• Staff VP Specialty Pharma Payor Sales…

    Elevance Health (Chicago, IL)
    …+ Oversees the contracting and credentialing teams. Leads as the subject matter resource/ liaison for payor strategy. + Works with sales and operations with ... support throughout the consumer's treatment journey. **Staff VP Specialty Pharma Payor Sales & Strategy** **Location:** _May be located in any PulsePoint… more
    Elevance Health (07/30/25)
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  • Cardiometabolic Medical Science Liaison

    IQVIA (Chicago, IL)
    **Cardiometabolic Medical Science Liaison ** Join the IQVIA team, where diversity and inclusion thrive in a workplace committed to improving patients' lives. We ... our client, we are actively searching for Medical Science Liaison to deliver on our commitment to serve patients....as a point of contact to the medical/scientific and payor community. The MSL is responsible for establishing, developing… more
    IQVIA (08/01/25)
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  • Sr Revenue Integrity Regulatory & Systems Analyst

    Rush University Medical Center (Chicago, IL)
    …Job **Responsibilities:** * Apply advanced understanding of regulations, NCD's. LCD's and payor concepts, along with revenue integrity concepts to make new and ... capture, data, and technology space * Serve as a liaison with compliance to promote and optimize accuracy *...optimize accuracy * Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum… more
    Rush University Medical Center (06/18/25)
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  • Specialist 3rd Party Rx Ops Pharmacy Tech Services

    Walgreens (Deerfield, IL)
    …and support for the stores. Investigates Payer Inquiry Tickets from Payor Partners, Enterprise Prescriber Data File issue resolution and Audits, Prescriber ... are not compliant with the plan specifications. + Collaborates with third party payor and Walgreens Direct Bill contracts and appropriate Walgreens team members to… more
    Walgreens (06/17/25)
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  • Intake Specialist

    KPH Healthcare Services, Inc. (Hoffman Estates, IL)
    …excellent communication skills to ensure that the patient has adequate insurance or payor coverage for the infusion services that are being requested for AristaCare ... Duties:** + Communicates in a timely manner the referral source (clinical liaison , discharge planner, medical social worker, clinic nurse) the patients insurance… more
    KPH Healthcare Services, Inc. (05/10/25)
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  • Consultative Coding Professional

    CenterWell (Springfield, IL)
    …for audio only visits, and missing telehealth platform) + Serve as liaison to provide timely updates on documentation requirements and process changes. **Mergers ... reviews. + Compile payer findings and assist with research. + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make… more
    CenterWell (08/08/25)
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  • Board Certified Behavioral Analyst

    BrightSpring Health Services (Kankakee, IL)
    …to consumers, families and/or staff. Provides behavioral evaluations, acts as liaison for psychiatric supports, participates in on-going assessments, develops, and ... of the job include age-appropriate activities/behaviors; understanding of CPT codes/ payor rules/regulations/policies; language grammar/punctuation/spelling/vocabulary; and research-based accepted treatment modalities… more
    BrightSpring Health Services (07/27/25)
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  • Clinical Appeals Supervisor

    R1 RCM (Chicago, IL)
    …medical necessity criteria, physician documentation, and medical policies of the payor . Every day you will supervise the day-to-day clinical operations and ... on clinical appeals that require no further action. + Act as a liaison for non-clinical staff and attorneys to collaborate on appeals processing. + Leverage… more
    R1 RCM (07/18/25)
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