76 processing technician jobs found in Springfield, IL

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Pharmacy Claims Auditor - Remote Job Description The Pharmacy Claims Auditor is responsible for identifying and evaluating potential waste and compliance through the pharmacy audit process and educating Prime's network pharmacies and driving contract compliance. This position will research, analyze and compile supporting information. This role will also execute and support audit-related projects, best practices in identifying audit trends, and business value opportunities for Prime and our clients. Responsibilities Conduct in-depth analysis of large datasets and audit findings to detect high-risk pharmacy claims, identify billing irregularities, and uncover patters of non-compliance or systemic errors...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Provider Relations Specialist - Remote Job Description The Provider Relations Specialist is responsible for providing ongoing support to Prime's participating pharmacies, clients, and internal and external stakeholders. The role conducts the necessary claims research for escalated pharmacy and client inquiries, offering issue resolution for claims processing and pharmacy payment in order to resolve inquiries. Responsibilities Research all pharmacy inquiries received through the Provider Relations email box and phone lines and collaborate with internal stakeholders to resolve as needed; also includes drug pricing analysis complaints and pharmacy remittance requests Manage and draft provider communication from...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Special Investigations Unit (SIU) Investigator - Remote Job Description The Special Investigations Unit (SIU) Investigator is responsible for conducting standard investigations of potential pharmacy, member, and/or prescriber fraud, waste and abuse (FWA). This position conducts claims data mining, fraud analysis and auditing/monitoring activities and proactively identifies improvement opportunities in investigation procedures and FWA prevention efforts ensure proper identification of potential FWA. The SIU Investigator prepares investigative reports for leadership, remediation actions, recovery efforts, internal committees and/or referral to state and federal law enforcement agencies. Responsibilities Develop...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Customer Resolution Associate - Remote Job Description The Client Concierge Specialist is responsible for processing, communicating, documenting, and tracking member cases for Pharmacy Concierge Services. This position is also responsible for interacting with members, pharmacies, prescribers, or plans to provide support and assistance with concierge program inquiries and other administrative functions. Responsibilities Handle phone, email, and fax communications related to the concierge program, including inbound and outbound functions, to members, pharmacies, prescribers, or plans Process Pharmacy Concierge case management cases, including entering, reviewing, and documenting requests in both the claims...

The Associate Director of Global Supplier Quality will be responsible for the execution of supplier quality audit and monitoring across the company's global network of contract manufacturing organizations (CMOs). This role supports the qualification, monitoring, and compliance of external manufacturing partners to ensure the quality and reliability of pharmaceutical products, including small molecules and biologics. Job Description Supplier Quality Execution Support the qualification and ongoing monitoring of CMOs and critical suppliers. Execute supplier audits and ensure timely follow-up and resolution of findings. Maintain and update quality agreements in collaboration with internal stakeholders. Conduct risk assessments and support mitigation plans for supplier-related quality issues. Compliance & Documentation Ensure supplier compliance with global regulatory requirements (e.g., FDA, EMA, ICH). Prepare...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Do you want an exciting international career providing global trade advisory services at one of the world's most globally integrated professional accounting firms? Here is your chance. We are looking for experienced manager candidates with the requisite global trade knowledge and client-facing skill set who want a great career path in a rapidly expanding business. The opportunity As a Senior Manager in our Global Trade practice, you will use your experience and technical knowledge to be a leader of the U.S. duty drawback program, focusing your responsibility for the programs ongoing development, management and growth of the service offering. The role will oversee the preparation and filing drawback claims in...

The Director, Global Product Quality, GMP Processes is a strategic leadership role responsible for benchmarking, standardizing, and optimizing global quality processes across the organization. This role ensures that product quality systems are aligned with Good Manufacturing Practices (GMP) and regulatory requirements while driving efficiency, consistency, and continuous improvement across all regions and product lines. The Director will lead global initiatives to harmonize and enhance processes related to product quality complaints, deviations, CAPA, and management reporting , ensuring timely and effective resolution and robust compliance. Key Responsibilities Global Process Ownership: Lead the design, implementation, and continuous improvement of global quality processes for: Product Quality Complaints Corrective and Preventive Actions (CAPA) Deviations Management Reporting and Trending Benchmarking & Best Practices:...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. The opportunity EY advises and supports clients to assess, understand, architect, select, design, and implement modern solutions required to efficiently run their businesses, with a focus on Billing, Subscription Economy, Cloud and Integration. These service areas span across Solution Architecture, Assessment Services, Project Management, Business and Technology Analysis, and Testing focusing on implementing technology to drive process improvements in the quote to revenue business processes including quoting, billing, receivables and revenue accounting. This is a rapidly growing area, so you will have opportunity to spread your wings and develop your skill set to keep up with the ever-growing demands of the...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Tax - Global Compliance & Reporting Financial Instruments Tax Solutions - Financial Services Organization - Experienced Staff The opportunity EY is a leader in serving the global financial services marketplace and the only professional services firm with a separate business unit dedicated to the financial services industry - the Financial Services Organization (FSO). Our focused model and bold ambition have put us at the center of the events that continue to reshape and redefine our industry, working side by side with a range of clients from our most venerable institutions to dynamic new entrants across Banking and Capital Markets, Wealth and Asset Management, Insurance, and Real Estate, Hospitality and...

Job Description As a Principal Software engineer in our team, you'll be responsible and lead efforts in designing and building scalable, distributed, and resilient software components and infrastructure to support health care platform, applications, and our end users. Responsibilities: Design and implementation of managing application settings across different environment, ensuring it is scalable, secure, and optimized for AI-driven applications. Collaborate closely with cross functional teams, including AI researchers, software developers, and healthcare domain experts, to define and refine the platform's architecture. Develop and maintain the backend infrastructure, focusing on data ingestion, storage, processing, and retrieval systems. Implement data modeling and database design to support complex healthcare data structures and relationships. Integrate search technologies and natural language processing (NLP) capabilities to enable...

Job Summary The Manager, LMS Operations & Administration position works as part of the U.S. Ethics & Compliance Training & Documentation team to lead all components of our Learning Management System (LMS) including all non-GxP assignments and audience management, curriculum management, reporting, and tier one trouble shooting. The Manager, LMS Operations & Administration will partner with all levels of Management in both business and technology groups to advance and deliver a variety of planned and ad-hoc training initiatives. This position will have direct oversight of two Contracted Workers. Job Description Responsible for the operational oversight of all LMS activities including but not limited to: Partner with internal LMS Support Team to perform needs assessments and analysis on platform operations to ensure organizational needs are being met. Leads the incorporation, socialization, and training of resulting LMS improvements. Owns...

The Manager, Data Analytics is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role will serve as the data and analytics lead supporting operational excellence across the Global Medical Affairs organization. This role is responsible for collecting, analyzing, and translating data into actionable insights that inform medical strategy, field engagement, performance measurement and medical strategy. The Manager, Data Analytics will work closely with both Field Medical and Headquarters teams to understand business needs and system requirements, support development of analytical solutions and other projects to drive key business processes and decisions for the Medical Affairs function. This role reports into the Business Solutions & Analytics Lead who reports into the Executive Director, Medical Excellence and Operations. Job Description Key Responsibilities: Data Collection, Management and Governance...

Job Description As a Principal Software engineer in our team, you'll be responsible and lead efforts in designing and building scalable, distributed, and resilient software components and infrastructure to support health care platform, applications, and our end users. Responsibilities: Design and implementation of managing application settings across different environment, ensuring it is scalable, secure, and optimized for AI-driven applications. Collaborate closely with cross functional teams, including AI researchers, software developers, and healthcare domain experts, to define and refine the platform's architecture. Develop and maintain the backend infrastructure, focusing on data ingestion, storage, processing, and retrieval systems. Implement data modeling and database design to support complex healthcare data structures and relationships. Integrate search technologies and natural language processing (NLP) capabilities to enable...

Job Description As a Consulting Member of Technical Staff, you will be a key contributor in designing and building the foundational infrastructure that powers Oracle's next-generation HealthCare Product Suite. Our product is designed to automate complex healthcare workflows-from clinical decision support to patient communication to reimbursement processes. Your expertise in backend systems, data platforms, and distributed architecture will directly enable AI-first solutions that drive outcomes for clinicians, patients, and healthcare operations. What you'll do Own end-to-end architecture for scalable, reliable distributed services and data platforms powering AI-first healthcare applications. Translate high-level system design into architectural documentation, drive engineering peer reviews, and lead technical decision-making. Prototype critical components, bootstrap projects, and contribute high-quality code with strong code review practices....

At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where 'Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining 'impossible'. There are so many reasons to join us. If you're hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there's only one choice. Call Triage Support and Dispatch Assoc Call Triage Support and Dispatch Associate - Remote PURPOSE: This is an AFTER-HOURs role. Shift is 10:30pm-7am EST - Sunday through Thursday. Also, due to after-hours, it can be REMOTE. Candidate can reside in any of the US states. This position sits under our Bayer Radiology Customer Response Squad and is responsible for qualifying or "triaging" initial customer...

Job Description At least 7 years of experience with C/C++ programming in high-speed packet processing or for high-performance computing/networking systems (eg. optimizing CPU cycles, memory usage, high transaction rates with databases) Familiarity with network packet processing pipeline (Layer-2 switching, Layer-3 routing, Load balancing, Address translations) preferred. Experience with Embedded Linux systems is preferred Understanding of data structures and algorithms and ability to optimize those to support high scale architectures Working familiarity with network virtualization, network protocols and distributed systems Strong understanding of IaaS/SaaS concepts and best practices Demonstrated ability to contribute individually as well as provide direction and mentor others BS or MS degree or equivalent experience relevant to functional area Responsibilities As a member of the software engineering division, you will...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Americas EY-Parthenon - Content Marketer Supervising Associate - Brand, Marketing and Communications (BMC) At EY, you'll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we're counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself and shape your future with confidence. Join our Brand, Marketing and Communications (BMC) team for our growing EY-Parthenon (EYP) line of business in the U.S. You will help drive our brand and reputation through thought leadership, ad campaigns, media outreach and sales materials. You'll...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Transformation Architecture and Delivery - Senior Consultant - Multiple Locations The Opportunity EY's Transformation Architecture and Delivery practice offers a dynamic career path for professionals passionate about solving complex business, technology, and infrastructure challenges. As a Senior Consultant , you'll play a key role in supporting transformation initiatives that align with strategic goals, helping clients bridge the gap between strategy and execution. You'll contribute to the design and delivery of business and solution architecture frameworks, product management approaches, and value realization structures. Your work will support the implementation of transformation offices:...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. AI & Data - Data Architecture - Senior EY delivers unparalleled tech consulting services in data strategy, business intelligence, digital, machine learning and Artificial Intelligence. We support and enable big ideas, always with the ambitions to keep doing more. The opportunity EY is seeking a Senior Data Architect with a strong understanding of data and technology, complemented by a solid track record of delivery. This individual will lead the design, development, and management of our clients' data architectures, ensuring scalable, effective, and secure data solutions that align with business objectives and support data imperatives. You will have the opportunity to develop your skill set to keep up...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Technology Consulting - Digital Engineering - CDP - Solution Engineering - Agile Delivery - Staff Consultant EY advises clients to envision, articulate, architect, assess, plan and implement leading edge solutions to efficiently run their businesses and/or provide value to their customers. These service areas span E-commerce, Digital Experience, Mobile Applications, Digital Platforms, Digital Technology Strategy, and Digital IT Operations. The opportunity In this rapidly growing area, you will have the opportunity to spread your wings and develop a broad skillset to meet the evolving demands of the digital landscape. Most of your time will be spent embedded with our clients' team helping turn strategy into...

Job Description GDI Sovereign Cloud is a team of smart, motivated, and diverse people that are focused on bringing the world's most important work to our government customers. We build and operate our government, classified, and sovereign cloud regions to be reliable and high-performance, just like our public cloud. Our customers and their mission are the center of what we do. We strive to improve our knowledge of the challenges our customers face which we use to enhance our cloud capabilities and work together to deliver their mission. The Automation for Sovereign Cloud (ASC) team is a SecDevOps Team focused specifically on providing automated solution and integrations for Sovereign Realms. Our team leverages Oracle Cloud Infrastructure (OCI) best practices to develop scalable, secure, and reliable solutions. Sov Realms have unique challenges which require unique solutions to provide a seamless customer interaction between commercial and other realms. This is where our...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. EY advises clients to understand, architect, select and implement bleeding edge solutions required to efficiently run their businesses, with a focus on Digital and Cloud. These service areas span E-commerce, Solution Architecture, Mobile Applications, Digital Platform Architecture, Digital Technology Strategy, and Digital IT Operations. The opportunity This is a rapidly growing area, so you will have plenty of opportunity to spread your wings and develop your skillset to keep up with the ever-growing demands of the digital landscape. Most of your time will be spent embedded with our clients' team and our internal team, bridging the gap between client requirements and transforming those into actual development,...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Technology - Data and Decision Science - AI Native Engineering - Senior Manager Join our dynamic team where innovation meets technology! As a leader in the field of artificial intelligence, we are dedicated to pushing the boundaries of what's possible. Our team thrives on collaboration, creativity, and a commitment to excellence. We are looking for a Senior Manager in AI Native Engineering to join us in transforming data into actionable insights and scalable solutions. The opportunity Our Artificial Intelligence and Data team helps apply cutting edge technology and techniques to bring solutions to our clients. As part of that, you'll sit side-by-side with clients and diverse teams from EY to create a...

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Tax - Indirect Tax EDGE - Financial Services Organization - Senior Analyst The opportunity EY is a leader in serving the global financial services marketplace and the only professional services firm with a separate business unit dedicated to the financial services industry - the Financial Services Organization (FSO). Our focused model and bold ambition have put us at the center of the events that continue to reshape and redefine our industry, working side by side with a range of clients from our most venerable institutions to dynamic new entrants across Banking and Capital Markets, Wealth and Asset Management, Insurance, and Real Estate, Hospitality and Construction. Our purpose is to help build a financial...