- Walmart (Quincy, IL)
- …and store associates on eye health, including contact lens care, disease state management , and safety factors. 1. Consult with other health professionals to prepare ... associates on eye health, including contact lens care, disease state management , and safety factors; recommending appropriate patient follow-up; consulting with… more
- Robert Half Accountemps (Naperville, IL)
- …long-term contract position offers an opportunity to provide comprehensive account management support for a diverse range of clients, including government, ... ensuring exceptional service delivery. Responsibilities: * Provide full account management support for government, commercial, industrial, and national customers,… more
- Zurich NA (Springfield, IL)
- …based in any of our Zurich Offices. Responsibilities include: + Portfolio management for assigned line of business + Monitor product and pricing/rating performance. ... technical training + Provide input into improvements for portfolio management and tiering + Handle the most complex casualty...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Centene Corporation (Springfield, IL)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management , or clinical operations. Project ... align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- Guidehouse (Chicago, IL)
- …client business problems, which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care data, and EMR data. + ... be able to work independently but with oversight from management . + Prioritize and handle multiple tasks, research, and...Ability to work with large data sets such as claims data. + Excellent attention to detail and ability… more
- Humana (Chicago, IL)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… 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 ... training on labor, employment, and compliance issues to educate employees and management on relevant labor laws, employment policies, and compliance best practices… more
- Humana (Springfield, IL)
- …MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more statistical programming ... Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost...it relates to trend analytics, total cost of care management , and/or healthcare economics functions + Medicaid experience +… more
- Jacobs (Chicago, IL)
- …cause and responsibility, to defend against possible delay or acceleration claims . * Notifying contractor/Contracting Official of any performance or technical ... correspondence. * Assessing and negotiating contractor's requests for change orders and claims . * Closing out a contract by confirming the contractor's technical… more
- Zurich NA (Schaumburg, IL)
- …currently seeking an intellectually curious Finance Analytics Specialist to join the Claims Finance team, located at our North American headquarters in Schaumburg, ... insights of claim operations and outcomes. + Maintaining and improving existing claims dashboards and automating reporting. + Creating claim staffing models and… more