- Elevance Health (Chicago, IL)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
- Elevance Health (Chicago, IL)
- … medical policy and Medicare Coverage Determinations. The **Associate Medical Director , Clinical Operations** is responsible for supporting the medical ... Benefits Management Medical Necessity Guidelines, client-specific health plan medical policy, state mandates/policies and Medicare determinations + Conduct… more
- CVS Health (Chicago, IL)
- …skills and attention to detail **Preferred Qualifications** + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience with SAS, SQL, ... our colleagues and our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll in the Company's 401(k)… more
- Elara Caring (Des Plaines, IL)
- …this mission. This means you have countless ways to make a difference as Branch Director . Being a part of something this great starts by carrying out our mission ... pioneer in delivering unparalleled care, we need a Branch Director with commitment and compassion. Are you one of...+ Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer… more
- CVS Health (Downers Grove, IL)
- …Candidates must reside within commutable distance from a CVS or Aetna office.** The Medicare Stars and Health Equity team is seeking a Lead Dir, Health Equity & ... expanding on equity-based clinical and member experience initiatives leveraging existing Medicare product portfolio. Collaborate closely with the Medicare … more
- Edwards Lifesciences (Chicago, IL)
- …healthier lives. Join us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based role responsible for working ... payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran… more
- AdventHealth (Hinsdale, IL)
- …that **together** we are even better. **GENERAL SUMMARY:** Consumer Access Regional Director serves as the market leader integrating practices in coordination with ... leadership, and revenue management executives. Reporting to the Consumer Access Executive Director , directs operational oversight as the subject matter expert in the… more
- Brookdale Senior Living (Chicago, IL)
- …participation in outside events. Coordinates with the business development coordinator/ director in joint efforts for assigned communities to generate referrals ... desired community occupancy goals. + Coordinates with the business development coordinator/ director on a weekly basis regarding joint business development efforts of… more
- CVS Health (Chicago, IL)
- …and affordable. **Position Summary** The Web Channel Owner role for Aetna Medicare is a critical position in our Marketing organization, with accountability for ... shepherd the delivery of Digital Marketing's capabilities backlog for Aetna.com/ Medicare , AllinaHealthAetnaMedicare.com, the Shop, Buy, and Enroll tool, and more,… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Research Billing Support ... depending on the circumstances of each case. **Summary:** Reporting to the Director /Manager of Clinical Trials Research Revenue Cycle, this position will create… more
- ChenMed (Chicago, IL)
- …and runs referral team meeting- Create agenda for meeting. Gather info from Medical Director /Network Director /Referral Manager. + Prepares Referral ... Team Meeting Minutes and send minutes to Operation Director , Market Medical Director , Market...experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in… more
- The Joint Commission (Oakbrook Terrace, IL)
- …appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director , the Standards ... performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. 4. Collaborate in a productive manner with… more
- Gentiva (Oak Brook, IL)
- …functions, including documenting referrals, new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining ... Senior** to join our team. You will report directly to the Executive Director or Administrator. You will be responsible for assisting branch leadership with… more
- Prime Healthcare (Chicago, IL)
- …Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Director of Practice Operations will ... be responsible for the operations of all assigned medical groups, and its subsidiaries. Other responsibilities include partnering with Hospital Administration to… more
- AdventHealth (Hinsdale, IL)
- …under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role. The RN Care Manager… more
- AdventHealth (La Grange, IL)
- …and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The Social ... not limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of Care Clinics,… more
- AdventHealth (Hinsdale, IL)
- …as needed **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of ... in the management of resources entrusted to them. * Reviews concurrent medical record for compliance including completeness and accuracy for severity of illness… more
- Amergis (Chicago, IL)
- …actions to meet members' needs; escalates unresolved needs appropriately to Manager, Medical Director or other appropriate leader + Documents all activities ... implementing treatment plans for complex patients + Prior experience working with Medicare , Medicaid, and Third Party Payer review + Prior experience working with… more