- Evolent (Springfield, IL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- Caterpillar, Inc. (Peoria, IL)
- …. **Job Summary:** + The **Warranty Analyst** analyzes claims against Caterpillar warranty and insurance policies ensuring compliance ... require up to 10% domestic travel **What You Will Do:** + Analyzes claims against Caterpillar warranty and insurance policies ensuring compliance with written policy… more
- Rush University Medical Center (Chicago, IL)
- …& Credits, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits as well as notifying denial management of audits. ... collected in accordance to contract allowable payment schedule. 2. Follow up on claims with the appropriate payer for reimbursement. 3. Work directly with various… more
- Rush University Medical Center (Chicago, IL)
- …**Senior Epic Application Analyst** certified in **Epic Resolute Professional Billing and/or Claims ** , and additional experience in **Epic Community Connect** . In ... **Preferred Job Qualifications:** + Epic Resolute Professional Billing and/or Claims Certification. + Epic Community Connect Experience. + Experience working… more
- CVS Health (Downers Grove, IL)
- …well as for internal staff that aligns PE/Network functions with Operations and Claims as needed + Research, review, and prepare responses for all governmental, ... interpretation * Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and/or Network Performance Standards… more
- Walgreens (Harvard, IL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Axis (Chicago, IL)
- …identity or expression, national origin or ancestry, citizenship, physical or mental disability , age, marital status, civil union status, family or parental status, ... Casualty book. They will proactively engage with Reserving, Risk Management, Finance, Claims , and Data & Analytics colleagues to achieve desired business outcomes… more
- Amentum (Springfield, IL)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with ... defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. + Strong negotiation, communication, and… more
- The Clorox Company (Willowbrook, IL)
- …actives formulation (fragrances, slurries, encapsulated materials, etc.) and claims improvements, optimization, cost savings, and sustainability. This position ... Fragrance development** **.** + **Proficiency in navigating IP and claims .** + **Have the ability to scout and assess...If you need assistance or accommodations due to a disability , please contact us at ###@clorox.com . Please note:… more
- Sysco (Hampshire, IL)
- …Commission (EEOC) compliance. Perform investigations and prepare written responses to EEOC claims , unemployment claims , etc. + Work with region leaders to ... religion, ancestry, national origin, sex, sexual orientation, gender identity, age, disability , veteran status or any other protected factor under federal, state… more