- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first ** This role supports Medicaid state reporting initiatives for its managed care operations across ... timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely… more
- Nestle (Schaumburg, IL)
- …health care agencies and third party administrators for worker's compensation claims + Maintain confidential medical records to include pre-employment ... CPR and AED use **SKILLS & EXPERIENCE:** + Experience with Workers' Compensation claims management + Experience with OSHA recordkeeping and maintaining OSHA logs +… more
- Norstella (Springfield, IL)
- …in Product Marketing or Product Management; experience with real-world data ( claims , labs, EMR/EHR, Rx, hub/specialty pharmacy) strongly preferred. * Proven ability ... **Our Guiding Principles for success at Norstella:** 01: Bold, Passionate, and Mission- First 02: Integrity, Truth, and Reality 03: Kindness, Empathy, and Grace 04:… more
- Walgreens (Calumet City, IL)
- …companies and medical providers and conducting or participating in third party audits. + Follows-up with medical providers to clarify prescribed medications, ... generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health… more
- Carle Health (Champaign, IL)
- …system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance (TM) . We offer ... Link Access Specialist is responsible for the coordination, processing, and scheduling of medical referrals and prior authorizations for a variety of medical or… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first ** The Encounter Data Management Lead supports the Encounter Data Management team within the ... in Medicare and/or Medicaid product management or support. + Familiarity with Claims Adjudication Systems (CAS). + Knowledge of X12 transaction sets and standards.… more
- Robert Half Finance & Accounting (Chicago, IL)
- …+ Manage Workday integrations to internally developed policy administration system, external claims system, banking partners and other third party systems. + ... range for this position is $160,000-$165,000 and it comes with benefits, including medical , vision, dental, life, and disability insurance. To apply to this hybrid… more