- Sedgwick (Naperville, IL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Medicare Associate **PRIMARY PURPOSE** **:** To gather documentation ... records/billing industry experience preferred. Two (2) years of experience as Medicare Associate required. **Skills & Knowledge** + Excellent oral and written… more
- AdventHealth (La Grange, IL)
- …substance oversight, and billing including, Long Term Care (LTC) billing and Medicare D claim adjudication. * Serves as a resource for automation technology, ... **:** . High school diploma/GED with 2 years of experience, or Associate 's degree, or Technical degree required. **.** **Pharmacy Experience Highly Preferred**… more
- The Cigna Group (Chicago, IL)
- …cross functional teams and business partners. Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense analyses ... and projections, financial forecasts, Medicare Part C bid development, regulatory (CMS) bid submissions,...market-specific initiatives. + Communicating results of analyses to more senior actuarial team members. + Actively participate in team… more
- Brookdale Senior Living (Chicago, IL)
- …Reimbursement + Pet Insurance + Adoption Reimbursement Benefits + Variety of Associate Discounts This is an incentive based position, which may include bonuses, ... plan. Contacts local sources including legal and financial professionals, senior organizations, appropriate special interest groups, hospital discharge planners,… more
- CVS Health (Chicago, IL)
- …GCP, MS Azure) **Required Qualifications** + 5+ years Commercial and/or Medicare Health Insurance pricing experience, including proven ability to communicate and ... 1+ years of experience with SQL and Python/R + Accredited Actuary is required ( Associate of the Society of Actuaries or Fellow of the Society of Actuaries)… more
- Elevance Health (Chicago, IL)
- ** Associate General Counsel** **- Marketing & Branding** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... within 50 miles of one of our Elevance Health PulsePoint locations. The ** Associate General Counsel** **-** **Marketing & Branding** will serve a key role on the… more
- Gentiva (Buffalo Grove, IL)
- …join our team. You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for the day to day ... the site in the absence of the Executive Director, Administrator, or Senior /Executive Patient Care Manager. + Managing and overseeing clinical and administrative and… more
- Brookdale Senior Living (Oak Park, IL)
- …Reimbursement + Pet Insurance + Adoption Reimbursement Benefits + Variety of Associate Discounts This is an incentive based position, which may include bonuses, ... management guidance. Contact sources include legal and financial professionals, senior organizations, appropriate special interest groups, hospital discharge planners,… more
- AdventHealth (Bolingbrook, IL)
- …and supervising Consumer Access Representative, Consumer Access Specialist, and Senior Consumer Access Specialist in daily activities **General Duties:** ... patients *Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility… more
- Trinity Health (Maywood, IL)
- …Ensure compliance with all relevant policies, procedures, and regulatory requirements, including Medicare , Medicaid, and the Fair Patient Billing Act. * * Monitor ... and analyze departmental performance metrics, reporting results to senior management **Patient Advocacy and Communication:** Serve as a resource for patients and… more
- CenterWell (Buffalo Grove, IL)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more