- 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
- Elevance Health (Chicago, IL)
- ** Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** Alternate locations may be considered. This position will work a hybrid model ... will live within 50 miles of our Elevance Health PulsePoint locations. The ** Director of Medicare Risk Adjustment Analytics and Reporting** is responsible for… 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
- Ankura (Chicago, IL)
- …operational, clinical, legal, and regulatory matters. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute ... pharmacies and pharmacy benefit management companies, as well as pharmaceutical, medical device, and diagnostics manufacturers. Role Overview The expectation of this… 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
- Gentiva (Frankfort, IL)
- …Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse ... Practitioner, you will:** + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by… 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 (La Grange, 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
- 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 (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