Claim Director jobs in Chicago, IL

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Delivery Manager, Integration Quality
General knowledge of operational areas such as Benefit Configuration, Enrollment, Provider Data, Reimbursement, Utilization Management, Claims, and Pharmacy...

Associate Director, Enrollment & Eligibility

Chicago, IL
Knowledge of health insurance administration, claims principles is preferred. Advanced in Microsoft Excel, familiarity with 834 files preferred, experience...

Director- Product Management- Members, Providers and Custome...

Chicago, IL
Translate specialized business, functional and technical knowledge in eligibility, provider networks, provider data management, claims processing and pricing to...

Associate Director, Market Operations

Chicago, IL
As a critical team member providing the 360 degree view of Health Plan Services (HPS) operations to our client - including but not limited to claims processing,...

Director, Configuration

Chicago, IL +1 location
HMO Claims, managed care and Medicaid experience required. Extensive experience in health insurance claims processing and system configuration with a minimum of...

Director, Client Analytics (Medicaid) (F)

Chicago, IL
Experience with claims data and/or clinical data required. We have multiple Client Analytics positions openings due to our continued growth!...

Manager, Claim Audit & Quality Assurance

Chicago, IL
Ensure claims are adjudicated in compliance with provider contract parameters, member demographic information, and service level requirements through random and...

Manager of Enrollment and Mailroom Operations

Chicago, IL
Manages the various queues for claims processing and aligns resources within operations to meet specific turn-around-times (TAT)....

Managing Director, Data Integration

Chicago, IL
Solid understanding of Electronic Data Interchange (EDI) and healthcare data domains (Eligibility, Claims, Provider, Accumulator etc.)....

Director, Utilization Manager

Chicago, IL
Collaborate with other functional areas that interface with the utilization management department, including but not limited to claims, appeals, product,...

Associate Director, Client Analytics (Medicaid) (F)

Chicago, IL
Evolent Health is rapidly building a world-class analytics function leveraging traditional and advanced evaluative tools and techniques and its integrated...
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