- Nestle (Schaumburg, IL)
- … health care agencies and third party administrators for worker's compensation claims + Maintain confidential medical records to include pre-employment ... needs to support the factory **POSITION SUMMARY:** Reporting to the Safety, Health and Environmental Manager, the Occupational Health & Wellness Specialist… more
- Snapsheet (Chicago, IL)
- Job Title: Engineering Manager - Claims Management Company: Snapsheet Job Location: USA, Remote Job Type: Full-time, direct hire Job Department: Technology About ... Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and...wherever life takes you. + Choose from 3 robust medical plans through Blue Cross Blue Shield-plus, we contribute… more
- Sedgwick (Springfield, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... PURPOSE** **:** To evaluate medical reports escalated due to deficient information utilizing evidence...a case is escalated. + Provides assistance where occupational health expertise is needed. + Collaborates with other parts… more
- Humana (Springfield, IL)
- …and quality related topics. + Educate on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record ... care or managed care experience working with providers (eg, provider relations, claims education). + Experience working with physical health providers,… more
- Elevance Health (Chicago, IL)
- …preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big datasets is preferred. For candidates ... and methodologies; statistical analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data,… more
- CVS Health (Springfield, IL)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- CVS Health (Buffalo Grove, IL)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure + Experience working with medical and/or pharmacy claims data + Experience in healthcare industry, including ... At CVS Health , we're building a world of health...collaborative, close-knit reporting team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Sedgwick (Elgin, IL)
- …Service Center Associate **PRIMARY PURPOSE** **:** To expedite the Customer Service claims application process; to ensure correct case assignment; and to act as ... to resolve problems and/or questions. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Assigns new claims to the appropriate claims handler. + Enters verbal and… 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