- 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
- Evolent (Springfield, IL)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... Senior Analyst , Performance Analytics to join our...healthcare. By working closely with Data Science, Product, and Operations , you'll help identify opportunities to further Evolent's mission… 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, preferably with a quantitative major (eg actuarial, statistics, … more
- AIG (Chicago, IL)
- …product development analytics and performance measurement. They collaborate with Marketing, Operations and Financial Management. About the role This role is an ... of the reserving process, collaborate across departmental functions, interact with senior actuaries, and influence critical decisions on infrastructure. We are… 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
- 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
- Walgreens (Deerfield, IL)
- …Company information is available at www.walgreensbootsalliance.com. **Job ID:** 1626515BR **Title:** Senior Tax Analyst (Sales and Use Tax) **Company ... and sales and use tax audits. Actively monitors developments within business operations and provide recommendations on related tax matters. Collaborates with other… 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
- Otsuka America Pharmaceutical Inc. (Springfield, IL)
- …with Product Owners (Business Owners), Delivery Lead (Product Development), Business Operations , Scrum Teams and External partners + Work across all teams ... Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… 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
- 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
- Deloitte (Chicago, IL)
- …success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions ... solutions are powered by engineering for business advantage, transforming mission-critical operations . We enable clients to stay ahead with the latest advancements… more