- CVS Health (Buffalo Grove, IL)
- …Qualifications** + Experience with healthcare data sources, including pharmacy and medical claims + Familiarity with mental health and substance use disorder ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- CVS Health (Springfield, IL)
- …licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health Plan / Payor or Hospital ... At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming … more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and operational activities across key functional areas such as Claims , Provider Services, IT, Grievance & Appeals, Member Services,… more
- Spectrum Billing Solutions (Skokie, IL)
- …Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist #RCMAnalyst | ... credentialing and contract applications with third-party carriers and government health plans. + Review provider credentialing and contracting information to… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Elevance Health (Chicago, IL)
- **Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... not eligible for current or future visa sponsorship._ Carelon Health is a proud member of the Elevance ...Senior) measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more
- US Tech Solutions (IL)
- … services and **outcomes research** and the analysis of large multi-dimensional **healthcare claims and electronic health records** datasets. A minimum of 8 ... team within Value and Evidence (V&E) under the broader Medical Affairs + Health Impact (MHI) organization. The primary responsibility of this role is to engage… more
- Cardinal Health (Springfield, IL)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Cardinal Health (Springfield, IL)
- …is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ...- $32 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through… more