• Managed Care Leader

    WTW (Chicago, IL)
    …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
    WTW (11/02/24)
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  • Senior Payer Analytics Analyst

    Surgery Care Affiliates (Chicago, IL)
    …Statistics, Economics or related field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to company meetings (10%) + ... aligning incentives to support growth and transition to value-based care . + We lead the industry in...strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong… more
    Surgery Care Affiliates (10/26/24)
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  • Provider Contract/Cost of Care Analyst Sr.

    Elevance Health (Chicago, IL)
    …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (11/16/24)
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  • Provider Contract Cost of Care Analyst…

    Elevance Health (Chicago, IL)
    …or related field and a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (10/11/24)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Chicago, IL)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **We are offering a $5,000 sign-on...Works on complex enterprise-wide initiatives and acts as project lead . * Uses analytic tools to track both health… more
    Elevance Health (10/29/24)
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  • Provider Contract Cost of Care Consultant…

    Elevance Health (Chicago, IL)
    …or related field and a minimum of 7 years' experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work...Works complex, large-scale enterprise-wide initiatives and acts as project lead . + Uses analytic tools to track both health… more
    Elevance Health (10/11/24)
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  • Manager- Integrated Care Team HOPE…

    AgeOptions (Oak Park, IL)
    …in a hospital, rehabilitation or mental health environment; Assisted Living Community; Managed Care Organization or other similar healthcare environment + At ... dignity of the people we serve and those who care for them? Then, this might be the perfect...place for you! AgeOptions is recognized nationally as a leader in developing and helping to deliver innovative community-based… more
    AgeOptions (11/06/24)
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  • Director, Medical Value & Outcomes, Health…

    Sanofi Group (Chicago, IL)
    …+ Demonstration of business acumen within organized customer groups/health ecosystems and managed care organizations + Knowledge of HEOR disciplines, and ... organized customer ecosystems and development/execution of population health strategies + Managed care experience (eg, experience as medical/clinical executive… more
    Sanofi Group (11/12/24)
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  • Nurse Medical Mgmt II (US)

    Elevance Health (Chicago, IL)
    …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which… more
    Elevance Health (11/19/24)
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  • Lead Director, Pharma Contracting

    CVS Health (Downers Grove, IL)
    …assigned manufacturers. **Required Qualifications** + A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
    CVS Health (10/26/24)
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  • Lead Director, Pharma Contracting - Trade…

    CVS Health (Downers Grove, IL)
    …based on experience. **Required Qualifications** *A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
    CVS Health (10/16/24)
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  • Admission Registration Lead - 4th Shift

    Rush University Medical Center (Oak Park, IL)
    …experience * Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service ... Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly… more
    Rush University Medical Center (08/27/24)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Chicago, IL)
    …acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. For candidates ... **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of licensure for members...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (11/13/24)
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  • Central Regional Growth Leader

    Help at Home (Chicago, IL)
    …impact growth opportunity with local and regional referral partners that may include managed care organization, state agencies, local agencies and other entities ... Home is the leading national provider of in-home personal care services, where our mission is to enable individuals...rooted in precision, speed, and effectiveness. The Regional Growth Leader will directly lead , develop and mentor… more
    Help at Home (11/16/24)
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  • Lead Director, Medicaid Provider Experience…

    CVS Health (Chicago, IL)
    …and processes across lines of business **Required Experience:** + 10+ years managed care / network / health insurance industry experience, specifically ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. The ** Lead Director,** **Medicaid… more
    CVS Health (11/13/24)
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  • Internal Audit Coordinator

    Superior Ambulance Service (Elmhurst, IL)
    …codes + Familiar with ambulance physician certification requirements for Medicare, Medicaid and Managed Care + Strong knowledge of Medicare, Medicaid and ... ability to conduct critical process analysis, manage change, and lead teams to a common vision is required. Expectation...Managed Care guidelines + Background of medical terminology including various… more
    Superior Ambulance Service (10/12/24)
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  • CarelonRx Sales Strategy Specialist

    Elevance Health (Chicago, IL)
    …industry, economic, consumer and competitive conditions and trends pertaining to health insurance/ managed care and related services. + Participates in activities ... Capabilities and Experiences** : + Experience working in the managed care /healthcare insurance industry most notably in...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (11/06/24)
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  • Lead Director, Provider Data Governance…

    CVS Health (Chicago, IL)
    …elements are appropriately considered and developed. **Required Experience:** + 10+ years managed care / network / health insurance industry experience, ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. The Lead... care more personal, convenient and affordable. The Lead Director, Provider Data Governance will develop, enhance, and… more
    CVS Health (11/16/24)
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  • Provider Contract Analyst Senior

    Elevance Health (Chicago, IL)
    …related field and a minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs,… more
    Elevance Health (11/05/24)
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  • Manager- Development, Marketing & Communications

    AgeOptions (Oak Park, IL)
    …foundations and corporations. + Initiate and cultivate large scale relationships with managed care organizations, Healthcare plans, foundations and other key ... maintaining the dignity of older adults and those who care for them? Then, this position might be perfect...perfect for you! AgeOptions is recognized nationally as a leader in developing and helping to deliver innovative community-based… more
    AgeOptions (10/03/24)
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