- Lundbeck (Deerfield, IL)
- …with patient-level healthcare industry data (eg, IQVIA, Symphony or Komodo claims data, specialty pharmacy status data, EHR data, hub/copay program data, etc.). ... + Strong understanding of US healthcare system dynamics, including payer reimbursement pathways, specialty distribution models, and the design and operational flow… more
- Humana (Springfield, IL)
- …Qualifications** + Bachelor's degree + Previous experience in prior authorization, claims , and/or utilization management in healthcare , health insurance, ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Spectrum Billing Solutions (Skokie, IL)
- Spectrum Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a passionate and skilled ... insurance denials + File appeals on denied or underpaid claims + Check claim status on appropriate payor systems...billing metrics Qualifications: + 3+ years of experience in healthcare billing and collections + Experience in all aspects… more
- Prime Therapeutics (Springfield, IL)
- …stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners ... duties as assigned **Education & Experience** + Bachelor's degree in business, healthcare , or related area of study, or equivalent combination of education and/or… more
- Stantec (Chicago, IL)
- …Manager for the design and construction of a mix of higher education, healthcare and other institutional expansion and renovation projects. The projects will be in ... Million to $100+Million. Your Key Responsibilities - Manage multiple higher education, healthcare , K-12 schools or commercial expansion or renovation projects as an… more
- Cardinal Health (Springfield, IL)
- …and Compliance teams + Demonstrate knowledge of general commercial and healthcare law; specifically, regulations related to pharmaceutical distribution and services ... in the interpretation and application of relevant laws including, Antitrust; healthcare laws and regulations, (eg, Stark, Corporate Practice of Medicine,… more
- Cardinal Health (Springfield, IL)
- …judgment in the interpretation and application of relevant laws including, Antitrust; healthcare laws and regulations, (eg, Anti-Kickback, False Claims Act, and ... and Compliance teams + Demonstrate knowledge of general commercial and healthcare law; specifically, regulations related to pharmaceutical distribution and services… more
- UnityPoint Health (Rock Island, IL)
- …Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our ... with insurance companies, providers, coders and case management to appeal denies claims + Collaborating with the central billing office, medical records, and… more
- UnityPoint Health (Rock Island, IL)
- …Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our ... with insurance companies, providers, coders and case management to appeal denied claims + Responsible for following EMTALA, HIPAA, payer and other regulations and… more
- Elevance Health (Chicago, IL)
- …troubleshooting support strongly preferred. + Knowledge of payment integrity and claims systems is highly preferred. + Experience with Python, Angular/React and ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more