- Evolent (Springfield, IL)
- …engineers in designing, building, integrating and maintaining data pipelines to support healthcare data integration and operations . This role involves managing ... regulations and standards, such as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims ,...as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing… more
- Abbott (Lake Forest, IL)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...identify and resolve complex legal issues to support the operations of this business. The attorney will be responsible… more
- R1 RCM (Chicago, IL)
- …level. **Required Skills:** + 7+ years of experience in revenue cycle management, healthcare operations , or client success roles. + Physician billing experience ... its clients, driving strategic initiatives to enhance revenue performance, streamline operations , and ensure compliance with industry regulations. Every day you will… 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 ... legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate… more
- Walgreens (Morris, IL)
- …offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Provides customers with courteous, friendly, fast, and efficient ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- CVS Health (Springfield, IL)
- …Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Sanofi Group (Chicago, IL)
- …support, access, payer medical policy, prior authorization, specialty pharmacy operations , infusion center procedures and other business-related issues for T1D. ... and assisting in patient pull though efforts. We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges,… 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 ... the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + Develop… more
- Humana (Springfield, IL)
- …accreditation, and certification requirements. This position will coordinate day-to-day pharmacy operations directly with the plan Chief Executive Officer and Chief ... Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming… more
- Cardinal Health (Springfield, IL)
- …legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate ... all company legal matters, manages outside counsel and manages legal operations . Legal Management provides strategic oversight, leadership and direction within the… more