- Adecco US, Inc. (Springfield, IL)
- …Center. . Prioritize the privacy and confidentiality of the patient's medical information, adhering to HIPAA regulations, and organizational policies always. . ... Utilize prescription claims data to generate clinical recommendations according to Medication...Pay . 401(k) Plan . Skills Training . Excellent medical , dental, and vision benefits **Pay Details:** $58.00 to… more
- Evolent (Springfield, IL)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** ... coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality… more
- AbbVie (North Chicago, IL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... brands and frequently interact with and provide substantive advice to Marketing, Medical Affairs and Regulatory Affairs departments concerning a broad range of… more
- CVS Health (Springfield, IL)
- …levers, underwriting and financial models. + Understanding of healthcare and pharmacy claims data and common tools used to manipulate data. + Exceptional ... varying levels of client contacts, including executive leadership, Chief Medical Officers, pharmacy department leadership, provider networks, actuaries, financial… more
- NASCO (Springfield, IL)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... Health Benefits** + Choice of Blue Cross Blue Shield Medical , Dental, and Vision Plans + Telehealthcare - for..., Dental, and Vision Plans + Telehealthcare - for Medical and Behavioral visits + Generous PTO with buy/sell… more
- Axis (Chicago, IL)
- …pricing efforts. Products supported by the department include Stop-Loss, Short Term Medical /Limited Medical , Excess of Loss, Pet Insurance, Travel Insurance, ... business planning, and projections. + Work with Reserving, Finance, Claims , and Data & Analytics teams to achieve business...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
- AbbVie (Mettawa, IL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... Women's Health, HCV) to assess qualitative & financial impacts of pharmacy and/or medical contracting with National & Regional payers. + Provide insights into the… more
- GE HealthCare (Chicago, IL)
- …factors that differentiate them in the market. GE HealthCare is a leading global medical technology and digital solutions innovator. Our purpose is to create a world ... and approves advertising and promotion material to ensure consistency with approved claims and regulatory requirements. + Is an active member of external industry… more
- Ankura (Chicago, IL)
- …+ Review, analyze, and code diagnoses based on information in a patient's medical record according to specific guidelines for each project. + Evaluate compliance ... guidelines and reference materials + Drafts clear and concise analyses of medical record review and coding findings + Ensures successful completion of project… more
- CVS Health (Springfield, IL)
- …provider issues, benefit questions, care coordination, member eligibility and claims . + Coordinate vendor participation in onsite vaccine administration. Maintain ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more