- Walgreens (Itasca, IL)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- R1 RCM (Chicago, IL)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Senior Manager of Client Success, you will serve as a trusted ... coding, operations, and technology-to align solutions with client goals. The Senior Manager will offer strategic guidance, support clients in maximizing revenue… more
- Guidehouse (Chicago, IL)
- …Trust **What You Will Do** **:** As an AI/ML Health Data Science Senior Consultant with Guidehouse you will present during meetings, summits, and working sessions ... with senior client executives. Provide subject matter expert support across...and CPT + Experience with commercial health datasets, eg, claims , encounters, risk scoring, HEDIS measures, etc. + Knowledge… more
- Manulife (IL)
- …advances that can further advance our underwriting expertise. We are seeking a Senior Underwriting consultant, Research & Development, with a history of making sound ... for targeted initiatives. + Analyze underwriting data through various studies and claims experience if applicable. + Prioritize project work, focusing on generating… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- The Hartford (Chicago, IL)
- …shareholders that we will lead the insurance industry in AI. The AI Accelerator - Claims & Operations is at the heart of that commitment, serving as the company's ... Our current focus is developing agentic AI workflows to automate and transform claims processing, while also advancing other strategic AI projects across Claims … more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- CVS Health (Springfield, IL)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Highmark Health (Springfield, IL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... and industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes and collaborate… more
- Deloitte (Chicago, IL)
- Pharmacy Benefit Manager/Health & Group Benefits Senior Consultant Human CapitalOur Human Capital practice is at the forefront of transforming the nature of work. As ... client expectations and working with leading global businesses? Your RoleAs a Senior Consultant in Employer Health, you will provide strategic and technical employee… more