- Prime Therapeutics (Springfield, IL)
- …study design, measurement and publishing results of complex pharmacy and medical health insurance clinical programs. **Responsibilities** + Design, develop ... Scientist designs and develops processes to support clinical program using eligibility, medical , and pharmacy administrative claims . This position is responsible… more
- EFI Global (Springfield, IL)
- …YOU HERE EFI Global is a full-service engineering, fire investigation, environmental, health and safety, and specialty consulting services firm serving a variety of ... **Collaborates with sales and operations managers, architects, developers, insurance adjusters, claims managers and attorneys to develop demand for your professional… more
- Sumitomo Pharma (Springfield, IL)
- …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... teams-including clinical development, clinical operations, data management, programming, and medical writing-to maintain the statistical integrity of study conduct.… more
- AbbVie (Mettawa, IL)
- …mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We ... enablement + Utilize third party vendors such as IQVIA, Symphony, Relay Health and CoverMyMeds to facilitate and accelerate the patient journey + Identify… more
- Sumitomo Pharma (Springfield, IL)
- …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... optimization of reporting solutions for all field-based teams, including Sales, Medical Affairs, and Account Management. This individual contributor role is critical… more
- WTW (Chicago, IL)
- …benefit package which includes the following (eligibility requirements apply): + ** Health and Welfare Benefits:** Medical (including prescription coverage), ... industries. Working knowledge of insurance functions especially product development, pricing, claims , underwriting and actuarial a plus. + Ability to work… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial and ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- American Academy of Pediatrics (Itasca, IL)
- …Collaborate with Human Resources on employment related matters and claims , including investigations, discipline, termination, workplace safety, training, leaves, ... compliance programs ensuring adherence to ethical standards, data privacy laws, health policy regulations, and record management initiatives. + Collaborate with… more
- Sargent & Lundy (Chicago, IL)
- …2022, 2023, and 2024. Health & Wellness Financial Benefits Work-Life Balance + Health Plans: Medical , Dental, Vision + Life & Accident Insurance + Disability ... procedures. + Oversee contract administration, including RFIs, submittals, change orders, claims , and risk mitigation strategies. + Support the development and… more