- Evolent (Springfield, IL)
- …operations this individual also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: ... into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be...prior authorization requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability… more
- CVS Health (Northbrook, IL)
- …and regulations, including the Anti-Kickback Statute, the Stark law, the False Claims Act, HIPAA, state consumer privacy laws, interoperability regulations + An ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Walgreens (Chicago, IL)
- …Comprehensive Health & Wellness Benefits** + Comprehensive benefits package including medical , prescription drug, dental, vision, disability and life insurance for ... support - Walgreens provides financial support for fertility treatments, including medical procedures and prescription medications. Eligible team members can also… more
- Thrivent Financial (Chicago, IL)
- …revenue streams, and dedicated planning fees for those who qualify. + Medical , dental, vision, disability and accidental death and dismemberment insurance. + ... Pension, 401(k) and retiree medical plans. + Ongoing support, training and opportunity for...Ratings. Ratings are based on Thrivent's financial strength and claims -paying ability, but do not apply to investment product… more
- Cognizant (Springfield, IL)
- …customer care representative role. Understanding of the insurance industry, electronic claims , medical office knowledge and/or coding/billing preferred. **Salary ... benefits for this position, subject to applicable eligibility requirements: * Medical /Dental/Vision/Life Insurance * Paid holidays plus Paid Time Off * 401(k)… more
- CVS Health (Springfield, IL)
- …position is open in a data engineering team that is responsible for processing Claims , Revenue, Medicare Specific files and data from 30+ payors into our Data ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Northbrook, IL)
- …of UiPath, Automation Anywhere (AA), or other RPA tools + 3+ years analyzing claims data and/or other large datasets + 3+ years converting business requirements to ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Buffalo Grove, IL)
- …This position works closely with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives and to build a ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Springfield, IL)
- …complete and timely reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare. The candidate will contribute to establishing ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Snapsheet (Chicago, IL)
- …drive efficiencies using data and technology to enable the fastest and most accurate claims processing in the industry. About the Role + Team: We're looking for an ... designed to grow with you, wherever life takes you. + Choose from 3 robust medical plans through Blue Cross Blue Shield-plus, we contribute to your HSA when you… more