- Trinity Health (Westchester, IL)
- …claim rejections and denials, make corrections, and take appropriate actions or refer claims to the necessary team for resolution. + Evaluate accounts and ... in the lives of our communities, join the Loyola team as a Collector and become Loyola Strong! **What...and Managed Care to gather necessary information and ensure claims are processed efficiently. **Key Responsibilities:** + Proactively follow… more
- DATAMAXIS (Springfield, IL)
- …the specialized knowledge of the Medicaid and Children's Health Insurance Programs, lead and guide internal and external stakeholders to make determinations relating ... to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability. * Proactively identify and understand state… more
- AON (Chicago, IL)
- …of Aon's relationships with assigned clients as their primary role. You will lead client service teams to identify and meet client needs and thereby retain ... the world. As an organization, we are united through trust as one inclusive team , and we are passionate about helping our colleagues and clients succeed. What the… more
- The Hartford (Chicago, IL)
- …to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. The Hartford's CEO has committed publicly to ... 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… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …and execution effectiveness** . Additionally, the role collaborates with **Business Analysis team ** to ensure field teams have access to **actionable insights and a ... , fostering strong alignment with broader commercial objectives. + ** Lead Business Review Framework & Execution** + Own the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Springfield, IL)
- …The Stars Improvement Principal provides strategic advice and guidance to functional team (s). Highly skilled with broad, advanced technical experience. This role is ... encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a… more
- AbbVie (Mettawa, IL)
- …analytical methods, and technical programming skills to analyze clinical, survey, claims , and electronic medical record databases. Role supports the department as ... + The candidate is expected to be the analytics lead for the MHI Enterprise (all TAs) to mitigate,...ensure effective teamwork and problem solving within the cross-functional team + Interacting with Medical Engagement, Business Unit TAs,… more
- Oracle (Springfield, IL)
- **Job Description** **Evidence Generation Lead /Snr Research Consultant, RWE, Health Outcomes** **Remote/Work from home** Oracle Life Sciences is seeking a qualified ... with a PhD to join our Health Outcomes Research team in the Real World Evidence Group. In this...In this role you will have the opportunity to lead the design, analysis, and publication of health outcome… more
- AIG (Chicago, IL)
- …create an impact We are seeking an actuarial professional with industry expertise to lead the Retail Property pricing team . The individual will partner with the ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more
- Ankura (IL)
- Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura's Professional Liability & Defective Construction (PLDC) subgroup delivers ... expert services to resolve complex construction disputes. Our multidisciplinary team combines deep industry expertise (Architects, Engineers, and Contractors) with… more