- Merck & Co. (Chicago, IL)
- …that align with customer needs and business prioritiesPartner with Regional Sales Manager to develop and execute effective business strategy to reach and exceed ... organizational priorities for lasting successMeet with key opinion leaders in both clinical and university settings to discuss our company's Animal Health portfolio… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics.** **Position** Clinical Education Manager - Hybrid **Location** US:IL:Chicago **Req ID** ... may vary depending on the circumstances of each case. Hybrid - 2 days work from home per week...2 days work from home per week **Summary:** The Clinical Education Manager will manage… more
- The Cigna Group (Chicago, IL)
- …innovation and a commitment to delivering impactful solutions in the pharmacy and clinical space. This Product Manager will work closely with pharmacy product ... **_Please note: This is a hybrid position, available in any Cigna office. ...at hom_** The Business Development Lead on the Pharmacy Clinical Strategy Team will play a key role in… more
- Wolters Kluwer (Chicago, IL)
- **_NOTE:_** **_This is a hybrid position that requires eight days a month in office at a specified Wolters Kluwer location._** **_Preferred Location(s): (USA) ... IN or New York, NY._** **Basic Function** **Wolters Kluwer Health's Clinical Effectiveness (CE)** organization is a fast-growing and innovation-driven healthcare… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse** **Location:** This position will work a hybrid model (remote and office). Ideal ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Chicago, IL)
- …studies and sites of care with ordering providers when consistent with applicable clinical criteria. + Provide education regarding applicable clinical ... procedures. Medical Directors determine the medical necessity of requests using clinical appropriateness guidelines. The **Associate Medical Director, Clinical … more
- Elevance Health (Chicago, IL)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... miles of one of our Elevance Health PulsePoint locations. ** Hybrid Workplace Strategy:** 1-2 days in office per week...Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues… more
- Elevance Health (Chicago, IL)
- …studies and sites of care with ordering providers when consistent with applicable clinical criteria. + Provide education regarding applicable clinical ... The ** Clinical Operations Medical Director** is responsible for supporting...vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the… more
- Elevance Health (Chicago, IL)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work in a ... hybrid model (remote and office). The ideal candidate will...to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Elevance Health (Chicago, IL)
- …imaging, cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, ... sleep management, endoscopies and surgical site of care requests using clinical guidelines, state mandates, health plan medical policy and Medicare Coverage… more
- Elevance Health (Chicago, IL)
- …shifts between 7am - 7pm CT (later shift hours preferred) The ** Clinical Ops Medical Director** opportunity is responsible for supporting the medical management ... will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. +...vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the… more
- AMOpportunities (Chicago, IL)
- …position: The Institutional Partnerships Manager will report directly to the VP for Clinical Education and will focus on scaling a rapidly growing part of ... Institutional Partnerships Manager Who we are: AMOpportunities is the pioneer...and their students. A strong understanding of how healthcare clinical education programs function, combined with experience… more
- Elevance Health (Chicago, IL)
- **Nurse Care Manager Senior - LGBTIA+/ Transgender Community** **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and ... could work **12:30 PM** **to 9 PM EST** **.** The **Nurse Care Manager Senior** is responsible for collaborating with healthcare providers and/or consumer to drive… more
- ICW Group (Lisle, IL)
- …+ Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical , financial, variance, quality of life, and ... **PURPOSE OF THE JOB** The purpose of this job is to perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic… more
- Centene Corporation (Chicago, IL)
- …benefits including a fresh perspective on workplace flexibility. **This position is a Hybrid position with a 25% travel in Cook County!** **Centene is hiring a ... Care Manager for our Illinois Health Plan for our Youth...program. The ideal candidate will have a Behavioral Health clinical License, knowledge of care coordination and foster care,… more
- ATI Physical Therapy (Downers Grove, IL)
- **Overview** The IT Product Manager is a pivotal role that bridges the gap between business needs and technological solutions. This role is responsible for ... solutions that enhance operational efficiency and support business growth. This is a hybrid position working in ATI's corporate office in Downers Grove, IL. Ability… more
- Elevance Health (Chicago, IL)
- …any embassy located in or outside of the US. + Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an ... Medical Director- Commercial National Division** Location: This position will work a hybrid model (remote and office). The ideal candidate **must live** within 50… more
- Merck (Chicago, IL)
- …align with customer needs and business priorities + Partner with Regional Sales Manager to develop and execute effective business strategy to reach and exceed ... priorities for lasting success + Meet with key opinion leaders in both clinical and university settings to discuss our company's Animal Health portfolio as well… more
- Elevance Health (Chicago, IL)
- …surgical procedures, imaging and appropriate sites of service. + Provides education regarding applicable clinical criteria and discusses clinically appropriate ... provider appeals of coverage decisions. + Provides support and education to internal clinical and non- clinical...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
- Elevance Health (Chicago, IL)
- Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed ... reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members… more
