• 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 (01/24/25)
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  • Future Opportunities- Join Our Talent Pipeline…

    AbbVie (North Chicago, IL)
    …& Access department who uses clinical expertise and experience/ knowledge of managed care , health policy, and pharmacoeconomics to support AbbVie's scientific ... and private health care entities, including but not limited to, managed care organizations (MCOs), specialty pharmacy providers (SPPs), pharmacy benefit… more
    AbbVie (01/09/25)
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  • Loyola Medicine Home Care and Hospice: Home…

    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
    Trinity Health (01/14/25)
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  • Pharma Field Sales - Diabetes Care

    Novo Nordisk (Highland Park, 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
    Novo Nordisk (03/13/25)
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  • Payer Contracting Manager

    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
    Rush University Medical Center (02/04/25)
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  • National Director, Consultant Relations - Remote

    Walgreens (Deerfield, IL)
    …areas Pharma, GPO, National Accounts, pharmacy marketing, pharmacy sales, and or managed care . + Experience developing innovative and strategic client ... the One Walgreen's value proposition. Serves as a key leader to bring insights and information from the marketplace...and manage executive to executive interactions and meetings. + Lead and direct cross functional teams that matrix with… more
    Walgreens (12/24/24)
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  • Clinical Pharmacist, Population Health

    ChenMed (Chicago, IL)
    …proactive professional who excels in evidence-based pharmacy practices. With a focus on managed care , this person will prioritize the most cost-effective options ... modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Strong understanding of managed care practices and operations. + Knowledge of and experience… more
    ChenMed (03/11/25)
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  • Field Reimbursement Manager (Oncology)- (Central…

    J&J Family of Companies (Naperville, IL)
    …to address critical access and affordability issues for patients . Partner with managed care colleagues to understand current policies and potential future ... (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in… more
    J&J Family of Companies (03/04/25)
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  • Admission Registration Lead

    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 (12/21/24)
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  • Regional Account Executive - Iowa

    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 ... and external stakeholders in discussions, as needed. Plays a lead role on key region initiatives and priorities. Spends...systems, IDN's and provider groups / networks to coordinate care and sell Walgreens and AllianceRx Walgreens Prime services… more
    Walgreens (01/14/25)
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  • Clinical Sales Specialist - Chicago, Milwaukee

    ZOLL Medical Corporation (Chicago, IL)
    …+ Experience working with VA hospitals and the VA System and or large managed care organizations (ie, Kaiser, WellStar) preferred. preferred and + Two years ... ability to multi-task and prioritize work. + Familiarity with clinical reimbursement, and managed care policies and procedures is highly desirable. + Above… more
    ZOLL Medical Corporation (02/18/25)
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  • Associate Director, Technology Product Management…

    Wolters Kluwer (Chicago, IL)
    …practical experience. + Pharmacist (PharmD) highly preferred, especially if you worked in managed care pharmacy for a payer with product development experience. ... Payer/PBM (pharmacy benefit manager) needs in drug management, pharmacy-medical cross-management, managed care pharmacy, and medical drug management, including… more
    Wolters Kluwer (03/05/25)
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  • Senior Actuary - National Medical Cost Analytics

    CVS Health (Chicago, IL)
    …digested by VPs and above. **Required Qualifications** **Knowledge of:** + Key managed care functions including provider contracting, benefit design, medical ... and impact on financials (underwriting, sales, product development, network management) + Managed Care Organization competitive environment as well as governing… more
    CVS Health (03/04/25)
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  • Regional Account Manager - Chicago North

    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
    Walgreens (03/13/25)
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  • Director, Continuous Improvement & Insights

    Huron Consulting Group (Chicago, IL)
    …recommendations for mitigation. + Lead the coordination with operational leaders, managed care , vendor management, and other stakeholders to development of ... clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology...are now and create your future. At Huron, Directors lead with expertise and collaboration, partnering with Huron and… more
    Huron Consulting Group (02/11/25)
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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 (03/04/25)
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  • International Market Access Director, Immunology,…

    AbbVie (Mettawa, IL)
    …progressive experience preferably in a variety of areas including market access, managed care marketing, key account management, payer support, commercial ... unleash the full potential of Skyrizi IBD. Profile: Seasoned leader with in-depth understanding and experience in Pharma Industry...or other advanced degree preferred + A Background in managed care , payer marketing, global market access… more
    AbbVie (03/06/25)
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  • Sr. Market Access Manager

    Abbott (Abbott Park, IL)
    …payer decision makers while maintaining a comprehensive understanding of assigned managed care accounts, the healthcare system, and market trends. ... Abbott is a global healthcare leader that helps people live more fully at...informatics systems are often the first step in patient care decision making for hundreds of health conditions from… more
    Abbott (01/24/25)
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  • Director Behavioral Health Program and Services

    Elevance Health (Chicago, IL)
    …Skills, Capabilities, and Experience:** + Leadership experience working in the managed care /healthcare insurance industry most notably in behavioral health ... depression, and insightful analytics to improve the delivery of care . The **Director Behavioral Health Program and Services** is...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (03/13/25)
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  • Product Lifecycle Strategy Director

    Elevance Health (Chicago, IL)
    …background. Highly preferred skills and experiences: + Healthcare industry experiences in managed care or providers preferred + Demonstrated ability to work ... over 150 years. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity, palliative care ,… more
    Elevance Health (03/13/25)
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