- Rising Medical Solutions (Chicago, IL)
- …providing strategic direction for Rising's Specialty Services unit involving complex /large medical claims ; analyzing and optimizing bill review procedures ... As our Director of Specialty Bill Review Services,...an expert witness as required. + Research and answer complex questions regarding CPT, ICD-9, HCPC and other codes,… more
- Humana (Springfield, IL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...Current and ongoing Board Certification an approved ABMS Medical Specialty + No current sanction from Federal or State… more
- Humana (Springfield, IL)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Humana (Springfield, IL)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at… more
- Prime Therapeutics (Springfield, IL)
- …fuels our passion and drives every decision we make. **Job Posting Title** Director , Manufacturer Relations - Remote **Job Description Summary** The director ... etc. + Positions the growing and evolving value proposition of the Specialty Pharmacy for manufacturers and educates sales teams on positioning for finalist… more
- AbbVie (Mettawa, IL)
- …payer formulary access that maximize net sales for assigned brands. Identify through claims analysis, market dynamics that shape brand demand and build models to ... for the issue at hand. . Aligning and standardizing business logic, claims analysis methodologies and data management with MABI and Brand stakeholders. Recommending… more
- EPAM Systems (Chicago, IL)
- …be the perfect opportunity for you to join EPAM as a **Managing Director , Insurance Advisory** . Scroll down to learn more about the position's responsibilities ... operational capabilities **Requirements** + Prior experience as a Managing Director (Partner, or equivalent level) with primary client relationship responsibility… more
- AbbVie (Mettawa, IL)
- …payer formulary access that maximize net sales for assigned brands. Identify through claims analysis, market dynamics that shape brand demand and build models to ... insights and analytics for understanding and recommending the development of any Specialty Pharmacy, Health Plan and PBM strategies across payer channels through… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …and the local health care community. Assumes a leadership role in resolving highly complex ethical issues that have an impact upon the health care delivery system ... approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians… more
- HUB International (Chicago, IL)
- **About Specialty Program Group** **:** Specialty Program Group (SPG) is the wholesale & MGA division of HUB International (5th Largest Global Broker). SPG acts ... managers. + Makes decisions regarding the resolution of all moderate and complex customer service problems for the assigned Account Management Team: research and… more
- AbbVie (Mettawa, IL)
- …Senior Manager is responsible for end-to-end Volume & Revenue forecast for US Specialty Care's primary GI Brands, Creon & Linzess. These two products presently ... market, share and revenue models). The Finance Senior Manager will support the Specialty Finance Controller, Commercial VP, and their teams. Emphasis is placed on… more
- HNTB (Chicago, IL)
- …a century, we have been delivering solutions for some of the largest, most complex infrastructure projects across the country. With our historic growth, it is an ... leadership and project controls expertise. Closely works with project manager/ director , clients, sub-consultants, and project stakeholders to successfully lead all… more
- Travelers Insurance Company (Springfield, IL)
- …of business. In this role the consultant will be working with our largest, most complex and all lines accounts. This role reports to the Risk Control Field ... Director or Managing Risk Control Consultant. This job does...business. + Build and maintain productive relationships with Underwriting, Claim , Risk Control Specialists, and Brokers to service customers… more