- Walmart (Matteson, IL)
- …issues Obtain necessary records Analyzes and reports the types of claims that may require settlement Partnership Collaboration Possesses knowledge of Stakeholder ... practices and policies Lists common tasks and activities performed by operations functions and subfunctions Complies with company policies procedures and standards… more
- TYLin (Chicago, IL)
- …The duties include client development, proposal support, assisting with day-to-day operations of the Sector/Area with focus on performance optimization, and ... Management:** + Participate in project performance reviews and reviews of risk and claims (w/Legal). + Assist with and oversee management of risks, and legal and… more
- Genesis Healthcare (IL)
- …out our mission, we embrace the following pillars in our day-to-day operations . Responsibilities The Attending Physician works with the Center Medical Director to ... to those within the Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Participate in required orientation and training programs.… more
- CVS Health (Springfield, IL)
- …routine nature. + Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc + Maintain department ... together as a team and apply the Aetna Core Values in day-to-day operations + Creating a Differentiated Service Experience + Demonstrating Service Discipline +… more
- Evolent (Springfield, IL)
- …and maintaining data pipelines to support healthcare data integration and operations . This role involves managing data from various healthcare systems, ensuring ... as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing… more
- ManpowerGroup (Itasca, IL)
- …Doing** + Assist customers with roadside emergencies, repair approvals, and insurance claims . + Manage rental requests and guide customers through trip interruption ... contributions matter + Gain valuable experience in customer service and call center operations + Access ongoing training and development to grow your skills + Work… more
- Farnsworth Group (Bloomington, IL)
- …and schedule, resolve issues in work areas, address scheduling concerns and sequence operations . + Assign, schedule, supervise, review, and accept the work on behalf ... settle, deny, and/or make recommendations regarding contractor conflicts and claims considering contract plans and specifications, estimates, conditions, costs, and… more
- Intra-Cellular Therapies, Inc (Chicago, IL)
- …product and brand strategy training targets - including approved product attribute/ claims understanding, awareness of competitive products, as well as related ... the expertise of others (eg, Managed Markets ADs, Medical Affairs, Sales Operations , etc.). For select HCP/Accounts, leads/coordinates with customer team to develop… more
- Adecco US, Inc. (Springfield, IL)
- …to HIPAA regulations, and organizational policies always. . Utilize prescription claims data to generate clinical recommendations according to Medication Therapy ... team as needed for special projects . Other duties as assigned by Operations Manager **Qualifications of the Pharmacist:** . Bachelor's Degree in Pharmacy or PharmD… more
- Burns & McDonnell (Chicago, IL)
- …Request for Information (RFI's), submittals, meeting minutes, change management, and claims mitigation. + Support project cost reporting, scheduling, work breakdown ... determine labor and equipment costs. + Work with field operations /craft HR team to appropriately staff projects. + Analyze...can focus on doing great work. From insurance and disability to time off and wellness programs, we provide… more