• Quality Practice Advisor

    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
    Centene Corporation (09/13/25)
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  • Lead Underwriter, US Excess Casualty

    Axis (Chicago, IL)
    …Development: Partner with the Excess Casualty Leadership and various business partners ( Claims , Actuarial, Distribution, and Operations ) and to support and ... influence the strategic direction of the Construction, Manufacturing, Transportation, and other areas. Provide insights on market trends and emerging risks to help refine underwriting practices. * Strategic Responsibilities: Contribute to the development and… more
    Axis (09/25/25)
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  • Analyst, Compliance Auditing, Monitoring…

    Option Care Health (Bannockburn, IL)
    …analytics techniques to analyze large datasets, such as related to healthcare operations , billing, claims , and patient information to support Compliance ... activities and to identify trends, anomalies, and potential compliance risks. + Design and build monitoring dashboards and other data visualizations using common tools such as PowerBI; leverage other Microsoft suite tools as well to collect, organize and… more
    Option Care Health (09/24/25)
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  • Customer Success Senior Specialist-Leave…

    Alight (IL)
    …platform training. + Working collaboratively with stakeholders to identify trends in service/ claims . + Attending Client Services and Operations meetings and ... confidentiality and professionalism. + Partnering with Customer Success Executive, Operations , and/or Business Intelligence to deliver analytics reports as needed.… more
    Alight (09/16/25)
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  • Accounts Receivable, Customer Service…

    Cardinal Health (Springfield, IL)
    …is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software… more
    Cardinal Health (09/05/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Springfield, IL)
    …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
    Centene Corporation (09/25/25)
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  • Senior Manager, Fleet & Sample Operations

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities**...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/15/25)
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  • Director, Global Value Evidence Operations

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... crucial for enhancing the efficiency and effectiveness of GVE operations to support the timely, efficient, and compliant delivery...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Associate Director, Global Integrated Evidence…

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    **Summary:** The Global Integrated Evidence Operations , Associate Director role primarily focuses on leading and logistical management of integrated communication & ... in our digital planning solution. The Global Integrated Evidence Operations , Associate Director works closely with Global Integrated Evidence...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Medicaid State Technology Lead

    Humana (Springfield, IL)
    …, technology, communications, and processes + Solid understanding of healthcare operations , particularly around claims processing, enrollment, provider data ... + 5 + years in Medicaid program implementation or healthcare operations , with demonstrated leadership of complex, multi-disciplinary projects + Solid understanding… more
    Humana (09/03/25)
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