- Sanofi Group (Chicago, IL)
- …detail-oriented problem solver with deep operational knowledge of the US healthcare system, including formulary operations , claims adjudication, ... **Job Title:** Associate Director, National Account Operations CVS - US Remote **Location:** Remote/Field Based...and contract performance tracking. We are an innovative global healthcare company, committed to transforming the lives of people… more
- Cognizant (Springfield, IL)
- …variety of business operations . We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor** is ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- NTT DATA North America (Decatur, IL)
- …as assigned. **REQUIREMENTS:** + High School Education. + Minimum 3 years' experience in Healthcare Claims Processing role + Minimum 1 year experience in ... have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our...an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote… more
- Walgreens (Deerfield, IL)
- …execution of initiatives. + Collaborates with internal business partners like Legal, Operations , Safety, and Insurable Risk, as well as external business partners, ... channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice… more
- Humana (Springfield, IL)
- … operations , technology, communications, and processes + Solid understanding of healthcare operations , particularly around claims processing, enrollment, ... care experience + 5 + years in Medicaid program implementation or healthcare operations , with demonstrated leadership of complex, multi-disciplinary projects +… more
- GE HealthCare (Chicago, IL)
- …management strategy. This position is responsible for managing insurance program operations , claims oversight, and compliance activities. Operating with autonomy ... and work closely with the Risk Management Team. GE HealthCare is a leading global medical technology and digital...6+ years of experience in corporate risk or insurance operations + Strong understanding of insurance placement, claims… more
- Humana (Springfield, IL)
- … operations , technology, communications, and processes + Solid understanding of healthcare operations , particularly around claims processing, enrollment, ... meetings to discuss IT priorities, new requests, and collaborate with Market Operations and Compliance teams. Facilitate and communicate with state agencies on… more
- Evolent (Springfield, IL)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... reliability, and compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities** **Fleet … more
- Kyndryl (Springfield, IL)
- …Contact Center operations for enterprise organizations, particularly those in the Healthcare or State or Local Government and / or Educational (SLED) spaces. ... innovative solutions that enhance customer journeys, improving customer technology operations , and integrate cutting-edge capabilities such as Agentic AI. The… more