- Walgreens (Frankfort, IL)
- …advancements and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & ... options to fit your lifestyle **For Your Family - Comprehensive Health & Wellness Benefits** + Comprehensive benefits package including medical, prescription… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... **Required Qualifications** + Bachelor's degree in healthcare administration, public health , information systems, business, policy administration or related field;work… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Lead, Technical Product Owner requires someone known for creative problem solving. This ... + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with...or related field + Knowledge of NCQA, CMS, and health plan quality measurement programs. + Deep understanding of… more
- Actalent (Elk Grove Village, IL)
- …medical and pharmacy benefits. + Submit and obtain prior authorizations with insurance companies. + Troubleshoot pharmacy claims rejections. + Perform monthly ... Receivable to resolve benefit issues. Essential Skills + Experience with Major Medical Insurance . + Knowledge of pharmacy benefits. + Understanding of HCPCs codes. +… more
- Spectrum Billing Solutions (Skokie, IL)
- …all aspects of Revenue Cycle Management + Experience in Behavioral and/or Mental Health billing preferred + Knowledge of Commercial Insurance and Government ... skills and knowledge to ensure optimal reimbursement by performing insurance collections. This role includes all aspects of revenue... denials + File appeals on denied or underpaid claims + Check claim status on appropriate payor systems… more
- HUB International (Chicago, IL)
- …proud to offer comprehensive benefit and total compensation packages: health /dental/vision/life/disability insurance , FSA, HSA and 401(k) accounts, paid-time-off ... for the unexpected. As one of the world's largest insurance brokers, our focus is dedicated to providing our...reports to client (annually, quarterly, or monthly) + Manages claims and coverage issue resolution for clients' employees when… more
- Walmart (Joliet, IL)
- …functional knowledge of the business unitorganization being supported Employee Health and Safety Possesses knowledge of OSHA guidelines compliance safety ... in OSHA and other regulatory inspections Participates in internal safety or health inspections Ensures that all first aid equipment is operational Ensures that… more
- Walmart (Matteson, IL)
- …Security Possesses knowledge of Asset protection policies practices and guidelines environmental health and safety laws and regulations To be able to carry out ... facility security staff Monitors and maintains access control equipment Employee Health and Safety Possesses knowledge of OSHA guidelines compliance safety and… more
- Fresenius Medical Center (Chicago, IL)
- …project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis ... of rate structure conversion. + Consolidates patient insurance download data including developing standards for field review...markets and competitive provider activity. + Maintains database on health plan membership by product. + Other duties as… more
- EFI Global (Springfield, IL)
- …for clients.** **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand ... limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and… more