- GE Aerospace (Loves Park, IL)
- …contract operation and change management, customer relationship maintenance, administration of claims and disputes and contract closeout + Commitment to compliance, ... quality and timeliness + Participation in special projects as assigned Required Qualifications + Bachelor's degree from an accredited university or college + 3-5… more
- Prime Therapeutics (Springfield, IL)
- …stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners ... 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
- Prime Therapeutics (Springfield, IL)
- …that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given ... 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
- CVS Health (Springfield, IL)
- …**Service Delivery** Oversee the delivery of services to clients, ensuring high quality and timely execution. Coordinate with internal operational teams to meet ... Monitor service performance and implement improvements, as necessary. Gain in-depth knowledge of claims system and Call Tracking System to be able to lookup and… more
- The Hartford (Naperville, IL)
- Team Leader Claims - CH08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... within a team + Skilled in managing multiple priorities without compromising quality This role can have a Hybrid or Remote work arrangement. Candidates… more
- TEKsystems (North Chicago, IL)
- …to both patients and healthcare providers. Key Responsibilities + Provide high- quality customer service to patients and healthcare providers regarding specialty ... and prior authorization expertise (5+ years) + Experience with working denied claims for commercial and government payors (5+ years) + Call center experience… more
- Humana (Springfield, IL)
- …Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming ... 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 (Spring Grove, IL)
- …technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient ... and digital platforms supported by the latest technology to deliver high- quality products and services in communities nationwide. **Preferred Qualifications:** +… more
- Xylem (Rockford, IL)
- …counted and properly labeled . + Trace lost shipments and/or customer claims of lost shipments; initiate proof of delivery documents. + Maintain department ... supplies. + Follow established departmental policies and procedures, continuous quality improvement objectives, and safety, environmental, and/or infection control… more
- Sanofi Group (Chicago, IL)
- …knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We ... family, with a wide range of health and wellbeing benefits including high- quality healthcare, prevention and wellness programs and at least 14 weeks' gender-neutral… more