• 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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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Chicago, IL)
    …as a Case Manager is preferred. + Certification in the American Association of Managed Care Nurses preferred. + Broad clinical knowledge base of disease ... processes strongly preferred. + Prior managed care and case management experience preferred....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (01/03/25)
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  • Provider Contract/Cost of Care Consultant

    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** **We are offering a $5,000 sign-on...Works on complex enterprise-wide initiatives and acts as project lead . * Uses analytic tools to track both health… more
    Elevance Health (01/07/25)
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  • Field Reimbursement Specialist Senior Manager…

    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
    Amgen (01/26/25)
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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 (01/08/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Chicago, IL)
    …acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. For candidates ... **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
    Elevance Health (01/26/25)
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  • Managing Associate General Counsel Sr.

    Elevance Health (Chicago, IL)
    …aspects of the Government Business Legal Team, with a specific focus on Medicaid managed care . Additionally, is responsible for providing in-depth knowledge of a ... business context + Deep knowledge of Medicaid and Medicare managed care legal issues and ability to...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (01/15/25)
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  • Director of Therapeutic Education Managers - West

    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
    Sanofi Group (01/25/25)
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  • Field BH Case Mgr II - Illinois

    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
    Elevance Health (01/22/25)
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  • RCM Specialist, Accounts Receivable

    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
    Help at Home (01/08/25)
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  • Provider Economics Director

    Elevance Health (Chicago, IL)
    …communication and interpersonal skills is preferred. * Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk ... contract negotiations, provider network optimization, and total cost of care management. * Thoroughly vet and perform due diligence...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (01/22/25)
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  • Intern - Financial Solutions, Payer Provider…

    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
    Guidehouse (11/29/24)
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  • Manager, Continuous Improvement & Shared Services…

    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
    Huron Consulting Group (01/18/25)
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  • Therapeutic Specialist, HIV - Chicago South

    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
    Gilead Sciences, Inc. (12/15/24)
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  • Senior Underwriter - A&H Reinsurance

    Axis (Chicago, IL)
    …flow and audits. + Insert Axis claim expertise and an expanded value added Managed Care offering where / if possible. + Assume staff management responsibilities ... market segments or products as necessary. + Play a lead role in the underwriting and pricing of new...the satisfactory profitability expectations in that specific class. + Lead Peer Review sessions to educate and develop the… more
    Axis (01/17/25)
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  • Rare Disease Account Manager - Chicago North

    J&J Family of Companies (Chicago, IL)
    …to the geography Preferred: + Experience selling to large customer types ( managed care , large institutions) or equivalent account management experience + ... will also ensure alignment with internal field partners, including Thought Leader Liaisons (TLLs), Area Business Specialists (ABSs), Field Reimbursement Managers… more
    J&J Family of Companies (01/05/25)
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  • Behavioral Health EAP Consultant II

    Elevance Health (Chicago, IL)
    …of 5 years of direct psychiatric and/or substance abuse experience and prior managed care experience; or any combination of education and experience, which ... 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
    Elevance Health (01/24/25)
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  • Dir Financial Ops Dept - Payment Integrity…

    Elevance Health (Chicago, IL)
    …situations strongly preferred. + Proven leadership experience working in the managed care /healthcare insurance industry most notably in Payment Integrity ... 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
    Elevance Health (01/18/25)
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  • Financial Services Rep 3

    Rush University Medical Center (Chicago, IL)
    …with strong time management skills. **Responsibilities:** 1. Writes standard appeal letters to Managed Care payers and submit charts when needed with these ... and training in the subject field. 15. Participates in educational activities. 16. May lead and direct work of others; assists with training new staff as needed. 17.… more
    Rush University Medical Center (12/13/24)
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  • Store Manager

    Pearle Vision (Chicago, IL)
    …Company average * Calls to customers to follow-up on purchases * Maximize Managed Vision Care relationships and sales opportunities. * Timely implementation of ... drive profitable sales growth through the delivery of outstanding patient experiences. Lead team in a positive and productive environment, modeling exemplary patient… more
    Pearle Vision (12/16/24)
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