- Evolent (Springfield, IL)
- …and contracting. **What You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business + Partner with Performance ... and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- CVS Health (Buffalo Grove, IL)
- …and every day. **Position Summary** The Clinical Pharmacist engages within the Medical Affairs - Medicare Formulary Administration team to support the creation and ... Care, drug file and adjudication - Experience working with RxClaim and claims adjudication - Knowledge of regulatory environment and applicable standards - Excellent… more
- Rush University Medical Center (Chicago, IL)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access **Work Type:** Full Time… more
- Rush University Medical Center (Chicago, IL)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Patient Access **Work Type:** Full Time… more
- Highmark Health (Springfield, IL)
- …providers. + Advocate for the member by providing assistance with transferring medical records, making prompt appointments with AHN or other community providers and ... providing assistance with resolving claim or billing issues.Educate members about access to comprehensiveclinical care and demonstrate the quality of care and… more
- Robert Half Finance & Accounting (Elmhurst, IL)
- …range for this position is $80,000-$85,000 and it comes with benefits, including medical , vision, dental, life, and disability insurance. To apply to this hybrid ... functions as required. * Use communication and auditing skills to administer claims and produce clear reports. Requirements Job Requirements: * Proficiency in… more
- Nestle (Schaumburg, IL)
- …of the Return to Work program. + Conducts workers' compensation claim investigations. + Develops and maintains close communication with insurance carriers, ... medical providers providing services for injured employees and serves...the company's operations. + Understanding of worker compensation and claims management a plus. + Ability to read, analyze… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Research Computing **Work ... quality improvement, and business data analysis needs of Rush University Medical Center. The Analyst will assist clinical faculty and Principal Investigators… more
- ZOLL Medical Corporation (Chicago, IL)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... as well as support activities to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include:… more
- Cognizant (Springfield, IL)
- …teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root ... and insights to management using advanced Excel skills. . Recommend updates to claim edits and work queues to improve efficiency and reduce payment delays. **What… more