Jobs near Chicago: 11,033
RS
Relevance Score ranked on: APPEALS
Medical Director-Appeals (Primary Care-IM or FM)
CHICAGO, 233 S WACKER DR, STE 3700
Appeal Reviews. Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determ...
Search Terms: Medical Director, Director, Appeals, Medical, Behavioral Health
85.9
0mi
Updated: September 18
Medical Director-Appeals (Primary Care-IM or FM)
CHICAGO, 233 S WACKER DR, STE 3700
Appeal Reviews. Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determ...
Search Terms: Medical Director, Director, Appeals, Medical, Behavioral Health
85
0mi
Updated: September 14
Commercial Formulary Pharmacist - CarelonRx
CHICAGO, 233 S WACKER DR, STE 3700
Leads Commercial formulary management processes. Responsible for all member, stakeholder, and provider communications regarding formulary changes. Ensures appropriate formulary set-up and claims adjudication. Serves as a clinical pharmacy resource to pharmacy benefit management and pharmacy operation...
Search Terms: Pharmacist, Commercial, Pharmacy, Healthcare, Compensation
0
0mi
Updated: September 20
Health Insurance Exchange Pharmacist - CarelonRx
CHICAGO, 233 S WACKER DR, STE 3700
Lead Health Insurance Exchange formulary management processes. Responsible for all member, stakeholder, and provider communications regarding formulary changes. Ensure appropriate formulary set-up and claims adjudication. Serve as a clinical pharmacy resource to pharmacy benefit management and pharma...
Search Terms: Health, Pharmacist, Insurance, Healthcare, Pharmacy
0
0mi
Updated: September 20
Investigator Senior
CHICAGO, 8600 W BRYN MAWR AVE, STE 800
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for independently identifying and developing enterprise-wide specific healthcare investigatio...
Search Terms: Investigator, Senior, Healthcare, Technology, Insurance
0
0mi
Updated: September 20
Investigator II - Carelon Payment Integrity
CHICAGO, 8600 W BRYN MAWR AVE, STE 800
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may im...
Search Terms: Investigator, Payment, Integrity, Healthcare, Business Services
0
0mi
Updated: September 20
Warehouse Technician I
Chicago
Warehouse Technician I Location: Chicago, IL Astound Broadband, the sixth-largest telecommunications provider in the United States, is a leading supplier of cutting-edge technology and communications services - and applicants like you make it all possible. To develop your career, we provide one-on-on...
Search Terms: Warehouse Technician, Technician, Warehouse, Equipment Repair, Communications
0
0mi
Updated: September 20
Beauty Advisor- La Prairie
Chicago
Focus on achieving and exceeding individual Cosmetic sales goals, event sales goals, and department daily & monthly sales goals. Provides a dynamic service presence to each location. Skilled at asking appropriate questions to identify a client’s needs in order to effectively provide them guidance or ...
Search Terms: Beauty Advisor, Beauty, Advisor, Client Relations, Retail
0
0mi
Updated: September 20
Brand Steward
Chicago
Serve as an Ambassador of store standards; including merchandise on the sales floor, specific Brand requirements, and SFA Company expectations Support and follow-through on projects, such as but not limited to, large scale relayering throughout the store Work on the selling floor all day personally m...
Search Terms: Steward, Operations, Restaurant, Retail
0
0mi
Updated: September 20
Specialized Operations Associate
Chicago
Office Opening the store: safe, controller, registers and distributing reports Maintaining daily functions, including but not limited to; morning cash entry, processing bank deposits, reconciling chargebacks, and counting register and petty cash Resolving customer issues, both internal and external, ...
Search Terms: Operations Associate, Operations, Associate, Internal, Processing
0
0mi
Updated: September 20
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