- Molina Healthcare (Kenosha, WI)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Kenosha, WI)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Molina Healthcare (Kenosha, WI)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current Molina employees: If you… more
- Lundbeck (Deerfield, IL)
- Senior Data Scientist AI Strategy and...motivated, and highly experienced individual for the position of Sr . Data Scientist AI Strategy & Activation. ... MLOps for model deployment. + Familiarity with version control systems , such as Git. + Ability to tackle complex...+ In-depth experience working with pharmaceutical datasets (first-party patient data , third-party claims , EHR, demand data… more
- CVS Health (Northbrook, IL)
- …of UiPath, Automation Anywhere (AA), or other RPA tools + 3+ years analyzing claims data and/or other large datasets + 3+ years converting business requirements ... action, and have experience in design thinking, continuous process improvement, systems analysis, solution architecture and development, and data integration.… more
- Abbott (Abbott Park, IL)
- …+ Minimum 9 years of related work experience. + Experience using big data is required, preferably with prescription, medical claims and/or longitudinal ... way patients and professionals measure, track and analyze glucose levels. As a Senior Manager, Market Access Analytics, you will support advanced analytics for the… more
- AbbVie (Mettawa, IL)
- …Industry - Forecasting, Pricing or FP&A * Experience with US healthcare industry-standard data sets (eg IMS/Quintiles (IQVIA) claims , NPA Rx, 867 and 852 ... Tok (https://www.tiktok.com/@abbvie) . Job Description Primary Job Function: This Finance Senior Manager is responsible for end-to-end Volume & Revenue forecast for… more
- Walgreens (Libertyville, IL)
- …by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- HUB International (Des Plaines, IL)
- …by developing relationships with others **S** **ummary** The Employee Benefits Senior Account Manager works collaboratively with the Team Leads, Producer, and ... Provides benchmarking reports to client (annually, quarterly, or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from… more
- Lundbeck (Deerfield, IL)
- …Director, Sales Force Effectiveness + Facilitate implementation of the deployment strategy with data , systems , marketing analytics and the sales force. + May ... support the Sr . Manager and/or Associate Director, as necessary, in the...Architecture and Project Management preferred + Knowledge of pharmaceutical data (ie retail/ non-retail, specialty pharmacy, payer, claims… more
- Lundbeck (Deerfield, IL)
- …IC, cross functionally. + Delivers ad hoc analysis, as needed, for review with senior management. + Investigates and resolves data related field inquiries in a ... Intelligence reporting tools (Qlik, Power BI, Tableau) + Knowledge of pharmaceutical data (ie retail/ non-retail, specialty pharmacy, payer, claims , etc.) +… more