• Pharmacy Program Manager

    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 every day. **Requisition Job Description** The Pharmacy Program Manager position is a remote role requiring a HIPAA-compliant… more
    CVS Health (05/31/25)
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  • Risk Manager

    Western Digital (Springfield, IL)
    …supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL ... recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review of existing… more
    Western Digital (04/24/25)
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  • Health Account Manager

    Kestra Financial (Deerfield, IL)
    …and even health insurance benefits. DUTIES AND RESPONSIBILITIES + Health Insurance administration and claims processing. + Basic administrative functions ... portal + Taking on additional new responsibilities as assigned by department manager . Requirements + Advanced computer skills (Outlook, Word, Excel and Power Point)… more
    Kestra Financial (03/11/25)
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  • Credit Balance Manager

    Intermountain Health (Springfield, IL)
    **Job Description:** The Cash Management Credit Balance Manager has the responsibility for overseeing all facets of patient credits including self-pay, commercial ... years of experience in Healthcare Revenue Cycle (Credit Balance/Resolution, Payment Posting, Claims , Billing, and Insurance and Follow-up) . Three (3) years of… more
    Intermountain Health (05/30/25)
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  • Manager , Business Analytics

    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 ...Plans. Internal & External reports are required for eligibility, claims and claim financial data for various stakeholders across… more
    CVS Health (05/16/25)
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  • Contract Negotiator Manager - Providers

    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 ...resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of… more
    CVS Health (05/16/25)
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  • Auto Liability Manager

    Kemper (Downers Grove, IL)
    …reports to increase their knowledge to handle complex liability and injury claims . + Deliver a customer-focused claims experience through proactive ... ability to handle multiple state and review complex liability claims . + Manage by Processes and Procedures. Effectively lead...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
    Kemper (04/29/25)
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  • Senior Special Investigations Coding…

    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 ...coding/nursing professionals who conduct reviews of medical records and claims for suspected healthcare fraud, waste, and abuse. Provides… more
    CVS Health (05/24/25)
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  • Provider Network Management Manager

    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 ...resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of… more
    CVS Health (05/15/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Springfield, IL)
    **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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