Claims and Insurance Analyst

| Chicago

At VillageMD, we are committed to helping patients achieve greater health by delivering the most effective, accessible and efficient healthcare in the world through partnership with primary care physicians. We're in a unique position to impact everyone in primary care from independent, family-owned practices to world-class health systems. Our legal team ensures that VillageMD complies with the highest standards of business, law, and ethics while providing information and guidance to management in support of the organization’s growth.

 As a Claims and Insurance Analyst on our team, you will work in partnership with our legal team on advancing the organization’s claims and insurance initiatives and infrastructure. We are looking for someone who is highly organized with excellent attention to detail. Our ideal candidate will have demonstrated interest and experience in claims and insurance and should possess strong self-starter credentials with excellent writing, communication, and client-relations skills.

 What are some examples of work you’ll be managing at VillageMD?

  • Work directly with insurance broker and carriers on multi-state insurance coverage of all lines of coverage to ensure appropriate insurance coverage, timely filings and renewals and appropriate levels of coverage,
  • Evaluate, measure and monitor insurance levels of coverage and recommend changes and improvements in the insurance portfolio.
  • Manage submission of claims, and circumstances giving rise to claim to secure appropriate insurance coverage
  • Oversee and monitor the processing of all insurance claims, including acting as the liaison in claim submission and processing.
  • Supervise an oversee management of any open claims including responses to subpoenas, discovery requests, assignment to counsel and communication on status
  • Provide research, draft materials and answer questions related to claims and insurance
  • Develop innovate ways to communicate effectively with the organization to achieve compliance goals
  • Perform quality checks on work product, and ensure accuracy, completeness and clarity.
  • Gain understanding and insight into technical claims excellence and industry best practices from a team of dedicated leaders and claims professionals
  • Investigate claims data to identify overpaid/incorrectly paid claims
  • Support efforts for value creation by legal department
  • Support and enhance legal department analytics and reporting capabilities
  • Work with high volume assignments reflecting a high degree of organizational skills, policy language comprehension and understanding.

 What will make you successful here?

  • A bias for action and pragmatic solutions
  • Technical claims handling experience
  • Ability and willingness to drive collaboration across the team and a commitment to transparency on open matters, next steps, and performance measurement
  • High emotional intelligence including the ability to develop substantial relationships and successfully navigate diverse partner groups
  • Shown experience performing under pressure in an extremely fast-paced and constantly evolving environment with a strong sense of urgency and attention to detail
  • A low ego and humility; an ability to gain trust through strong communication and doing what you say you will do

The following experience is relevant to us:

  • 2 – 3+ years’ experience preferred
  • Experience with insurance

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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Technology we use

  • Engineering
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • RLanguages
    • SqlLanguages
    • SwiftLanguages
    • ReactLibraries
    • FlaskFrameworks
    • Node.jsFrameworks
    • Microsoft SQL ServerDatabases
    • Neo4jDatabases
    • PostgreSQLDatabases
    • RedisDatabases
    • TeradataDatabases

Location

We are in the heart of downtown Chicago - accessible to all trains and plenty of food/drink options nearby!

An Insider's view of VillageMD

What's the biggest problem your team is solving?

Aggregating disparate sets into one consumable interface is difficult. We constantly think about how to solve it faster and better while keeping it flexible and scalable.

Mario

Principal Software Engineer

What makes someone successful on your team?

It’s an individual’s willingness to get into the details, fully understand the current path to delivery, and think critically about the problems that face primary providers today that will make them successful at VillageMD.

Dave

Director, Product Development

What’s the vibe like in the office?

The office vibe is centered on holding our work to high standards while maintaining an environment focused on fun and collaboration. My coworkers and I will often be working on completely unrelated projects, but when we hit a roadblock we step back and ask each other for feedback and help. That’s usually when we find the best solutions.

Emily

Healthcare Informatics Analyst

What are VillageMD Perks + Benefits

VillageMD Benefits Overview

We offer competitive bonus, great benefits, generous PTO, strong parental leave policy, and 401k with a match. We are conveniently located near Metra and L trains, and offer commuter benefits. We offer schedule flexibility and work from home options. And, last but certainly not least: loads of snacks and fresh ground whole bean coffee!

Culture
Volunteer in local community
Partners with Nonprofits
Intracompany committees
Daily stand up
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Highly diverse management team
Unconscious bias training
Diversity manifesto
Mean gender pay gap below 10%
Health Insurance & Wellness Benefits
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Onsite Gym
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Volunteer Time
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Company Outings
Stocked Kitchen
Happy Hours
Recreational Clubs
Professional Development Benefits
Job Training & Conferences
Lunch and learns
Promote from within
Customized development tracks
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