- Endeavor Health (Skokie, IL)
- …events such as workshops, in-service programs and departmental meetings. Provides care based on physical, psychological, educational and related criteria appropriate ... standards. Work account work queues with the purpose of resolving patient disputes by applying coding and billing guidelines. Communicates with practice managers… more
- Ace Hardware (Oak Brook, IL)
- …to help Ace Hardware Corporation meet its business objectives, and remain in compliance with laws, rules and regulations applicable to the company's businesses. This ... collaborating with privacy and marketing teams to ensure legal compliance ; + Provide legal advice and counsel on regulatory...counsel to business clients with contract and other commercial disputes that may arise. + Manage outside counsel and… more
- Ankura (Chicago, IL)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges....Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices… more
- Ankura (Chicago, IL)
- …A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with ... analytical offerings for our clients that reveals how this information impacts legal disputes that these companies may be facing. We combine in-depth operational, … more
- Capital One (Chicago, IL)
- Sr. Associate, Product Management - Disputes Core Products Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, ... product matter expert **As a senior member of our Disputes Product team, you will play a strategic role...customer disputed transactions across the Global Payment Network. Ensuring** ** compliance with rules and operating regulations, our goal is… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on ... millions of people we serve to achieve their best health - delivering the care and service...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Intermountain Health (Springfield, IL)
- …+ Responsible for the accurate and timely submission of reconsiderations and disputes . + Responsible for maintaining work queues at acceptable ageing, by updating ... system or registration issues. + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Accurately and thoroughly document… more
- Humana (Springfield, IL)
- …Humana processes, as well as a focus on collaborative business relationships, value based care , population health , or disease or care management. **Use your ... of service should be authorized at the Initial and Appeals/ Disputes level. All work occurs within a context of...millions of people we serve to achieve their best health - delivering the care and service… more
- Kuehne+Nagel (Bensenville, IL)
- …our contribution counts in more ways than we imagine. **** The Operational Care Specialist is responsible for managing the coordination of shipments accurately and ... timely, meeting customer transit time requirements. The Operational Care Specialist is part of a team (Operational ...is critical. All activities are to be performed in compliance with rules and regulations governing air transport, industry,… more
- ADM (Chicago, IL)
- **99799BR** **Job Title:** Senior Counsel, Regulatory & Environmental, Health , Safety - Chicago **Department/Function:** Legal, Compliance , Regulatory Affairs, ... actions and program enhancements. + Regulatory Compliance : Advise on compliance with environmental, health and safety laws and regulations, including… more
- CVS Health (Northbrook, IL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...contract requirements, special provisions, terms and conditions to ensure compliance with appropriate laws, regulations, corporate policies and business… more
- Carrier (Willowbrook, IL)
- …or service operations. **Benefits** Employees are eligible for benefits, including: + ** Health Care benefits:** Medical, Dental, Vision; wellness incentives + ... **Life Insurance and Accidental Death and Dismemberment** + **Tax-Advantaged Accounts:** Health Savings Account; Healthcare Spending Account; Dependent Care … more
- Humana (Springfield, IL)
- …inpatient care reviews for accurate billing of clinically valid diagnoses and care received. May also engage in disputes and grievance and appeals reviews. ... level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which...millions of people we serve to achieve their best health - delivering the care and service… more
- AbbVie (North Chicago, IL)
- …and counseling matters, including areas such as product liability, antitrust, contractual disputes , visa and other immigration issues, and compliance with ... and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of...key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan… more
- Feldco Windows, Siding & Doors (Rosemont, IL)
- Contract and Finance Coordinator General Description: To perform Compliance and Finance contract processing, general accounting and administrative duties, and ... Managers, as necessary. This role is a critical component of the administrative/ compliance /finance and sales teams. As such, your job responsibilities and hours may… more
- RTX Corporation (Rockford, IL)
- …goals and policies. + Dispute Resolution: Address and resolve grievances, labor disputes , and other employee relations issues. Oversee and conduct investigations to ... in accordance with company policies and contract requirements while mitigating risk. + Compliance : Ensure compliance with federal, state, and local labor laws… more
- Prime Therapeutics (Springfield, IL)
- …If you're ready for a purpose-driven career and are passionate about simplifying health care , let's build the future of pharmacy together. Prime Therapeutics ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...met. This role is also responsible for resolving contract disputes and ensuring timely completion of monthly and quarterly… more
- Centene Corporation (Springfield, IL)
- …experience. 4+ years of healthcare management experience, preferably in vendor managed care or the health insurance field. Experience with reporting and ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....discussions, issues, attendees, action items, research and resolve claim disputes with vendor, member or provider issues and route… more
- AbbVie (North Chicago, IL)
- …is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- WM (Chicago, IL)
- …The responsibilities include: + Single Employer Plans - defined contribution plan compliance , investment monitoring and auditing + Health and Welfare Benefit ... for our success. As such, we commit to taking care of each other, our customers, our communities, and...we do. **I. Job Summary** Responsible for all legal compliance aspects of WM's Executive Compensation and Employee Benefits… more
