- Evolent (Springfield, IL)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- Norgren (University Park, IL)
- …marital status, affectional or sexual orientation, gender identity or expression, disability , nationality, sex, or veteran status. Position Summary The Buyer II ... and place orders with mills preferred suppliers. + Prepare purchase orders, claims , vendor agreements, bids, proposals, etc. + Expedite shipments to assure parts… more
- MAT Holdings, Inc (Long Grove, IL)
- …subsidiaries offer a complete benefits package that includes medical, dental, vision, and disability insurance after 60 days of employment + Paid Time Off (PTO), ... with Marketing on sales materials and monitor customer returns and warranty claims , ensuring accurate reporting and Program Management. + Monitor and analyze market… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Humana (Springfield, IL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. Application Deadline: 11-30-2025… more
- Humana (Springfield, IL)
- …+ CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and will provide ... time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. Application Deadline: 09-12-2025… more
- Ankura (Chicago, IL)
- …of financial exposure through analytic and statistical methods; prescription drug claims submission and payment; pharmacy benefit administration; Medicare Part D ... status and will not be discriminated against based on disability . Equal Employment Opportunity Posters, if you have a.... Equal Employment Opportunity Posters, if you have a disability and believe you need a reasonable accommodation to… more
- Ankura (Chicago, IL)
- …processes, anatomy and pharmacology. + Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D ... status and will not be discriminated against based on disability . Equal Employment Opportunity Posters, if you have a.... Equal Employment Opportunity Posters, if you have a disability and believe you need a reasonable accommodation to… more
- Humana (Springfield, IL)
- …Analytics + Experience with Power BI report builder + Experience analyzing medical claims or health care provider contracting **Additional Information** + As part of ... time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. Application Deadline: 09-12-2025… more
- Humana (Springfield, IL)
- …record reviews + Assess discharge plans + Review and extract information from claims + Complete documentation for Quality Reviews for Peer Reviews + Discuss cases ... time off, paid parental and caregiver leave), short-term and long-term disability , life insurance and many other opportunities. Application Deadline: 09-15-2025… more