- 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
- Trinity Health (Oak Brook, IL)
- …skills. + Knowledge of Medicare rules and regulations. + Working knowledge of managed care environment. + Experience multi-tasking on multiple computer systems. ... **Employment Type:** Part time **Shift:** **Description:** Home Care Coordinator for Loyola **Home Care ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Novo Nordisk (Chicago Heights, IL)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... the people who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as… more
- Rush University Medical Center (Chicago, IL)
- …and maintaining relationships with third party payers including but not limited to Managed Care Commercial payers, Medicare Advantage payers and Medicaid payers ... and negotiating managed care agreements both fee-for-service (FFS) and...monthly payer joint operating committee (JOC) meetings; serve as lead role for addressing contract issues. * Staff Committees… more
- Amgen (Chicago, IL)
- …2 years of public or private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Master's degree AND 4 years of ... will participate in strategic meetings at various levels and lead their team to success. + Lead ...private third-party access arena or pharmaceutical industry in sales, managed care , or clinical support OR Bachelor's… more
- 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
- 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
- Elevance Health (Chicago, IL)
- … management services for participants. + Incorporates nutritional information as part of managed care benefits. + Researches new resources and provides education ... or equivalent and a minimum of 5 years of managed care experience or experience counseling individuals...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- 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
- Sanofi Group (Chicago, IL)
- …environment + Previous commercial experience with an infused therapy + Familiarity with managed care and particularly "buy and bill" therapy strongly desired + ... and provide on label patient education to patients and care partners on product and lab monitoring process. We...ensure alignment with the Neurology Business Unit's objectives. + Lead process improvements for seamless collaboration between the TEM… more
- Elevance Health (Chicago, IL)
- …broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Skills, Capabilities and ... depression, and insightful analytics to improve the delivery of care . **Field Behavioral Health Case Mgr II - Illinois**...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- AdventHealth (Hinsdale, IL)
- …of concern and plans for resolution. . Analyzes the impact of environmental changes in managed care , health care reform, and government payment systems on ... **GENERAL SUMMARY:** Consumer Access Regional Director serves as the market leader integrating practices in coordination with clinical executives, facility executive… more
- Help at Home (Chicago, IL)
- …management or billing experience in the healthcare field + Knowledge of Medicaid/ Managed Care Organization (MCO) billing practices + Experience with billing ... Home is the leading national provider of in-home personal care services, where our mission is to enable individuals...help + Career growth and experience with an industry leader with 40+years of history in a high-demand field… more
- Guidehouse (Chicago, IL)
- …cycle, and patient financial services. We also provide deep EHR expertise and strategic managed care solutions to help clients unlock their full potential. The ... health systems, and other providers control operating costs while providing high-quality care to the communities they serve. Our digitally powered revenue cycle… more
- Elevance Health (Chicago, IL)
- …account management) to ensure seamless execution of programs. * Knowledge of managed care , healthcare infrastructure, familiarity with healthcare regulatory and ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . CarelonRx is looking for a **Program Director** to...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Chicago, IL)
- …experience preferred + Bilingual in English and Spanish is preferred + Experience in health care or managed care preferred. IE compliance and regulatory or ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Huron Consulting Group (Chicago, IL)
- …+ Extrapolate market and payer trends and coordinate with operational leaders, managed care , vendor management, and other relevant stakeholders to support ... clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology...for executive leaders across the system. + Attend and co- lead metric and project calls with senior management and… more
- Trinity Health (Westchester, IL)
- …with other hospital departments such as Patient Access, Coding, Case Management, and Managed Care to gather necessary information and ensure claims are processed ... and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Trinity Health (Maywood, IL)
- …appointments and tests. + Verifies and updates patient demographic and insurance information. ** Managed Care ** - + Understands and identifies insurance types. + ... and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Gilead Sciences, Inc. (Chicago, IL)
- …teams + Experience in selling injectable physician-administered products + Familiarity with the managed care landscape and its impact on business The salary ... ready to make a direct impact. We believe every employee deserves a great leader . People Leaders are the cornerstone to the employee experience at Gilead and Kite.… more