- AbbVie (Mettawa, IL)
- …benefit managers (PBMs), Group Purchasing Organizations (GPOs) + Experience analyzing patient claims data (eg IQVIA LAAD, Symphony Health data) for Pharmacy ... is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to… more
- Insight Global (Louisville, KY)
- …* Maintain a comprehensive understanding of your dedicated client's group health portfolio and other internal services and coordinate communication among various ... design and implementation of their employee benefits programs, including group health , dental, vision, life, disability insurance and other ancillary coverages. *… more
- LA Care Health Plan (Los Angeles, CA)
- …highest clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- CH Robinson (Eden Prairie, MN)
- …+ Order / inventory planning + Invoicing files including reconciliation of claims & credits **Required Qualifications:** + High School diploma or GED + ... all employees feel welcomed, valued and respected. EOE//Disabled/Veteran **Benefits** **Your Health , Wealth and Self** Your total wellbeing is the foundation of… more
- PruittHealth (Norcross, GA)
- …PHP, PPS and Palliatie providers as necessary for timely billing of claims . 10. Collaborative Agreement development and coordination, tracking and monitoring for ... licenses and certifications online, and updates PeopleSoft accordingly 21. Maintains health card record in PeopleSoft 22. Liaison between partners, Partner Services,… more
- Amcor (Neenah, WI)
- …to achieve desired business results including legal and commercial terms, claims resolution, service levels and performance expectations. + Negotiate contract ... on business and individual performance, as well as medical coverage and other health and welfare benefits. **Benefits** When you join Amcor, you will have access… more
- Travelers Insurance Company (Downers Grove, IL)
- …direct management of staff. + Two years of experience in underwriting, service, sales, claims , and/or operations. **What Is in It for You?** + ** Health ... to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health … more
- CareFirst (Baltimore, MD)
- …and pursues a responsive system for authorization of services and approved claims . + Prepares retrospective reviews, case appeals, billing coordination, and clinical ... government services (Medicare, Medicaid, DSNP) and commercial lines of business in a health plan setting. Experience with MCG; certification is a plus! + Experience… more
- Elevance Health (FL)
- …analysis preferred. + Practical business experience preferred. + Experience in healthcare claims , health care benefits/total rewards and data analysis preferred. ... ** Health Information Consultant Senior** **Location:** This role requires...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Bon Secours Mercy Health (North Ridgeville, OH)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... and healthy** **w** **orkforces** **? ** **_Welcome to_** **_Occupational Health Services_** **_, the way it should be._** At...work quickly and safely + Helps complete worker's compensation claims + Reduces the risk of future issues +… more