- Prime Therapeutics (Springfield, IL)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet… more
- DATAMAXIS (Springfield, IL)
- …and operations. * With the specialized knowledge of the Medicaid and Children's Health Insurance Programs, lead and guide internal and external stakeholders to make ... determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility, and third-party liability. * Proactively… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not… more
- Reynolds & Reynolds (Warrenville, IL)
- …inbound calls from AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through and helping them ... but are not limited to:- Reviewing automotive contracts and evaluating maintenance claims - Obtaining any needed documentation from the customer to assist with… more
- Sedgwick (Springfield, IL)
- …designation required. Experience: Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of education and ... PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ Qualified applicants… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not… more
- Walmart (Quincy, IL)
- …You'll Make An Impact: Provide evidence-based vision care to ensure patient's health and well-being by recommending and prescribing medications and other treatment ... using evidence-based care guidelines. Educate patients and store associates on eye health , including contact lens care, disease state management, and safety factors.… more
- Evolent (Springfield, IL)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… more
- Centene Corporation (Springfield, IL)
- …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... the state of Illinois. _** **Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build… more
- Norstella (Springfield, IL)
- …to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records ... degree. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry setting. +… more