- Humana (Springfield, IL)
- …complete and accurate. + Certified Professional Coder or coding knowledge. + Claims knowledge and understanding of claims processing. **Additional Information** ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
- Walgreens (Evanston, IL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- IBM (Chicago, IL)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... for the end to end content lifecycle * Ensure quality of data best practices in Veeva PromoMats and...content creation, review and approval, digital asset management (DAM), claims management, and modular content * Consulting experience with… more
- UNUM (Springfield, IL)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... incumbent provides high quality , timely, and efficient medical consultative services to the...workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent… more
- Evolent (Springfield, IL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... : Partner with internal stateside and global teams to deliver high- quality analyses. **Qualifications:** **Required** + Bachelor's degree in a quantitative field… more
- Norstella (Springfield, IL)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... data and align insights with client needs. + Monitor and troubleshoot data quality issues, ensuring the integrity and reliability of insights provided to clients… more
- Prime Therapeutics (Springfield, IL)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims data + ... for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance… more
- The Hartford (Chicago, IL)
- …work in close partnership with our Underwriting Divisions as well as Finance, Claims , and IT departments. Responsibilities As a key member of the Global Specialty ... as actual loss vs expectation. + Partner with the Claims Department to understand claim activity and trends, and...participate in the development of procedures to improve data quality . + Seek out innovative approaches and apply R/SQL/Python… more
- Humana (Springfield, IL)
- …MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more statistical programming ... Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- ManpowerGroup (Chicago, IL)
- …documenting all transactions accurately. + Coordinate with suppliers to initiate warranty claims and process returns on failed equipment. + Develop working knowledge ... chain in an IT environment. + Familiarity with IT hardware, warranty claims , and return merchandise authorizations (RMA). + Ability to operate heavy-load movement… more