- Revlon (Chicago, IL)
- …key drivers of business and action customer needs + In conjunction with Associate Business Manager, collects business, point of sale, and market trend data and ... vs. plan to ensure budget adherence + Processes account claims on an on-going and timely basis + Manages...benefits. Employees are covered by the company-paid basic life insurance policy and company-paid short-term disability insurance … more
- Humana (Springfield, IL)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Springfield, IL)
- …of coverage + Experience in negotiation + Experience working with healthcare or claims related data Travel: While this is a remote position, occasional travel to ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Springfield, IL)
- …researches/reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or recovery. Analyzes, enters ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Springfield, IL)
- …Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Springfield, IL)
- …point of sale to members loaded in system, ID cards issued, claims opened for processing and certifications issued. The Senior Installation Administration ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Springfield, IL)
- …member, products and benefits, and health plan administration portfolios (provider, claims , etc.), with areas of focus including Enrollment, Member Experience, ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Springfield, IL)
- …management within all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an impact** **Required ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Highmark Health (Springfield, IL)
- …recommends process improvements for efficiencies. May provide guidance to Associate level employees. **ESSENTIAL RESPONSIBILITIES** + Intake operational objectives ... role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -...**Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred**… more
- Shape Technologies Group (IL)
- …comprehensive benefits package including: ✔ Competitive salary ✔ Medical, dental, and vision insurance ✔ 401(k) with company match ✔ Paid time off & paid ... disability/life insurance ✔ Tuition reimbursement ✔ A chance to be...feedback and assist in product development + Process warranty claims and assist with spare parts replacement + Collaborate… more