- Elevance Health (Chicago, IL)
- …deliver member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director ... preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and… more
- Elevance Health (Chicago, IL)
- …medical policy and Medicare Coverage Determinations. The **Associate Medical Director , Clinical Operations ** is responsible for supporting the medical ... cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, sleep… more
- AbbVie (Mettawa, IL)
- …key partners to deliver meaningful business solutions and impact. The 340B COE Director of Business Operations is a leadership role with technical expertise ... in the business and operations of the 340B program; responsible for leading a...to eliminate duplicate discount scrubbing (Medicaid In-House Medicaid CP, Commercial/ Medicare ), CP Policy, CE eligibility, etc.) + Develop 340B… more
- AbbVie (Mettawa, IL)
- …and other key partners to deliver meaningful business solutions and impact. The Finance Director , 340B COE is a key role focused on coordinating with the multiple ... Contracting, Medicaid, Price Forecasting, Price Accounting). Additionally, the Finance Director , 340B COE will drive establishment of standardized reporting… more
- BrightSpring Health Services (Morton Grove, IL)
- Our Company OnePoint Patient Care Overview The Director , Business Development assists on various fronts of OnePoint Patient Care's revenue growth strategy in ... creation and maintenance of opportunities within the workers compensation business line. The Director is expected to take a very hands-on approach in bringing new… more
- Walgreens (Deerfield, IL)
- …state, progress against plan, and business impacts of the functions operations . Utilizes metrics, internal or external environmental and business intelligence to ... including disability/veterans". $159-215-271K \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Healthcare Consultant Relations Remote **Company Indicator:** Walgreens **Employment… more
- Gilead Sciences, Inc. (Chicago, IL)
- …the lives of patients with life-threatening illnesses worldwide. As the **Senior Director , Field Reimbursement Management (FRM)** for HIV Prevention, you will play a ... This position will drive the Field Reimbursement team's strategic direction, operations , and performance to optimize patient access and navigate complex insurance… more
- Elevance Health (Chicago, IL)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program ... plans. + 8+ years of experience in the PBM domain (Commercial/Medicaid/ Medicare ) including claims processing, enrollment, and benefit administration. + Experience… more
- American Institutes for Research (Chicago, IL)
- …tools. The selected candidate will collaborate in research, technical assistance, and operations projects funded by Federal Agencies (such as Centers for Medicare ... to the analysis of healthcare data and provide support to the project director and/or senior team members on various tasks including querying large datasets… more
- Walgreens (Deerfield, IL)
- …address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B/D, ACOs, GPOs, Hospitals, etc.). **This position requires ... trains new Account Managers under the guidance of the Regional Sales Director . + **Business Partnering** - Leverages resources within Walgreens and AllianceRx… more
- American Institutes for Research (Chicago, IL)
- …strong working knowledge of medications, drug policy, and the requirements and operations of current health care policy priorities, including the Affordable Care Act ... related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate...legal compliance to its full integration in our strategy, operations , and work environment. At AIR, we define diversity… more
- Fresenius Medical Center (Gurnee, IL)
- …tracking and monitoring of Coordination of Benefit period and ensures that the Medicare applications are processed 90 days prior to the 30-month coordination period ... insurance Coordinator team for compilation in Division monthly reports + Provides IC Director with monthly reports in the absence of the IC Manager. + Communicates… more
- The Joint Commission (Oakbrook Terrace, IL)
- …+ Thoroughly evaluate patient care environments to assess health care organizations' operations and standards compliance. + Interview staff and patients to determine ... of relevance to the evaluation of health care organizations' operations and standards. + Conduct a thorough and credible...seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director… more
- Trinity Health (Maywood, IL)
- …Oncology Department at Loyola Medicine. This position will oversee the daily operations , ensure a high standard of patient care, and manage a multidisciplinary ... optimizing workflows, ensuring regulatory compliance and safety, managing day-to-day operations , program development, and quality improvement. The manager will be… more
- Gentiva (Buffalo Grove, IL)
- …Care Manager** to join our team. You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for the ... day to day operations of your assigned hospice site, administering the clinical...Managing the site in the absence of the Executive Director , Administrator, or Senior/Executive Patient Care Manager. + Managing… more
- All-Stat Portable (Skokie, IL)
- …necessary actions + Run weekly staff meetings + Supervise the billing operations + Insurance eligibility and authorization + Preparing claim for submission ... Carry out audits of current procedures and processes, billing operations improvements and coordinate necessary actions + Ensure quality...+ Report all department concerns and issues to the Director of Revenue for prompt necessary action. + Partner… more
- Rush University Medical Center (Chicago, IL)
- …usage and monitors for compliance with policy * In collaboration with the Director of Operations and Transplant Service Line Administrator, creates and submits ... Rush benefits page . **Summary:** The Manager Transplant Finance and Business Operations supports Transplant Administration in the supervision and support of the… more