- WTW (Chicago, IL)
- …evaluation and management, pricing and funding strategies, data analytics, valuation support , and legal compliance and governance strategies. We also provide ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions such as our pharmacy… more
- ATS Automation (Chicago, IL)
- …the machine is built, you would move back to the USA and provide ongoing support to the customer at their location. ESSENTIAL JOB DUTIES: Embedded - Build Stage ... diagnostics - Collaborative Problem-Solving - Working closely with the assembly team lead to troubleshoot and refine integration - Service Strategy Involvement -… more
- AIG (Chicago, IL)
- …Property Underwriting team, providing advice and data driven insights that will support Underwriting and Portfolio Management. + Lead the quarterly portfolio ... American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day… more
- Prime Therapeutics (Springfield, IL)
- …to scope, quality, efficiency, budget, schedule and benefit. **Responsibilities** + Lead the development of the department reporting strategy based on compliance ... and deployment plans, coordination of training, and other necessary support plans for client group + Other duties as...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Prime Therapeutics (Springfield, IL)
- …solutions that advance or achieve Prime's strategic priorities. This role will support operational readiness for new business and/or products, assist with driving ... presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions + Create,… more
- Insight Global (Downers Grove, IL)
- …for a module, lead validation for all types of testing and support activities related to implementation, transition, and warranty. You will help to deliver ... of the digital application development team within the organizations largest healthcare claims affiliates. This role will work in a cross-function and collaborative… more
- Elevance Health (Chicago, IL)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Prime Therapeutics (Springfield, IL)
- …solutions that advance or achieve Prime's strategic priorities. This role will support operational readiness for new business and/or products, assist with driving ... presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions + Create,… more
- Cardinal Health (Springfield, IL)
- …team to ensure timely and accurate resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement ... accounts, and ensure compliance with payer and regulatory requirements. **Responsibilities:** + Lead and manage the daily operations of the insurance follow-up team,… more
- CVS Health (Buffalo Grove, IL)
- …compliance activities for Medical Affairs. This includes accountability and support for utilization management (UM), formulary development, regulatory audits and ... distance to one of these locations. **Key Responsibilities:** **Clinical Program Support Services** + Development, management and evaluation of Medical Affairs… more