- Veterans Affairs, Veterans Health Administration (Sterling, IL)
- …Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take ... Summary The Iowa City Department of Veterans Affairs Health Care System (ICVAHCS), is seeking a PA...to the examination of claimants filing compensation and pension claims . FUNCTIONS OR SCOPE OF ASSIGNED DUTIES: The PA… more
- Cardinal Health (Springfield, IL)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- Cardinal Health (Springfield, IL)
- …a leading mail order supply company focused on diabetic patients, (3) Cardinal Health at-Home, a direct-to-home medical supplies distributor, and (4) Velocare, a ... programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement...a wide variety of benefits and programs to support health and well-being. * Medical , dental and… more
- Kemper (Downers Grove, IL)
- …professional with the ability to investigate and adjust first-party and third-party automobile claims . We are offering the opportunity to work in a fast-paced and ... We are currently looking for Auto Liability Adjusters to investigate claims , determine liability, confirm coverage, establishes damages, and negotiate settlement of… more
- Prime Healthcare (Aurora, IL)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare… more
- American Water (Belleville, IL)
- …Support the workers' compensation management process to assure thorough and efficient claims management and investigation. * Maintain health and safety training ... an American Water employee, you will be offered a competitive salary and health benefits package, along with opportunities to develop, grow, and evolve your career.… more
- Evolent (Springfield, IL)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract… more
- Deloitte (Chicago, IL)
- …vendors by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against ... Pharmacy Benefit Manager/ Health & Group Benefits Senior Consultant Human CapitalOur...plan offerings and design. + Manage RFP processes for medical , dental, pharmacy, life, and disability programs, including development,… more
- CVS Health (Springfield, IL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and financial models. + Understanding of healthcare and pharmacy claims data and common tools used to manipulate data.… more
- CVS Health (Springfield, IL)
- …**Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves ... At CVS Health , we're building a world of health...role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role… more