- International Paper (Aurora, IL)
- …areas. This is a non-exempt position that reports to the Site Manager with functional reporting to the Human Resource Business Partner. + Coordinates ... of all benefits for hourly and salaried employees. + Processes all unemployment-related claims ; may participate in any appeal hearings or other activities related to… more
- Walgreens (Oswego, IL)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient workflow of the… more
- Walgreens (Chicago, IL)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... interpersonal. + Participates and assists in community events as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager .… more
- Philadelphia Insurance Companies (Naperville, IL)
- …Top 50 and rated A++ by AM Best. We are looking for a Product Development Manager to join our team. Summary The Product Development Manager will be responsible ... Works with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the end-to-end product… more
- Humana (Springfield, IL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… 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 ... . Be a key contributor to project delivery teams . Serve as project manager for client services, including large and complex engagements . Support expert witness… more
- Elevance Health (Chicago, IL)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL, SQL Server,… more
- Elevance Health (Chicago, IL)
- …Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. + Quality certification such as CMQ, CQA, CQPA, CQT, CSQE, ... Jira, Confluence, Bamboo and qTest is a plus. + Health insurance and medical claims knowledge preferred. **For candidates working in person or virtually in the below… more
- Elevance Health (Chicago, IL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Zurich NA (Chicago, IL)
- …will be filled at either the level I or Level II and the hiring manager will determine the appropriate level based upon the selected applicant's experience and skill ... Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more