Healthcare Claim Analyst Jobs in Illinois

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Chicago Illinois Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Chicago Illinois Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop and deliver innovative and effective new ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the second line of defense by providing oversight ..

... Humana Lead Product Manager - Healthcare API in Chicago Illinois Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

We are a national virtual care solution, built to drive consistent high-quality primary care. Our work pushes the boundaries of what is possible in healthcare. The Hydrogen Solution blends the use ..

Aon is looking for a Health Solutions Commercial Analytics – Senior Consultant! As part of an industry-leading team, you will help empower results for our clients by supporting our health solutions ..

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Chicago Illinois Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Chicago Illinois Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Chicago Illinois Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Code 2156966 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

Details Department: Total Quality Management Schedule: 8:00am-4:30pm, 4 weekend shifts within 6 week period Hospital: Alexian Brothers Healthcare System Location: Fully Remote Benefits Paid time off (PTO)Various health insurance options & ..