- Huron Consulting Group (Chicago, IL)
- …Technology Strategy leader is responsible for setting the strategic direction for technology within Healthcare Managed Services (HMS), with a strong focus on ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Huron Consulting Group (Chicago, IL)
- …in the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Huron Managed Services Coding Operations Director oversees a portfolio of clients and is ... Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations management… more
- Huron Consulting Group (Chicago, IL)
- …as a senior leader responsible for the delivery and operational performance of Huron Managed Services (HMS) across all service lines for HMS's mid-tier ... **Qualifications** : + 10+ years of senior-level leadership in revenue cycle operations, healthcare BPO, or managed services ; experience in consulting a… more
- Health Care Service Corporation (Chicago, IL)
- …of positive, long-term relationships with physicians, providers, multi specialty clinics, and healthcare systems in order to support and improve financial and ... + Bachelor's Degree with 5-7 years experience in a Healthcare or Managed Care environment, including 3...Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization… more
- EPAM Systems (Chicago, IL)
- As the **Head of Next-Generation Managed Services ** at EPAM Systems , you will revolutionize our service delivery model by implementing AI-first ... across multiple accounts + Implement effective incident management; drive system performance improvements; and establish advanced monitoring and alerting...with at least 10 years in managed services + Deep expertise in Service Design,… more
- Huron Consulting Group (Chicago, IL)
- …oversees the system -wide physician billing and coding compliance program for Munson Healthcare , one of Huron's Managed Services clients. Works in close ... related to the design, implementation, revision, and maintenance of system -wide processes and systems that promote compliance...+ Oversee physician billing and coding operations across Munson Healthcare within Huron's Managed Services … more
- Health Care Service Corporation (Chicago, IL)
- …manage multiple parallel efforts ad deliver quality deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare ... analysis, process improvement, strategic planning, product administration or other relevant healthcare function + 4 years of experience leading with large and… more
- Health Care Service Corporation (Chicago, IL)
- …and PowerPoint. PREFERRED JOB REQUIREMENTS: * Professional designation such as Managed Healthcare Professional (MHP) or Certified Employee Benefit Specialist ... + 7 years experience requiring data analysis and information reporting relating to healthcare data. + 4 years leadership experience including 2 yrs in a management… more
- AbbVie (North Chicago, IL)
- …operations + 1-2 years supervisory experience in a call center, large physician, managed care, or healthcare insurance setting desired + Demonstrated strong, ... areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please… more
- Rush University Medical Center (Chicago, IL)
- …has responsibility for all cancer sites and services across the Rush System cancer service line, for maintaining operations, excellent patient care through ... that support the implementation of strategic initiatives and operational goals and objectives for Cancer Services across the Rush System for Health. This role… more
- Rush University Medical Center (Chicago, IL)
- …Compliance. + Lead performance improvement activities and educational programs, monitor healthcare service quality, and coordinate risk minimization efforts + ... + Lead program development and implementation of new clinical services + Assist in system integration of...and become part of one of the nation's best healthcare systems . _Rush is an equal opportunity… more
- Molina Healthcare (Kenosha, WI)
- …QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Math, Healthcare Management, Computer Science, Information Systems , or related ... business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan… more
- Molina Healthcare (Kenosha, WI)
- …policies, and procedures. * Collaborates with and keeps healthcare services leadership apprised of behavioral health systems /processes and program needs. ... * Provides behavioral health subject matter expertise and support to healthcare services team, local behavioral health department(s), behavioral health/community… more
- Molina Healthcare (Kenosha, WI)
- …not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with ... maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline… more
- Molina Healthcare (Rockford, IL)
- …**If you are passionate about community engagement and have the drive to promote healthcare services , we encourage you to apply. Help us make a difference ... of Illinois. + Build and maintain relationships with community-based organizations and healthcare providers. + Promote Molina's services and advocate for the… more
- Molina Healthcare (Kenosha, WI)
- …and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful ... clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and… more
- Molina Healthcare (Kenosha, WI)
- …and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution ... timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews… more
- Molina Healthcare (Kenosha, WI)
- …least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant ... claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures,… more
- Molina Healthcare (Kenosha, WI)
- … Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Services (CAHPS), and other quality metrics. + ... Molina Healthcare is hiring for a remote Pharmacist in...experience in a pharmacy, Pharmacy Benefit Manager(PBM), formulary, and/or managed care setting, and 1-2 years post-graduate experience, or… more