- Humana (Springfield, IL)
- …reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...Experience in a corporate environment and understanding of business operations **Additional Information** + Benefits starting day 1 of… more
- Sedgwick (Springfield, IL)
- …great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages overall clinical operations for more than 3 assigned teams/offices; develops and implements ... locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Walmart (Quincy, IL)
- …Ensures associates are treated in an accepting, respectful manner. Manages Optical Operations : Stays current on changes in optical procedures, ideas, and processes ... procedures for advising on merchandise and filling prescriptions. Ensures optical operations are aligned with company and regulatory standards for prescriptions and… more
- Evolent (Springfield, IL)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations , care/utilization management, claims processing, value-based care, and the ... Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations , Medical, Quality, and Call Center Teams) to identify new… more
- CVS Health (Edwardsville, IL)
- …state laws, rules, and regulations + Comply with all CVS policy and standard operations procedures (SOPs) at all times + Meet requirements for state and federal ... licensure within an appropriate timeframe **Pharmacy Operations ** + Adhere to CVS workflow and ensure standards...+ Resolve third party rejections and complete any manual claim forms + Perform all prescription pick-up procedures, in… more
- Jack Henry & Associates (Lombard, IL)
- …visibility JobID 16155 Position Level Individual Contributor Team Data Center Operations Working Time Full-Time Position Type Regular Travel Requirements 0% ... in a bank or credit union in an operational role such as Teller, back office operations , proof operator, etc. + Must be attentive to detail and have the ability to… more
- Quality Technology Services, LLC (Chicago, IL)
- …but may include the following: + Support active departmental projects and daily operations under the guidance of assigned mentors. + Attend team meetings and ... required. + Shadow team members to gain a holistic understanding of functional operations . + Participate in training or onboarding related to your assigned business… more
- JBT Corporation (Chicago, IL)
- …advising on compliance requirements, employment agreements, employee administration, HR policies, claims and dispute resolution. Collaborate with the HR team to ... experience providing legal services supporting businesses with global sales and manufacturing operations Large law firm experience with a global impact - in relevant… more
- Ankura (Chicago, IL)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... guidance; and international compliance standards governing pharmaceutical and medical device operations . You will be joining a team of industry experts with… more
- CVS Health (Downers Grove, IL)
- …for providers as well as for internal staff that aligns PE/Network functions with Operations and Claims as needed + Research, review, and prepare responses for ... Oversight: Lead initiatives to improve provider satisfaction and streamline operations . Oversees staff responsible for initial and ongoing provider in-services… more