• Rater

    TEKsystems (Pekin, IL)
    …*Processes transactions on all Commercial Lines policies including quotations, new business issuance, policy changes, policy renewals, and premium audits *Performs ... data input, rating, coding, verification, and forms attachment for all policies *Works directly with underwriting and audit staff on ensuring the accuracy and completeness of all transactions in order to maximize product quality delivered to our customers… more
    TEKsystems (11/24/25)
    - Related Jobs

  • Account Manager Leader, Commercial Risk - Hybrid

    AON (Chicago, IL)
    …and Account Specialist recruiting and talent pipeline + Collect meaningful multi- rater feedback for use in the performance management process; swiftly handles ... and Account Specialist recruiting and talent pipeline + Collect meaningful multi- rater feedback for use in the performance management process; swiftly handles… more
    AON (11/23/25)
    - Related Jobs

  • Analyst, Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    …with heart, each and every day. **Position Summary** Responsible for performing quality inter- rater review audits of medical records coded by internal team (CDQA and ... Sr CDQA) to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and… more
    CVS Health (11/21/25)
    - Related Jobs

  • Field Medical Director, Pain Management

    Evolent (Springfield, IL)
    …in a timely and accurate manner. + Participates in on-going training per inter- rater reliability process. + On a requested basis, may function as Medical Director ... for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in research activities/questions. **Qualifications -… more
    Evolent (11/19/25)
    - Related Jobs

  • Field Medical Director, Oncology

    Evolent (Springfield, IL)
    …guidelines and/or system support. . Participates in on-going training per inter- rater reliability process. **Qualifications:** . MD/DO/MBBS . Minimum of five (5) ... years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred . Current, unrestricted clinical license in medicine or required specialty . Obtaining and maintaining medical licenses in the state… more
    Evolent (11/18/25)
    - Related Jobs

  • Field Medical Director, Cardiology

    Evolent (Springfield, IL)
    …in a timely and accurate manner. + Participates in on-going training per inter- rater reliability process. + May assist the Senior Medical Director in research ... activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for… more
    Evolent (11/14/25)
    - Related Jobs

  • Account Manager- Construction Loss Sensitive

    The Hartford (Chicago, IL)
    …Prior Commercial Market Insurance Industry experience as an Account Manager, Rater (or similar) at an insurance carrier/agency required* Knowledge of the ... following primary insurance coverage's: Workers Compensation, Auto, General Liability, Property required* Functional knowledge of Commercial Lines rating experience* Strong Customer Service and Relationship Building skills* Effective Communication Skills /… more
    The Hartford (11/14/25)
    - Related Jobs

  • Field Medical Director, Radiology (Neurology)

    Evolent (Springfield, IL)
    …guidelines and/or system support. + Participates in on-going training per inter- rater reliability process. **Qualifications:** + MD/DO/MBBS + Minimum of five (5) ... years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred + Current, unrestricted clinical license in medicine or required specialty- + Obtaining and maintaining medical licenses in the… more
    Evolent (10/31/25)
    - Related Jobs

  • Field Medical Director, Interventional Cardiology…

    Evolent (Springfield, IL)
    …in a timely and accurate manner. + Participates in on-going training per inter- rater reliability process. + May assist the Senior Medical Director in research ... activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for… more
    Evolent (10/29/25)
    - Related Jobs

  • Medical Director - Medical Affairs (Oncology)

    CVS Health (Springfield, IL)
    …or appeals when appropriate. - Medical Directors will participate in inter- rater review activities and other quality oversight processes for internal Director ... UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM programs to support other segments (including commercial and Medicaid) on evening and weekend coverage. -In this… more
    CVS Health (10/23/25)
    - Related Jobs