- AbbVie (North Chicago, 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 ... and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Associate Director, Medical Affairs & Health Technology Assessment (MA&HTA) Statistics is… 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 ... Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope...plan + Health savings account (HSA) + 401k savings plan +… more
- CVS Health (Downers Grove, IL)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider reimbursement logic + ... At CVS Health , we're building a world of health...it all with heart, each and every day. CVS Health is seeking a Senior Analyst, Medical ...CVS Health is seeking a Senior Analyst, Medical Economics to join our team! The Sr. Analyst… more
- Highmark Health (Springfield, IL)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Highmark Health (Springfield, IL)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Highmark Health (Springfield, IL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities through analytics ... reporting solutions aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal… 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 ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...plan + Health savings account (HSA) + 401k savings plan +… more
- Elevance Health (Chicago, IL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information… more
- Travelers Insurance Company (Downers Grove, IL)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...program required. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Sedgwick (Springfield, IL)
- …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more