- Axis (Chicago, IL)
- …part in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ... improvement of Claims support activities performed within our North America Claims Operations team. These functions include outsourced responsibilities to an… more
- Deloitte (Arlington Heights, IL)
- …technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ... test changes, enhancements, and each new release as assigned. The Team Operations and Technology Transformation delivers market leading expertise and industry depth… more
- Evolent (Springfield, IL)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Evolent (Springfield, IL)
- …the mission. Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and ... as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… more
- Evolent (Springfield, IL)
- …fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications Required and ... degree, preferably with a quantitative major (eg actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration,… more
- DATAMAXIS (IL)
- …a professional presentation. + Work with team to document updates needed for Operations Guide + Assist with analysis of Medicaid enrollment, provider and claims ... data, and document requirements, use cases + Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution + Share use cases to data analysts for profiling, review results and infer compliance to… more
- 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
- The Hartford (Chicago, IL)
- …ecosystem. The Customer Operations Data Science & Analytics team is seeking a Senior Analyst to support analytics across the Contact Center Operations ... Sr Consultant Perf Analytics - GB07AE We're determined...team as we help shape the future. The Customer Operations Data Science & Analytics team engineers end-to-end analytic… more
- Abbott (Abbott Park, IL)
- …identification, analysis, and mitigation of risks that could impact Abbott finance and operations . The Risk Analyst proactively keeps apprised of policies and ... executives, and scientists. **The Opportunity** We have an immediate opportunity for a Risk Analyst in our Lake County, Abbott Park, IL location. As the Risk … more
- Evolent (Springfield, IL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- Highmark Health (Springfield, IL)
- …network structures (eg non standard tiering) and pricing methods in a senior operational role. Translates complex group and client information into system ... and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal… more
- Transdev (Lombard, IL)
- …of life and combat global warming. https://www.transdevna.com Overview of Position: Senior staff position within North American headquarters responsible to support ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...global company, Transdev is a leader in mobility with operations in 19 countries, proudly operated by 110,000 team… more
- CVS Health (Springfield, IL)
- …in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations including reading prescriptions ... role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims … more
- Prime Therapeutics (Springfield, IL)
- …appropriate + Identify accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities ... decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst...PBM experience to include:##1 year of work experience in claims processing in an operations , audit or… more
- Humana (Springfield, IL)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more