- AbbVie (Mettawa, IL)
- …key partners to deliver meaningful business solutions and impact. The 340B COE Business Operations Analyst is a member of a group with technical expertise in the ... business and operations of the 340B program; the group (1) maintains...Experience with IQVIA data sources (eg HCOS data), Rx claims data, PBM rebate data. + Knowledge of 340B… more
- Walmart (Cicero, IL)
- …you won't just keep shelves stocked, you'll play an important role in the operations and sanitary conditions of our freezers and coolers that keep our product ready ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- ARCO (Chicago, IL)
- …call attendance. + Manage, maintain, and schedule training courses for all associate safety certifications (eg, OSHA10/30, CPR, MEWP, Forklift, Rigging & Signaling, ... 4 Trainer" certification with United Rentals. + Partner with the Claims Manager and leadership to ensure proper incident reporting, categorization, investigation,… more
- Humana (Springfield, IL)
- …critical thinking/problem solving skills, an understanding of health plan operations , and strong interpersonal skills. The Provider Engagement Professional develops ... including, where necessary, collaboration with appropriate enterprise business teams (ex., claims payment, prior authorizations & referrals). + Work with internal… more
- Zurich NA (Schaumburg, IL)
- …role is responsible for overseeing the preparation, categorization, and processing of claims -related mail to ensure accuracy and timeliness for scanning. The ideal ... Friday, 6:00 AM - 2:45 PM. Key Responsibilities: + Manage daily operations of the Document Distribution Center, including scheduling, workload distribution, and… more
- Prime Therapeutics (Springfield, IL)
- …combination of education and/or relevant work experience in health care, health care operations , data entry, claims processing, or related work; + 1 year ... responsible for interpreting and entering correct benefit plan designs into the claims processing system (AS400) as submitted to Prime with collaboration between the… more
- Humana (Springfield, IL)
- …reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross ... opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more
- Prime Therapeutics (Springfield, IL)
- …industry guidelines, on both pre- and post-service requests. Coordinates with operations , clinical, medical, reporting and other internal departments as needed. ... + Available for consultation in pharmacy related questions to resolve claims submission related to medication edits. + Contacts physicians/prescribers to obtain… more
- Humana (Springfield, IL)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new… more
- Penske (Chicago, IL)
- …for the Managers of Carrier Sales and works with Account Management, Pricing, and Claims / Compliance teams to execute business goals and assures those goals are met ... 10+ years of experience in a combination of sales, operations , and management required * Advance knowledge of Carrier...representative of those that must be met by an associate to successfully perform the essential functions of this… more
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