- Health Care Service Corporation (Springfield, IL)
- …providing concierge guidance and answering questions from members and providers for medical , behavioral health and prescription benefits and claims . Assisting ... helping the member reach optimal health by collaborating with clinicians from medical , behavioral or a pharmacist. Required Job Qualifications: * Associate with 2… more
- Huron Consulting Group (Chicago, IL)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... **PREFERRED QUALIFICATIONS:** + Experience with comprehensive healthcare data sets ( claims , payroll, financial performance, clinical, or other related healthcare… more
- TORKLAW (Chicago, IL)
- …be part of a dedicated team, including attorneys, case managers, and medical coordinators, all committed to fast-tracking our clients' recovery in every aspect. ... to: + Opening and setting up new client files; + Opening and reporting claims to insurance companies; + Placing statutory lien holders on notice; + Drafting… more
- Philips (Rosemont, IL)
- …Clinical Science team, the Senior MRI Clinical Scientist will collaborate with medical doctors and physicists of large academic hospitals (most notably University of ... Texas Southwestern Medical Center) with a focus on research, development, and...IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able… more
- Actalent (North Chicago, IL)
- …patients with treatment compliance by entering/updating current medications allergies and medical conditions and triaging calls to Nursing and/or Pharmacists when ... health insurance payors and providers to investigate benefits and transmit test claims if applicable to verify prescription coverage. + Identifies and recommends… more
- Humana (Springfield, IL)
- …skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management ... receives guidance where needed. Follows established guidelines/procedures. + Complete medical record reviews for Behavioral Health Inpatient and Outpatient Provider… 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 ... partners to elevate HCP promotional tactics/resources and strengthen promotional claims (where appropriate via the CFL process) + Strategically understand… more
- Oracle (Springfield, IL)
- …inpatient/outpatient workflows including verification, dispensing, automation, inventory, and claims management + Strong communication and presentation skills, with ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… more
- Oracle (Springfield, IL)
- …the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics, and Determinants of Health among other disciplines. You will work ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… more
- Oracle (Springfield, IL)
- …AI to synthesize insights from multi-modal healthcare data (eg, EHRs, imaging, claims , and demographics) to enhance patient care and operational efficiency. * ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… more