- Elevance Health (Chicago, IL)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer… more
- NTT DATA North America (Decatur, IL)
- …future for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner** on a **project** basis to work **remote, from home** ... right people on board, anything is possible. The quality, integrity , and commitment of our employees are key factors...Experience in the GBAS system + Experience processing Dental Claims \#LI-NorthAmerica **About NTT DATA ** NTT … more
- Axis (Chicago, IL)
- …taking part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America Claim Team. ... This role involves managing primary and excess claims for various AXIS policy forms. How does this... adjusters. Supporting underwriting and actuarial teams by maintaining data and analytics. Maintaining and developing relationships with senior… more
- NTT DATA North America (Decatur, IL)
- …future for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Refund Specialist** on a **project** basis to work **remote, from ... At NTT DATA , we know that with the right people on board, anything is possible. The quality, integrity , and commitment of our employees are key factors in our… more
- Elevance Health (Chicago, IL)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Humana (Springfield, IL)
- …and reporting. Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to communicate key ... trends to stakeholders. The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of… more
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data , Specialty pharma, omnichannel data , SalesForce/Veeva ... **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for… more
- AbbVie (Mettawa, IL)
- …MBA + Strong working knowledge of syndicated pharmaceutical data sources, including formulary data sources and claims data sources. + 3-4 years of ... medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's… more
- Elevance Health (Chicago, IL)
- …scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity , utilization management, risk adjustment). + Cost ... or healthcare technology company. + Experience in AI/ML, advanced analytics, and data platforms specific to medical cost optimization. + Strong knowledge… more
- USAA (Chicago, IL)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more