- 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
- 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
- Walgreens (Chicago, IL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Walgreens (Evanston, IL)
- …until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Allied Universal (Champaign, IL)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... an Insurance claim. **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation,… more
- Sedgwick (Springfield, IL)
- …Join a fast-paced, customer-focused team supporting one of the most innovative insurance operations in the industry. As an Inbound Customer Service Agent - Auto ... quickly to change **Education & Licensing** HS diploma or GED required. Associate degree from an accredited college or university preferred. Active property &… more
- Highmark Health (Springfield, IL)
- …other analytical responsibilities. The incumbent conducts oversight of Commercial Operations Account installation processes, ensuring accurate and timely processes ... and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as… more
- Humana (Springfield, IL)
- …, technology, communications, and processes + Solid understanding of healthcare operations , particularly around claims processing, enrollment, provider data ... meetings to discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on… more
- Cardinal Health (Springfield, IL)
- …legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate ... all company legal matters, manages outside counsel and manages legal operations . Legal Management provides strategic oversight, leadership and direction within the… more
- CenterWell (Springfield, IL)
- …put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This role is responsible to ensure compliance ... business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and...Qualifications** + 3 - 5 years' experience with PBM operations + 3 - 5 years managing large scale… more