- AbbVie (Mettawa, IL)
- …to enable best-in-class experience for patients, external stakeholders (HCPs, Pharmacy ) and internal stakeholders (Agents) throughout the patient's treatment ... culture, look for ideas externally, to continuously improve the platforms with data / insights / AI capabilities to improve patient experience, agent experience… more
- Cardinal Health (Springfield, IL)
- …Reports to Reimbursement Solutions Supervisor, Individualized Care **Responsibilities:** + Evaluate data input schedules from facilities to load work items + ... Collaborate with facility EHR's to gather data to support diagnosis and medical clearances + Identify advocacy opportunities as it pertains to patient specific… more
- Health Care Service Corporation (Chicago, IL)
- …field + Proficient at querying a wide variety of internal and external data sources to uncover meaningful insights and drive measurable business results + ... on tight deadlines **Preferred Job Qualifications:** + Experience with CMS healthcare data (eg, MMR, Claims, Eligibility, Provider) + Experience with CMS payment… more
- CenterWell (Springfield, IL)
- …of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director, Home Health Grievances & ... + Oversee educational in-services based on analysis of PI data and activities Acts as a resource for the...largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health… more
- Sanofi Group (Chicago, IL)
- …to present to senior leadership team. + Be an expert in the clinical data , which affects current product promotion, disease state and market trends. + Spend majority ... marketing experience with 5 -7+ years in specialty care/biologics or specialty pharmacy experience, with demonstrated successful sales results. + 3-5 years Field… more
- Scot Forge Company (Spring Grove, IL)
- …renewal, and delivery of benefits programs to include medical, pharmacy , vision, dental, disability, life insurance, employee assistance programs, retirement ... Operations, HR and other departments to review cross-departmental impacts and reconcile data sharing + HRIS Scope - Benefits Administration (BEN)/Benefit to Carrier… more
- ASM Research, An Accenture Federal Services Company (Springfield, IL)
- …strategies. + Define test plans and entry/exit criteria. + Create test models (plans, data , and scripts), including test data . + Allocate test resources to ... provider workflows including but limited to: Revenue Cycle, Ambulatory, Lab, Pharmacy , Supply Chain, and Telehealth. + Experience with the Cerner/Oracle Health… more
- Wellington (Chicago, IL)
- …physical separation, secure storage, and access controls for sharing of data outside the private investments businesses, ensuring robust information governance and ... multiple jurisdictions/regulatory regimes a plus + Experience leveraging/utilizing technology and data and/or working closely with IT professionals to solve complex… more
- Highmark Health (Springfield, IL)
- …+ Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with ... of job responsibilities, employees may have access to covered information, cardholder data , or other confidential customer information that must be protected at all… more
- Walgreens (Deerfield, IL)
- …providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for ... Experience with applicable accounting regulations. + Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive… more
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