- 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
- 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 (Downers Grove, IL)
- …and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on ... 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)
- …monthly invoices in accounting system + Enter and process monthly fee claims for ancillary product offerings via claim system **Required Qualifications** + 6+ ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Walgreens (Granite City, 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
- AdventHealth (Hinsdale, IL)
- …health staff practice and performance, including patient injuries, complaints, compliments, claims , quality indicators and other risk-related data. + Coordinates the ... medical staff's professional performance evaluation and peer review programs...in any investigative, judicial review or appeal process involving medical or allied health staff to ensure compliance with… 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
- Highmark Health (Springfield, IL)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more