- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently require… more
- Carle Health (Champaign, IL)
- …and outside clinics when Carle cannot provide the services needed. Collaborates with Health Alliance and other health insurance plans, ambulatory nursing ... of Health Alliance patients stay in-network for their specific insurance plans. Qualifications Certifications: , Education: , Work Experience: Related field… more
- WTW (Chicago, IL)
- …Gain specialized knowledge in areas such as pharmacy, life and disability insurance , health equity and wellbeing, vendor placement, actuarial/analytics, and more ... towards a Bachelor's or Master's degree in human capital/human resource management, health economics, risk management & insurance , business management, marketing… more
- Health Care Service Corporation (Chicago, IL)
- …**Required Job Qualifications:** + Bachelor's degree and 2 years of experience in health care services, statistical analysis, or insurance industry economics or ... in related field OR 6 years of experience in health care services, statistical analysis, or insurance ...+ Experience of Healthcare industry - mainly pharmacy related claims . + Experience with Medicare Part D and CMS… more
- Sedgwick (Springfield, IL)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty … more
- Option Care Health (Bannockburn, IL)
- …-Flexible Spending Accounts -Tuition Reimbursement -myFlexPay -Family Support -Mental Health Services -Company Paid Life Insurance -Award/Recognition Programs ... limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate...large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and… more
- Sedgwick (Naperville, IL)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Specialist **PRIMARY PURPOSE** **:** To provide support to the … more
- Elevance Health (Chicago, IL)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... Insurance annual statement exhibits. **Minimum Requirements:** Requires a BA/BS...Jersey, New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Health Care Service Corporation (Downers Grove, IL)
- …within required time frame per state regulations. *4 years' experience in a health care management field, claims processing, customer service or marketing/ sales ... including overnight stays. JOB REQUIREMENTS: *Must have state General Lines Agent Life, Health , and HMO license or obtain General Lines Agent Life, Health ,… more
- Health Care Service Corporation (Chicago, IL)
- …to travel, including overnight stays. Required Job Qualifications: *Bachelor's degree in health care or business administration or a minimum of 4 years work ... experience in a managed care environment. *Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider… more