- Humana (Springfield, IL)
- …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Norstella (Springfield, IL)
- …diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive ... + Strong problem-solving and analytical skills, with attention to detail **Benefits:** Medical and prescription drug benefits Health savings accounts or flexible… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Springfield, IL)
- …for claimants requesting accommodations under the ADAAA; to review complex medical information for temporary and permanent accommodation requests; and to approve ... and/or client requirements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reviews medical information for ADAAA temporary and permanent accommodation requests. +… more
- Norstella (Springfield, IL)
- …Resilience, Mettle, and Perseverance 05: Humility, Gratitude, and Learning **Benefits:** * Medical and Prescription Drug Benefits * Health Savings Accounts (HSA) ... offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization… more
- Walgreens (Deerfield, IL)
- …customer and plan covers. + Facilitates the reimbursement windshields for PBM major medical claims . + Identifies and assesses individual customer or patient ... Responsible for verifying patient eligibility, coordinating benefits, running test claims , and determining patient coverage/responsibility for services. Handles inbound… more
- Sedgwick (Springfield, IL)
- …job site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ARE YOU AN IDEAL ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …inspection ready, resources are provided on site and/or remotely during health authority inspections, observational findings are responded to appropriately and ... years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walgreens (Deerfield, IL)
- …Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care ... those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a...by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums… more
- Walgreens (Deerfield, IL)
- …Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care ... those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a...by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums… more