- Elevance Health (Chicago, IL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... will make an impact:** + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. + Works on large scale… more
- AbbVie (Mettawa, IL)
- …comprehensive package of benefits including paid time off (vacation, holidays, sick), medical /dental/vision insurance and 401(k) to eligible employees. + This ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...Area requirements for target product labels and target product claims . Oversees development and delivery of the product Target… more
- AbbVie (Mettawa, IL)
- …comprehensive package of benefits including paid time off (vacation, holidays, sick), medical /dental/vision insurance and 401(k) to eligible employees. + This ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...data generation for target product label and target product claims . + Drive prioritization of key leverage points in… more
- Evolent (Springfield, IL)
- …and contracting. **What You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business + Partner with Performance ... and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- AbbVie (Mettawa, IL)
- …comprehensive package of benefits including paid time off (vacation, holidays, sick), medical /dental/vision insurance and 401(k) to eligible employees. + This ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...regulatory and compliance issues. These include FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code,… more
- Centene Corporation (Springfield, IL)
- …and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies ... a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation… more
- Amcor (Deerfield, IL)
- …to achieve desired business results including legal and commercial terms, claims resolution, service levels and performance expectations. + Negotiate contract ... Your Rights: Workplace Discrimination is Illegal" Poster_ . If, because of a medical condition or disability, you need a reasonable accommodation for any part of… more
- GE Aerospace (Arlington Heights, IL)
- …terms & conditions (T&Cs) of the contract, and the management of claims . The role requires cross-functional leadership capability and has autonomy within your ... your physical, emotional, financial and social wellbeing. Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to a Health… more
- Humana (Springfield, IL)
- …large complex data sets within large organizations + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in Microsoft ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Walgreens (Normal, IL)
- …and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... Follows-up with insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and… more