- 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
- Prime Healthcare (Aurora, IL)
- …Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Regional Director of Home Infusion & ... Patient Access Infusion Medication Management is responsible for all operations , strategic planning, and quality metrics for home infusion pharmacy services and… 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
- 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
- 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
- CenterWell (Buffalo Grove, IL)
- …and objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations . + Participates in the interviewing, ... clinical personnel. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the assessment… more
- AdventHealth (Hinsdale, IL)
- …under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... **.** Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement.… more
- AdventHealth (Hinsdale, IL)
- …**.** Identifies and collaborates with the interdisciplinary team and hospital operations to resolve potential barriers to transition of care plan achievement. ... are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice,… 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
- 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
- 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