- Highmark Health (Springfield, IL)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- TEKsystems (Chicago, IL)
- …is building a project team to support the coupon process within their claims system. They are currently developing automation that will allow uploaded coupons to ... automatically adjust claims with accurate billing. However, at present, a claim...not reflect the discount. Role Responsibilities: + Review full claims and manually apply coupons to ensure accurate billing.… more
- Prime Therapeutics (Springfield, IL)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . AI Business Analyst - Remote **Job Description** **Are you a Business ... grow your career in the IT AI space.** The Sr . IT Business Systems Analyst (BSA) is...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr … more
- Baylor Scott & White Health (Springfield, IL)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Rush University Medical Center (Chicago, IL)
- …case. **Summary:** Rush University Medical Center is seeking a highly skilled ** Senior Epic Application Analyst ** certified in **Epic Resolute Professional ... origin, disability, veteran status, and other legally protected characteristics. **Position** Sr Epic Application Analyst - Epic Professional Billing (PB)… more
- Prime Therapeutics (Springfield, IL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & ... Complaints Senior Compliance Analyst assists in the implementation...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- Progress Rail Services Corp. (Lagrange, IL)
- …a major in engineering, business, or Finance or equivalent training. **Job Title:** Sr . Statistical Analyst - Warranty **City:** LaGrange **Key Job Elements:** * ... with summaries of findings as they relate to warranty claims ; * Monitors and audits reports to assure accuracy;...audits reports to assure accuracy; * Act as warranty analyst for Power Product distributors, and various other domestic… more
- Evolent (Springfield, IL)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor,… more
- Health Care Service Corporation (Chicago, IL)
- …and corporate operations. * Knowledge of product, marketing, sales, and claims adjudication. * Clear and concise written, presentation, verbal and interpersonal ... communication skills in order to work across various departments with various levels of management. * Handling sensitive or difficult situations as well as develop and deliver formal training to internal and external customers. * Extensive experience leading… more
- Elevance Health (Chicago, IL)
- **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This ... leaders passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon… more