- Walmart (Quincy, IL)
- …aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates ... aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates… more
- Elevance Health (Chicago, IL)
- …analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data, and other large datasets using R ... preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big datasets is preferred. For candidates working in… more
- Evolent (Springfield, IL)
- …- Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in ... assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans,… more
- Highmark Health (Springfield, IL)
- …leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights ... to prototype. + **Healthcare Data Familiarity:** Understanding of healthcare data domains ( claims , clinical, EMR) and related ontologies or standards (eg, SNOMED CT,… more
- Evolent (Springfield, IL)
- …accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial ... be leveraged to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data and insights… more
- Evolent (Springfield, IL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- AbbVie (Mettawa, IL)
- …institutional sales data, payer-prescriber-level data, formulary data, Rebates, Symphony claims , Copay claims . + Excellent communication and interpersonal ... package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. + This job is eligible to… more
- ChenMed (Berwyn, IL)
- …taking inventory, answering the phone, checking patient information for insurance co-pays, restocking and ordering necessary supplies, assisting with delivery ... filing system updated for multiple procedures/processes. + Assists with pharmacy claims adjudication including calling insurances to assess and correct pharmacy … more
- ChenMed (Chicago, IL)
- …receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and ... as assigned by the Pharmacy Manager or Pharmacist on duty. + Processes claims for 3rd party reimbursement efficiently and correctly to third-party insurance … more
- MAT Holdings, Inc (Long Grove, IL)
- …offer a complete benefits package that includes medical, dental, vision, and disability insurance after 60 days of employment + Paid Time Off (PTO), including paid ... with Marketing on sales materials and monitor customer returns and warranty claims , ensuring accurate reporting and Program Management. + Monitor and analyze market… more