- CVS Health (Bloomingdale, IL)
- …resolution and/or meeting needs by evaluating members' benefit plan and available internal aid and external programs/services. - Identifies high risk factors and ... impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- Highmark Health (Springfield, IL)
- …initial problem identification and resolution activities, maintains program/system documentation and prepares/maintains operations documentation for assigned ... external sources such as HC4, HMS, Medco, Acxiom, NCQA, and BCBSA with internal Highmark data. This position routinely utilizes data including, but not limited to:… more
- US Tech Solutions (North Chicago, IL)
- …files. Code complaint information according to procedures. + Assess incoming documentation , including clinical forms and medical information, for complaint ... SUMMARY:** + Under general direction, the **Post Market** Quality Assurance (PMQA) Analyst I will investigate and maintain **complaint files,** in compliance with… more
- Huron Consulting Group (Chicago, IL)
- …reports, study budgets, study calendars, charge segregation, and other trial documentation required for clinical research studies, including industry, federally ... and create your future. Your passion and expertise in clinical research will make you a key member of...an organization and providing timely updates both from an internal and external standpoint. + Innovative Problem Solving: Ability… more
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