- Deloitte (Chicago, IL)
- …directly with medical and PBM vendors to analyze the program offering and cost management solutions + Own the process of preparing benefits plan design and pricing ... design and pricing) of other health & welfare benefit plans (eg, life, disability , dental, etc.) + Technical background in underwriting and other areas of health… more
- Amrize (Chicago, IL)
- …employee relations issues. Conducts investigations for select employee relations claims . + Supports completing investigations into employee/supervisor disputes or ... various governmental laws and regulations around EEOC, Wage Hour, workers' comp., disability , FMLA etc. + Provides general coaching to frontline supervisors on… more
- Humana (Springfield, IL)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals… more
- Medtronic (IL)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... vendor credentialing requirements + Practical and demonstrated knowledge of project/program management practices desired for Senior and Principal Levels with the… more
- Lincoln Financial (Springfield, IL)
- …key liaison with benefits vendors and brokers in Bermuda, overseeing renewals, claims and service delivery. * Ensure benefits programs meet statutory requirements ... investment or fiduciary committees is preferred. * Strong analytical, project management , and communication skills. * Ability to collaborate across departments and… more
- Snapsheet (Chicago, IL)
- …drive efficiencies using data and technology to enable the fastest and most accurate claims processing in the industry. About the Role + Team: We're looking for an ... + Frameworks: Rails, React, Spark + Communication & Task Management : Slack, Jira, Atlassian, Confluence We're Built to Grow...healthy. + Peace of mind with company-paid Short Term Disability , Long Term Disability , and Life Insurance.… more
- J&J Family of Companies (Chicago, IL)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... + Minimum of 5 years of relevant professional experience + Account Management and/or Reimbursement experience working in the hospital and/or provider office setting,… more
- CRC Insurance Services, Inc. (Chicago, IL)
- …an account or sign in to an existing one.** _If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send ... system and follow-up for receipt of policies, endorsements, inspections, correspondence, claims , etc. from outside sources. 4. Maintain account files in accordance… more
- Prime Therapeutics (Springfield, IL)
- …stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners ... (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) + Advanced degree in related area of study,… more
- Bowman (Springfield, IL)
- …and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but ... benefits package includes:** + Medical, dental, vision, life, and disability insurance + 401(k) retirement savings plan with company...that are required of the employee for this job. Management reserves the right to modify, add, or remove… more