- BrightSpring Health Services (Bensenville, IL)
- …focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacyenvironment. Our organization is inhigh ... milligrams) + May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current knowledge of Medicaid… more
- Travelers Insurance Company (Springfield, IL)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... recommendations. Effective communication will be required as you build partnerships with senior management and other business partners throughout B&SI. As the B&SI… more
- Humana (Springfield, IL)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Amentum (Springfield, IL)
- …objectives. The Director acts as a key advisor to business units and senior leadership on risk-related matters and ensures compliance with regulatory and contractual ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …program related updates, strategies, and initiatives to key stakeholders and senior management. + Develop and manage comprehensive budgets for various projects ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …of the Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Prime Therapeutics (Springfield, IL)
- …Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value generated by Prime's ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …to feedback and self-improvement + Demonstrates experience interacting with and supporting senior leadership + Ability to champion new ideas or positions to meet ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Prime Therapeutics (Springfield, IL)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as assigned. + ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Evolent (Springfield, IL)
- …Be Doing:** The **Vice President, Strategic Accounts** will serve as a senior leader responsible for managing and growing key client relationships across Evolent's ... or providers to drive clinical, financial and/or operational performance improvement; senior /executive experience desired. + 7 or more years in relationship… more