- CVS Health (Downers Grove, IL)
- …as well as for internal staff that aligns PE/Network functions with Operations and Claims as needed + Research, review , and prepare responses for all ... experience to ensure successful provider relationship, network performance including clinical , and affordability targeted improvements as identified and overall… more
- Amgen (Chicago, IL)
- …and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Chicago Market** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified geographic region for Patient Access and… more
- Public Consulting Group (Springfield, IL)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine case closure + Travels within the State… more
- Elevance Health (Chicago, IL)
- …submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity ... is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and… more
- Highmark Health (Springfield, IL)
- …partners and stakeholders across the organization. Key responsibilities will include clinical review , assisting in navigating a complex regulatory environment, ... working with claims data, performing financial analyses, and supporting the presentation...utilization management programs, and disease management initiatives. + Provide clinical review and decisions including but not… more
- Walgreens (Harvard, IL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Itasca, IL)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Walgreens (Oswego, IL)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
- Walgreens (Chicago, IL)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
- Walgreens (Chicago, IL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more