- Elevance Health (Chicago, IL)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible for… more
- R1 RCM (Chicago, IL)
- …pertaining to the EOB + Works closely with third party payers to resolve unpaid claims in proving medical necessity of the patient's admission + Works with HIM ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...and obtain appropriate information in pursuit of resolving unpaid claims . To thrive in this role, you must be… more
- AbbVie (Mettawa, IL)
- …+ Professional training in a healthcare field, experience in analysis of large medical claims datasets/electronic medical records or prior experience in ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...programming skills and experience to analyze clinical, survey and claims databases. Role supports the department as a technical… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease ... of clinical data into commercial messaging + Partner with medical teams to align on an asset-level plan driving...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Norstella (Springfield, IL)
- …by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data ... service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product ... Work closely with, market access, Finance, Commercial operations, and medical teams to ensure seamless execution of brand strategies...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …Pathologists are licensed physicians who are trained in pathology to make medical diagnoses that are based upon macroscopic, cellular (microscopic), molecular or ... serve as pathology consultants to other physicians. By virtue of their extensive medical education, clinical training, and specialty certification in the medical … more
- Veterans Affairs, Veterans Health Administration (Marion, IL)
- …Former EDRP participants ineligible to apply. Responsibilities The Marion VA Medical Center is seeking a full-time Hematology/Oncology Physician to join their ... be spent in the supervision of nurse practitioners, physician assistants, or medical students. The physician may have some limited administrative work as assigned.… more
- IQVIA (Chicago, IL)
- …HIPAA certified + Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) is a ... what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need… more
- Veterans Affairs, Veterans Health Administration (Decatur, IL)
- …high quality primary care. The incumbent will be responsible for providing comprehensive medical care by performing duties to include, but not limited to the below ... responsibilities: Manages chronic conditions, evaluates and treats inter-current medical conditions Collaborates with a Patient Aligned Care Team (PACT) to provide… more