- Walgreens (Deerfield, IL)
- …channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice ... **Job ID:** 1649653BR **Title:** Manager, Retail Injury & Liability Claims (Team Members & Customers) **Company Indicator:** Walgreens **Employment...of legal and regulatory compliance in a retail or healthcare setting + At least 1 year of direct… more
- Norstella (Springfield, IL)
- …relational databases, ensuring data accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...worked in and understands the dynamics of the US healthcare ecosystem. **Responsibilities:** *Lead the delivery of complex RWD… more
- Prime Therapeutics (Springfield, IL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Previous experience using ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Springfield, IL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field. + Previous experience using ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- CVS Health (Springfield, IL)
- …knowledge of PBM profit levers, underwriting and financial models. + Understanding of healthcare and pharmacy claims data and common tools used to manipulate ... data. + Exceptional communication skills across the full spectrum of formal and informal channels and to multiple audiences, including external clients, consultants, internal partners, and executive leadership. Proven ability to educate and influence external… more
- Humana (Springfield, IL)
- …operations, technology, communications, and processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider ... make an impact** **Required Qualifications** + Bachelor's degree in healthcare administration, public health, information systems, business, policy administration or… more
- Prime Healthcare (Aurora, IL)
- …public sector, and/or in-house position involving employer defense of workers' compensation claims . 2. Significant experience with hospital or healthcare risk ... Overview Prime Healthcare is an award-winning health system headquartered in...hospital operators dealing with alleged workplace injuries, workers' compensation claims or subpoenas, and workplace safety training, policies, plans,… more
- GE HealthCare (Chicago, IL)
- …Insurance & Corporate Risk Manager plays a key role in executing GE HealthCare 's global risk management strategy. This position is responsible for managing insurance ... program operations, claims oversight, and compliance activities. Operating with autonomy within...and work closely with the Risk Management Team. GE HealthCare is a leading global medical technology and digital… more
- Prime Healthcare (Aurora, IL)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare...issues. This attorney must be experienced with wrongful termination claims , wage and hour class actions, PAGA claims… more
- R1 RCM (Chicago, IL)
- …appropriate information in determining overpayments on accounts. Having prior experience in healthcare billing, follow-up, and claims will provide you with an ... and complex insurance processing issues and denials to facilitate payment of claims . + Route accounts to specialty/clinical departments for review when appropriate… more