- 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
- Health Care Service Corporation (Chicago, IL)
- …**Job Summary** We are seeking a motivated and collaborative Systems Analyst to provide skilled leadership on complex assignments/projects. This position is ... technical specifications within limits of code environment; linking Business Analyst needs and Architect definition to technical solutions. Additionally, they… 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
- 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
- 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)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- International (Lisle, IL)
- Position Overview International Motors is seeking a Senior Financial Analyst , Warranty to join our team in Lisle. This role will leverage deep expertise in the ... to identify risks and opportunities of future experience + Analyze warranty claims data to identify trends, anomalies, and potential cost reduction opportunities +… 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...to support valuation of significant estimates related to insured claims + Create and maintain pricing model related to… more
- Intermountain Health (Springfield, IL)
- …sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems and ... multiple departments and vendors. + Accurate maintenance of configuration in Rx claims systems. + Maintain the integrity of system configuration by ensuring… more
- AIG (Chicago, IL)
- …American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day ... business, and portfolio optimization strategies. + Carry out other modelling business activities including event response, business planning, budgeting, profit studies, portfolio optimization, reinsurance purchasing, and other exercises where catastrophe risk… 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 ... passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is… 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 summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual assists in… more
- IBM (Chicago, IL)
- …including content creation, review and approval, digital asset management (DAM), claims management, and modular content * Implement client's E2E content supply ... elicitation for client's Vault Promomats implementation * Collaborate with other Senior Consultants supporting key deliverables and timelines * Hone digital asset… more
- Ally (Springfield, IL)
- …ensuring applicable regulatory compliance, and preparing investigative reports for both senior leadership and FinCEN. * Apply good judgment and knowledge of ... are taken to recover potential losses (eg repo, restitutions, assumptions, insurance claims , etc.). * Work cooperatively with EFSI and collaborate on higher risk… more
- Lumen (Springfield, IL)
- …connect the world and shape the future. **The Role** We are seeking a Senior Lead Portfolio Marketing Manager to drive the creation and delivery of unique market ... to identify and develop valuable messaging that will drive engaging content. The Senior Lead Portfolio Marketing Manager is expected to be the subject matter expert… more