- Axis (Chicago, IL)
- …for its North America Claim Team. This role involves managing primary and excess healthcare liability claims for AXIS US policies. How does this role contribute ... to our collective success? You will handle highly complex healthcare liability claims by verifying coverage, conducting investigations, developing resolutions,… more
- Aspen Dental (Springfield, IL)
- …Prior experience in risk management, compliance, or a similar role within the healthcare or dental industry in Claims Management. + Excellent organizational ... is one of the largest and most trusted retail healthcare business support organizations in the US and has...opportunity to join our team as a **Risk Management, Claims Manager.** **Job Summary:** The Risk Management Claims… more
- CVS Health (Springfield, IL)
- …Experience in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data ... skills in SQL and Python who can transform complex healthcare data into actionable insights to support fraud, waste,...investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate… more
- Huron Consulting Group (Chicago, IL)
- …client meetings + US Work Authorization required + Experience with comprehensive healthcare data sets ( claims , financial performance, clinical, and other related ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- TEKsystems (Rockford, IL)
- …shape the future of fair medical billing practices. Ready to make a difference in healthcare claims resolution? Apply now and bring your coding knowledge to a ... coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that… more
- Elevance Health (Chicago, IL)
- …provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Healthcare / claims experience preferred. For candidates working in person ... due health insurance premiums and/or past due health insurance claims . A proud member of the Elevance Health family...member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and… more
- Cardinal Health (Springfield, IL)
- …and harmonize data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare , claims feeds, internal CRM/ERP) to deliver clear, actionable ... tech, specialty pharmacy, or payer/provider a plus). + Proficiency with claims analytics and provider/facility data (Trella, Definitive Healthcare ;… more
- Oracle (Springfield, IL)
- …MS Excel, MS Word + Highly desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming language At ... studies (eg, patient survey studies, large database studies electronic health records, claims , etc.) and provide research consultation to both internal and external… more
- Insight Global (Downers Grove, IL)
- …be a part of the digital application development team within the organizations largest healthcare claims affiliates. This role will work in a cross-function and ... about web security basics. * Microsoft certifications are a plus. *Experience developing healthcare , insurance, pharmacy, or claims web applications more
- Humana (Springfield, IL)
- …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more