- Evolent (Springfield, IL)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Evolent (Springfield, IL)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... Bachelor's degree, preferably with a quantitative major (eg actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health… more
- Ankura (Chicago, IL)
- …excellence founded on innovation and growth. Ankura's Global Disputes and Economics Healthcare and Life Sciences Practice is searching for a talented individual to ... firms in the United States. Ankura's Disputes and Economics Healthcare and Life Sciences Practice is the largest industry...in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act;… more
- Walmart (Quincy, IL)
- …** It's time to see optometry through a new lens. Walmart is revolutionizing healthcare and this your chance to be part of it. A Walmart Associate Optometrist ... patients with appropriate referrals, as needed, to ophthalmologists and other healthcare professionals; and following up with patient and other health professionals… more
- Evolent (Springfield, IL)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... to our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations , etc.) to develop global regulatory plans, address global regulatory ... **K** **nowledge** - Experience working in the pharmaceutical and/or healthcare industry. - Knowledge and experience with preparation of...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Springfield, IL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Highmark Health (Springfield, IL)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational...Health Insurance Industry + 3 - 5 years the Healthcare Industry + 3 - 5 years in Lean/Six… more
- Evolent (Springfield, IL)
- …growth opportunities at customer accounts + Strong knowledge of health plan operations , care/utilization management, claims processing, value-based care, and the ... Provider Solutions, Strategic Accounts, Analytics, Client Finance, Implementation, Clinical Operations , Medical, Quality, and Call Center Teams) to identify new… more
- Walgreens (Norridge, IL)
- …that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager. Operations + Counsels patients and ... medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome… more