- Norstella (Springfield, IL)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- CVS Health (Springfield, IL)
- …Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -MedCompass, CEC, or ... Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- Rush University Medical Center (Chicago, IL)
- …clinical, quality improvement, and business data analysis needs of Rush University Medical Center. The Analyst will assist clinical faculty and Principal ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...needs and will build databases to permit queries. The analyst will have a direct reporting relationship to the… more
- Carle Health (Champaign, IL)
- Overview The Revenue Cycle Systems Analyst position implements, modifies, tests and administers modules and systems related to revenue cycle system applications. ... of the Epic modules and applications related to Revenue Cycle, the Claims Manager System, and other systems, interfaces, and processes related to billing.… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position and can ... experience will not be considered for this position. The DXC SICS Application Analyst is responsible for maintaining and enhancing the DXC SICS (Swiss Insurance … more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue ... circumstances of each case. **Summary:** The Senior Revenue Integrity Analyst uses advanced knowledge of coding, CDM, charge capture,...charges in the Epic EHR. * Advanced knowledge of medical terminology as well as medical billing… more
- Elevance Health (Chicago, IL)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- CVS Health (Springfield, IL)
- …skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical coding, and regulatory frameworks. + Excellent ... it all with heart, each and every day. **Position Summary** The Senior Analyst , Investigations at Aetna International plays a pivotal role in safeguarding the… more
- Prime Therapeutics (Springfield, IL)
- …analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more
- Intermountain Health (Springfield, IL)
- **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system...certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring… more
- Evolent (Springfield, IL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Axis (Chicago, IL)
- …for candidates taking part in the selection process. **Senior Insurance Compliance Analyst ** Job Family Grouping: Product Development & Support Job Family: Senior ... Analyst , Product Development & Support **How does this role...for P&C products + Collaborate with compliance/legal, underwriting, actuarial, claims and operations staff to ensure P&C products comply… more
- Humana (Springfield, IL)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Elevance Health (Chicago, IL)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Bank of America (Chicago, IL)
- Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Jacksonville/Fraud-Analytics-and-Innovation-Lead- Analyst Fraud-Strategy\_25042825-2) **Job Description:** At Bank of America, we… more
- Humana (Springfield, IL)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- MAT Holdings, Inc (Long Grove, IL)
- …Holdings Inc. and its subsidiaries offer a complete benefits package that includes medical , dental, vision, and disability insurance after 60 days of employment + ... Life / AD&D , Employer Provided Life/AD&D + and More The Benefits Analyst is responsible for managing, analyzing, and optimizing an organization's employee benefits… more
- Option Care Health (Bannockburn, IL)
- …best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for supporting the ... to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify… more
- Kemper (Chicago, IL)
- …planning and analysis role you will support Kemper Property & Casualty Claims business leaders, providing critical insights to enable them to make data-driven ... + Provide analysis of monthly financial performance, primarily focusing on claims -related expenses. Interpret financial data and key performance indicators to help… more
- Evolent (Springfield, IL)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more