- WelbeHealth (Springfield, IL)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and ... accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **Essential Job… more
- Rush University Medical Center (Chicago, IL)
- …the circumstances of each case. **Summary:** Reporting to the Manager of Compliance audit , the Corporate Compliance Regulatory Analyst plays a critical role in ... with federal and state regulations as well as Rush's internal policies. The Analyst collaborates closely with hospital departments and Rush Medical Group (RMG) to… more
- WTW (Chicago, IL)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... with ERISA regulations and other applicable federal laws. Adhere to audit protocol to ensure accuracy of documentation. **Document Production/Management:** Adhere to… more
- Highmark Health (Springfield, IL)
- …and training materials specific to underwriting functions, ensuring clarity for audit and compliance. + Collaborate closely with underwriters to analyze existing ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + Experience in… more
- Caterpillar, Inc. (East Peoria, IL)
- …**Role Definition** The Facilities Services Analyst (Materials Specialist-Procurement) is responsible for ... + Manage Pro-Card transactions, reconcile receipts, and maintain documentation for audit compliance. + Maintain organized records of orders, receipts, and invoices… more
- CVS Health (Downers Grove, IL)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... Support Services as they work with clients in the development of formularies; Rebate audit team as questions arise on audits by manufacturers and clients. + Adhering… more
- Transdev (Lombard, IL)
- …Responsibilities: + Primary support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department to support valuation of ... significant estimates related to insured claims + Create and maintain pricing model related to...Experience preferred: 3+ years of relevant experience preferred. Public audit experience preferred. Skills and Knowledge Required: + Comprehensive… more
- Highmark Health (Springfield, IL)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... include but not limited to, review/editing of content submissions and best practices, audit reports, etc. The incumbent is expected to make major contributions to… more
- Huron Consulting Group (Chicago, IL)
- …and decisions. + **Coding Auditor** + Responsible for the auditing of coders and/or " audit the auditors" to ensure coding accuracy of a minimum of 95% is met. ... sessions with offshore team counterparts and leaders. + May assist in preparing audit reports, share direct feedback to coders and auditors on areas of opportunity,… more