- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …trials program, including registrational, post-marketing and Investigator-Sponsored Trials (ISTs), health economic outcomes research, other specific medical ... The local "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- … and data teams at OPH. The ideal candidate will have experience advising medical device, digital health , and AI clients on the application of healthcare ... **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering...OPH healthcare products, services, and technology. Expert knowledge of medical device and consumer protection (eg, FDA, FTC), healthcare… more
- Travelers Insurance Company (Springfield, IL)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- CVS Health (Springfield, IL)
- …travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- Sedgwick (Chicago, IL)
- …disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Robert Half Accountemps (Burr Ridge, IL)
- Description We are looking for a detail-oriented Medical Collections Specialist to join our team in Burr Ridge, Illinois. This Contract-to-Permanent position focuses ... of charges to insurance providers and patients as needed. * Monitor unbillable claims and prepare detailed status reports for the Reimbursement Supervisor. * Collect… more
- Travelers Insurance Company (Springfield, IL)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage or liability… more
- Highmark Health (Springfield, IL)
- …:** GENERAL OVERVIEW: Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data ... relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- Sedgwick (Chicago, IL)
- …a professional career? Bring your 2+ years' experience in a office setting or medical experience and grow with us! + A stable and consistent work environment in ... physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more