- 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
- 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 (North Chicago, IL)
- …operations. + 1-2 years supervisory experience in a call center, large physician, managed care , or healthcare insurance setting desired. + Demonstrate strong, ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...+ Proven leadership and coaching skills. Demonstrated ability to lead and participate within a team, manage multiple priorities… more
- 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
- 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
- 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
- Molina Healthcare (Kenosha, WI)
- …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... when severe quality concerns are identified. + Assists the Provider Quality Lead Supervisor to identify trends and establish processes to address deficiencies or… more
- Froedtert South (Kenosha, WI)
- …In/Out activities, Medical Records facilitation, Cashiering, Communications, Pre-Certifications and Managed Care Referral verification. + MINIMUM EDUCATION ... Patient Access Specialist Lead - Clinic Froedtert South Kenosha, WI (Onsite)...Billing Functions + Check In/Out Functions + Communications + Managed Care Referrals and Pre-Certification Functions Froedtert… more
- 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 (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
- Elevance Health (Chicago, IL)
- … management services for participants. + Incorporates nutritional information as part of managed care benefits. + Researches new resources and provides education ... or equivalent and a minimum of 5 years of managed care experience or experience counseling individuals...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Kenosha, WI)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- 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 (Deerfield, IL)
- …members. + Experience with Pharmacy, Pharmaceutical Benefit Manager, Benefit Consultancy, or Managed Care company. + Experience working with pharmacy data at ... a retail pharmacy, Pharmaceutical Benefit Manager, benefit consultancy, or managed care company. + Experience with pharmaceutical industry pricing. + Experience… more
- Molina Healthcare (Kenosha, WI)
- …management experience. + Operational Process Improvement experience. + 2-3 years of Managed Care experience. + Experience with Microsoft Project, Excel, Teams, ... organizational vision. The successful candidate will be a curious leader and passionate collaborator with the courage to chart...* 5-7 years of Program and/or Project management experience.* Managed Care experience. * Experience working in… more
- Molina Healthcare (Kenosha, WI)
- …Target/Ranking Engine for all line of businesses. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and related financial ... for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,...cleaning of data. + 3-5 Years of experience in Managed Care Organization executing similar techno functional… more
- Molina Healthcare (Kenosha, WI)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,...cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional… more
- 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
- Astellas Pharma (Northbrook, IL)
- …of US market dynamics, regulatory influences, compliance constraints, market access, and managed care influences. + Proven track record of meeting or ... to apply. **Purpose:** The XTANDI Consumer and Key Customer Lead is responsible for leading the Consumer and Key...patient facing marketing and resources, as well as thought leader engagement, organized providers, speaker programs & symposia, and… more
- Molina Healthcare (Kenosha, WI)
- …**E:** + At least 3 years of experience in the overread role. + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA. **PR** **E** **FE** ... **Job Description** **Job Summary** Molina's Quality Improvement Lead Overreader conducts oversight and audits of the data collected and abstracted from medical… more