Medical Management Specialist Salary at Blue Cross Blue Shield BETA

At Allstate, great things happen when our people work together to protect families and their belongings from lifes uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description As a Digital Product Manager Expert, you'll be responsible for defining, delivering, and managing the lifecycle of one or more products in Allstate's growing product portfolio. You'll manage strategic product vision, product discovery, roadmaps, and backlog to maximize the customer and enterprise value provided by the product. Successful Product Managers help to identify assumptions and validate those assumptions using product discovery techniques. You'll also partner closely with key stakeholders and partners, ensuring the successful definition and exec

Basic Function: Under minimal supervision, provides highly complex and frequently fast and all rounded Data entry/synchronization management involving transponder transmission service. The Data management specialist will actively process, replace, test transponders, make status adjustments, and update database related to transponder fulfillment services. Reporting Relationships: Reports To: Project Manager Supervises (Position Title): NIA Principal Duties/Responsibilities: Conducts ongoing operational information by uploading and downloading to and from the Illinois Tollway customer service center: Delivers all related services or adjustments required for each situation of the fulfillment activities. Addresses inquiries coming from both the Tollway customer service center and individual patrons using postal service, web-based transactions, and/or interfaces using e-mails or telephones. Tracks and provides current status of customer account and conducts multi-faceted account queries and

WHO WE ARE: Annually serving over 1,400 youth and families, Lawrence Hall is a community-based organization committed to helping Chicago's youth, families, and communities heal from the adverse effects of childhood trauma. For more than 150 years, Lawrence Hall has been delivering high-quality care throughout the Chicago metropolitan area and is a statewide leader in highly effective, evidence-based, and innovative therapeutic treatment. Their core programs-Child and Family Treatment Center, Therapeutic Day School, Creative Therapies, Foster Care, Transitional/Independent Living Program, Workforce Development, and Community Wellness-have met the changing and complex needs of youth and families by not only becoming more community based, but also by developing more preventative programs that help curb violence in Chicago's communities. ESSENTIAL FUNCTIONS: Reports directly to the Chief Program Officer. Serves as the agency's coordinator, trainer, and compliance monitor for all Medicaid s

Summary: The Project Management Specialist will assist with large scale projects related to the Firms legal technology solutions by providing consultative support and applying project management strategies to manage matters efficiently and effectively. This is an entry level position that will work at the direction of the Litigation and Practice Support (LSPS) Project Management Team. Duties and Responsibilities: Assist the LSPS Project Management team meet case or project objectives through delivery of legal technology services At the direction of the LSPS Project Managers, provide e-discovery support, including, but not limited to, data collection, data processing and culling, digital document productions, and application support and training Become proficient in project management workflows for standard litigation technology applications such as Relativity Processing and Review, Nuix, LAW, etc. Become proficient in basic end-user support for standard litigation technology applicatio

Legal Operations & Risk Management Specialist (Permanent) Location: 5 days a week onsite within commuting distance to Chicago (Hoffman Estates), Illinois. Compensation - up to 85K (DOE) + bonus Are you a highly motivated Legal Operations whiz located within commuting distance of the Chicago, IL, suburbs? In this critical role for our customer, you will play a key role in managing Legal Operations and Risk Management. This role requires 5 days a week on-site in Hoffman Estates, IL, and you will be allowed 2 days per month to work from home. Responsibilities Maintain Legal Matter management system. Assist with creation and generation of reports. Ensure matters and documents are classified and organized correctly. Provide support on legal projects or projects that require legal support. Review Legal spending and budgeting. Provide support to Outside Counsel management. Track spending, billing practices and general Counsel management. Provide process improvements within legal team operatio

Spider Design, Inc. has been developing full-service digital marketing solutions to our large-scale clients for over twenty years. We work in a fast-paced, client-focused team that turns successful projects around quickly. We are currently seeking a creative and structure-oriented team member who will be responsible for content posting to a complex enterprise portal. The ideal candidate should be tech-savvy with experience inside an enterprise-level content management system and have a background in HTML. Preferred candidate qualifications: Natural curiosity and desire to find creative solutions to problems. Intense attention to detail. Eye for design, and dedication to modern user experience principles. Excellent written and verbal communication skills. Ability to effectively manage multiple projects/tasks of varying complexities and meet deadlines. Ability to work well under pressure. Ideal application knowledge/experience: HTML, CSS, JavaScript Monday.com Microsoft Word, Excel, Powe

Job Description Job Description JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering, analyzing and providing data for regulatory reports. This position will represent the company to members. JOB QUALIFICATIONS: Registered Nurse (RN), with 3 years direct clinical care to the consumer in a clinical setting or Licensed Professional Counselor (LPC), or Licensed Master Social Worker (LMSW), which includes 2 years of clinical practice to obtain their LPC or LMSW license. Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire. Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians. Knowledge of the health and wellnes

Overview: Job Summary: The Revenue Cycle Management Specialist is to support the process of the company's billing function. Responsibilities: Job Duties: Report any misconduct, suspicious or unethical activities to the Compliance Ensure verification of current coverage with third party payers and obtain authorizations as Assist in the preparation and submission of claims for payment from third party payers, and invoices for patient co-payments. Support the resolution of billing issues such as claim resubmissions to all payers, changes in coverage, and claims Communicate as required with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about Review and approve refunds of third-party payer and patient overpayments. Assist in record keeping so that all information is accurate and complete and manage the flow of up-to date information between billing department and other parts of the company, su