Top 1260 Senior program specialist Jobs in Illinois

Senior Claim Benefit Specialist - Remote
CVS Health —Illinois
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Senior Specialist, Restricted Substances
AbbVie —North Chicago, IL
- $96,500 - $183,500 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid holidays
- Health insurance
Senior Project Specialist, Sample Operations
AbbVie —North Chicago, IL
- $96,500 - $183,500 a year
- Full-time
- Hybrid work
- 6 years
- Bachelor's degree
- Senior level
- Paid holidays
- Health insurance
Microbiology Research Program Sr. Specialist
The University of Chicago —Chicago, IL
- $100,000 - $140,000 a year
- Full-time
- Background check
- 7 years
- Pass drug screening
- Health insurance
- Paid time off
Service Line Specialist – ISG LS Commercial
Cognizant —Peoria, IL
- $150,000 - $160,000 a year
- Full-time
- Hybrid work
- 18 years or older
- Up to 50% travel
- English
- Paid parental leave
- Employee stock purchase plan
Physical Therapist (SIGN ON BONUS) - Springfield, IL
FOX Rehabilitation —Springfield, IL
- $65,000 - $106,000 a year
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Regional Production Specialist Sr, Excess & Surplus Lines
Lexington Specialty Insurance Agency, Inc. —Chicago, IL
- $125,000 - $173,000 a year
- Email
- Office
- Analysis skills
- Senior level
- Health insurance
Quick Apply
Litigation Operations Specialist
Snap-on Credit LLC —Libertyville, IL
- $43,680 - $57,080 a year
- Overtime
- Microsoft Word
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
(Senior) Logistics Specialist - Bilingual in Mandarin
IM Global LLC —Elk Grove Village, IL
- $50,000 - $55,000 a year
- Full-time
- English
- Mid-level
- Bachelor's degree
- Health insurance
- 401(k)
Quick Apply
11d
Senior Environmental and Safety Specialist
Confidential —Waukegan, IL
- $80,000 - $100,000 a year
- Full-time
- Spanish
- Ability to walk for extended periods
- 5 years
- Health savings account
- Health insurance
Quick Apply
Caregiver Specialist, Southern Kane and Kendall Counties
Senior Services Associates, Inc —Aurora, IL
- Up to $50,000 a year
- Full-time
- Customer service
- Caregiving
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Chemical Account Specialist
Sonny's Enterprises LLC —Springfield, IL
- Clean driving record
- Inventory management
- Mid-level
- Disability insurance
- Health insurance
Corporate Leasing Manager
Fairlawn —Champaign, IL
- $85,000 - $120,000 a year
- Full-time
- Microsoft Excel
- Marketing
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
[US DC] Senior Specialist, Physical Security
HelloFresh —Aurora, IL
- $58,800 - $67,500 a year
- Full-time
- Mid-level
- Travel
- Up to 25% travel
- Health insurance
- Paid time off
10d
Leasing & Occupancy Manager
Sarahs Circle —Chicago, IL
- $58,000 - $72,500 a year
- Weekends as needed
- OSHA
- Mid-level
- 3 years
- Mileage reimbursement
- Paid holidays
8d
Tree Inventory Inspector / Arborist
ArborPro —Chicago, IL
- $21 - $40 an hour
- 8 hour shift
- Inventory management
- Mid-level
- 3 years
- Fuel card
- Paid holidays
Quick Apply
System Architect Director - AI Platform Engineering
CNA Insurance —Chicago, IL
- $97,000 - $189,000 a year
- Full-time
- Hybrid work
- Computer science
- Product management
- Senior level
Executive Underwriter, AIGRM
National Union Fire Insurance Company of Pittsburgh, Pa. —Chicago, IL
- $104,600 - $127,600 a year
- Email
- Office
- Bachelor's degree
- Senior level
- Health insurance
Quick Apply
Military Service - U.S. Air National Guard, Command and Control Operations
Military Service - U.S. Air National Guard Recruiting —Illinois
- From $49,838.78 a year
- Full-time
- High school
- English
- High school diploma or GED
- Health insurance
Business Development Specialist
STS Innovation, Inc. —Schaumburg, IL
- $70,000 - $95,000 a year
- Full-time
- Writing skills
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply

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senior program specialist jobs near illinois

Senior Claim Benefit Specialist - Remote

CVS Health -
Illinois

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Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

senior program specialist jobs in illinois

Senior Claim Benefit Specialist - Remote

Senior Specialist, Restricted Substances

Senior Project Specialist, Sample Operations

Microbiology Research Program Sr. Specialist

Service Line Specialist – ISG LS Commercial

Physical Therapist (SIGN ON BONUS) - Springfield, IL

Regional Production Specialist Sr, Excess & Surplus Lines

Litigation Operations Specialist

(Senior) Logistics Specialist - Bilingual in Mandarin

Senior Environmental and Safety Specialist

Caregiver Specialist, Southern Kane and Kendall Counties

Chemical Account Specialist

Corporate Leasing Manager

[US DC] Senior Specialist, Physical Security

Leasing & Occupancy Manager

Tree Inventory Inspector / Arborist

System Architect Director - AI Platform Engineering

Executive Underwriter, AIGRM

Military Service - U.S. Air National Guard, Command and Control Operations

Business Development Specialist

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