- Highmark Health (Springfield, IL)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- CVS Health (Springfield, IL)
- …care more personal, convenient and affordable. **Position Summary** As a Senior Analyst , Business Analytics within the Pricing Operations organization, you will be ... supporting pricing and appeals reporting for Caremark clients. In this role you...be responsible to generate standard and customized pricing and appeals reporting in order to meet deadlines driven and… more
- CVS Health (Springfield, IL)
- …Management Analyst will be responsible for the end-to-end practitioner appeals process and business immediate termination letters. This will include coordination ... Qualifications** -Act as subject matter expert for individual practitioner appeals and immediate termination letters. -Create and collect all documentation… more