- 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
- Gentiva (Arlington Heights, IL)
- …patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and ... is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care . Our place is by the side of those who need… more
- 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** **Location** : This position will work...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CVS Health (Northbrook, IL)
- …position that supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under the direction of ... designated project management and tracking tools + Maintain knowledge of Aetna's Medicaid managed care state business practices and solutions to inform strategy,… more
- CVS Health (Chicago, IL)
- …personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience ... health plan as the Chief Health Services Officer. This leader will report to the CEO and serve as...experience in medical management leadership roles including leadership within managed care organizations + 5+ years of… more
- AbbVie (Chicago, IL)
- …access, and provider reimbursement. This position will call on commercial payors, managed care organizations, Medicare MACs, state Medicaid, Medicare Advantage ... medical policy coverage initiatives. Develop and implement strategies that lead to successful insurance acceptance of PRM products into...Call on commercial payers, ie Anthem, Aetna, United Health Care , etc., managed care organizations,… more
- Rush University Medical Center (Chicago, 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)
- …care setting preferred. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... **"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
- Walgreens (Deerfield, IL)
- …clinics. + Business to business experience preferred in a medical setting and or managed care experience working with medical offices, provider groups or IDNs ... health systems and includes internal and external stakeholders as needed. Plays a lead role on key region initiatives and priorities. Spends significant time in… more
- CVS Health (Chicago, IL)
- …* Understanding of internal and external database applications. * Familiarity with managed care functions including provider contracting, benefit design, medical ... management) Skill In: * Advanced communication/presentation skills. * Healthcare analysis * Managed care contracting * Working with large datasets Ability To:… more
- Walgreens (Deerfield, IL)
- …members. + Experience with Pharmacy, Pharmaceutical Benefit Manager, Benefit Consultancy, or Managed Care company. + Experience working with pharmacy data at ... a retail pharmacy, Pharmaceutical Benefit Manager, benefit consultancy, or managed care company. + Experience with pharmaceutical industry pricing. + Experience… more
- Mitsubishi Chemical Group (Chicago, IL)
- …advanced degree preferred + Minimum of 8 years in reimbursement, contract strategy, managed care sales or marketing, or a closely related field leadership ... on how that impacts HCP's, patients and payers. + Extensive knowledge of Managed Care , Government, and Federal payer sectors + Proven understanding of… 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
- Walgreens (Deerfield, IL)
- …sources within a hospital infusion environment + Experience selling in healthcare, managed care , Specialty Pharmacy. + Experience working with community support ... Works across highly matrixed field organization including store operations, managed markets sales, government affairs, etc. **Job Responsibilities** + **Business… more
- CVS Health (Chicago, IL)
- …a very diverse Medicaid footprint. + Drill into drivers of trend to support managed care savings development and rate advocacy. + Provide medical expense review ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- ChenMed (Chicago, IL)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming ... healthy time at home. The Register Nurse (RN) Community Care Nurse will serve as a clinical lead...necessary to meet their needs and engage them in care . As a clinical leader for the… more
- Rush Copley Medical Center (Aurora, IL)
- …required. Some college preferred. + Experience and knowledge of medical terminology and managed care plan limitations + Experience with Microsoft Office is ... Seeking an experienced medical receptionist to lead front desk operations of a busy Primary...lead front desk operations of a busy Primary Care practice. Candidate must be self-driven, well organized, detail… more
- Astellas Pharma (Northbrook, IL)
- …of market dynamics, regulatory influences, compliance constraints, market access, and managed care influences in diverse marketplaces + Collaborates effectively ... on Astellas, please visit our website at www.astellas.com. The **HCP Team Lead , VEOZAH** is responsible for the HCP marketing strategy and execution across… more
- Astellas Pharma (Northbrook, IL)
- …US market dynamics, regulatory influences, compliance constraints, market access, and managed care influences + Collaborates effectively with internal partners ... please visit our website at www.astellas.com. **Purpose:** The VEOZAH Commercial Lead is responsible for leading and driving the development and implementation… more
- Trinity Health (Oakbrook Terrace, IL)
- …for the center's P&L, including managing financial controls and reporting + Partners with managed care on facility contracts and ensures cases being done at the ... Health Ministry (RHM) under the oversight of identified system leader and the RHM identified executive leader ...a team of high-performing clinicians to deliver excellent patient care + Leads and/or partners with Medical Executive Committee… more