logs * Maintain a clean work environment, disinfecting shuttle after each use * Performs pre-inspection and post-inspection activities to ensure proper operating conditions, adherence to prescribed Department of Transportation… more
- Highmark Health (Springfield, IL)
- …incumbent actively participates in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now ... (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements… more
- CVS Health (Springfield, IL)
- …Qualifications** + Strong verbal and written communication skills + Experience with claims /payor/ payment operations , healthcare technology, or enterprise SaaS ... Experience with user adoption strategies and change management for frontline operations teams + Strong Excel/SQL/analytics capability + Comfort with discussing… more
- The Hartford (Chicago, IL)
- …Customer focused: builds effective relationships with internal partners, including claims , actuarial, underwriting, operations , and information technology ... Compensation The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance,… more
- Centene Corporation (Springfield, IL)
- …teams to improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Identifies specific practice needs where ... Centene can provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to… more
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