- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k)… more
- Prime Therapeutics (Springfield, IL)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & ... accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide pricing recommendations + Apply… more
- Snapsheet (Chicago, IL)
- …Job Department: Technology Team : R&D About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... claims process - delivering faster, modern experiences for claims organizations of all sizes. About the role: We're...healthy. + Peace of mind with company-paid Short Term Disability , Long Term Disability , and Life Insurance.… more
- Robert Half Accountemps (Burr Ridge, IL)
- …play a key role in managing billing operations, ensuring accuracy in claims submission, and collaborating with clinical staff to facilitate timely processes. The ... accuracy in codes, drug quantities, and pharmacy delivery documentation. * Submit claims to insurance companies by printing and mailing forms, attaching primary… more
- Snapsheet (Chicago, IL)
- …drive efficiencies using data and technology to enable the fastest and most accurate claims processing in the industry. We are looking for a Senior Software Engineer ... to join one of two core teams at Snapsheet: Claims Management Team Our Claims Management team...healthy. + Peace of mind with company-paid Short Term Disability , Long Term Disability , and Life Insurance.… more
- Prime Therapeutics (Springfield, IL)
- …experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to ... strong client relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims data;… more
- Zurich NA (Chicago, IL)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...color, religion, sex, sexual orientation, gender identity, national origin, disability , or protected veteran status. Zurich does not accept… more
- Sedgwick (Naperville, IL)
- …To serve as the subject matter expert (SME) of a single line of business; disability , leave of absence or ADA, and responsible for the implementation of the line of ... combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In… more
- Elevance Health (Chicago, IL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Zurich NA (Chicago, IL)
- …Diploma or Equivalent and 10 or more years of experience in the Claims , Underwriting support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft...color, religion, sex, sexual orientation, gender identity, national origin, disability , or protected veteran status. Zurich does not accept… more