- Sanofi Group (Chicago, IL)
- …and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion center ... FRMs will be subject matter experts on product procurement as it relates to medical payer policy requirements, buy & bill processes, billing and coding education, … more
- Johns Hopkins University (Chicago, IL)
- …of Health/CLIA required for lab testing provided on-site. + Maintain patient medical records. _Work collaboratively with the Benefits and Safety teams_ + Coordinate ... health and wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. + Provide crisis… more
- CVS Health (Rantoul, IL)
- …8:00am-5:00pm CST. Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops ... all case management activities with members to evaluate the medical needs of the member to facilitate the member's...and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management… more
- Public Consulting Group (Springfield, IL)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... options + Develops effective working relations and cooperate with medical team throughout the entire case management process +...working experience in case management, including as a nurse, medical , mental health care manager or a related job… 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 ... communicate a story through insights. + Experience managing and analyzing patient claims data (eg IQVIA LAAD, Symphony Health data) for Pharmacy channel products.… more
- Astellas Pharma (Northbrook, IL)
- …countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping ... our focus on addressing unmet medical needs and conducting our business with ethics and...SPs are identified. Identify gaps between eligible and shipped claims in FCFR and look for solutions with SPs… more
- 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
- 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 ... approval, submission and presentation of research in peer-reviewed journals and at medical / methodological congresses. + Helps anticipate and develop strategies and… more
- R1 RCM (Chicago, IL)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... accounts receivables, denials and appeals, including working with high-dollar/complex claims , inventory management experience, and experience with multiple clients/shifting… 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