- Prime Therapeutics (Springfield, IL)
- …stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners ... value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a… more
- Edwards Lifesciences (Naperville, IL)
- …+ Understanding of medical device asset creation, regulation requirements for claims and training content creation/updates + Demonstrated ability to direct teams ... demonstrate product benefits and clinical best practices + Dedicated to quality client service , is pro-active and responsive to client needs + Develop peer, cross… more
- CVS Health (Springfield, IL)
- …from claims that are adjudicated incorrectly to rude customer service . You will be responsible for identifying the Medicare beneficiary's complaint, researching ... Plan systems to identify the issue, partnering with other business departments to correct any potential issue, determining root cause, and bringing final resolution to the complaint. Resolution responses must be timely and include beneficiary focused solutions… more
- Cushman & Wakefield (Buffalo Grove, IL)
- …tenant, client, and the properties in accordance with contract scope and Service Level Agreements (SLA's) * Ensure that all site-specific documentation and reports ... tenants and vendors comply with insurance requirements and coordinate all claims , as required **KEY COMPETENCIES** 1. Communication Proficiency (oral and written)… more
- Trinity Health (Maywood, IL)
- …necessary to meet project outputs. + Verifies that request for payments, claims and scope changes are accurate, justified and/or compliant. + Demonstrates effective ... project and department procedures. + Coordinates national and regional master service agreement vendor selection and contract negotiation and execution in concert… more
- Intermountain Health (Springfield, IL)
- …iCentra, Epic, Workday, PeopleSoft, etc.) for processing and monitoring third-party claims are appropriate and functioning. Performs quality and accurate work and ... laws and regulations related to the reimbursement area. Prepares analyses of service changes that would enhance reimbursement and/or make operations more efficient,… more
- Ervin Cable (Taylorville, IL)
- …results and reduce damages. + You will provide witness testimony in small claims and litigated cases when necessary. **As required by Illinois regulation, the pay ... highest ethical standards. Our company supplies the single most critical resource telecom service providers need: skilled people. We serve the nation from more than… more
- AbbVie (North Chicago, IL)
- …range of legal, regulatory and compliance issues, including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, the Sunshine Act, ... and negotiating complex commercial agreements, 3rd party vendor agreements, service agreements, pharmacy agreements, consulting agreements and other corporate… more
- Walmart (Des Plaines, IL)
- …value of Sam's Club products and services. Provides Customer/Member service by acknowledging the Customer/Member, identifying Customer/Member needs, assisting with ... in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies,… more
- Highmark Health (Springfield, IL)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... Support the onboarding of groups for commercial and partner business ensuring all service level agreements are attained including turn around time, accuracy on both… more