- 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
- 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
- Trinity Health (Oak Brook, IL)
- …skills. + Knowledge of Medicare rules and regulations. + Working knowledge of managed care environment. + Experience multi-tasking on multiple computer systems. ... **Employment Type:** Part time **Shift:** **Description:** Home Care Coordinator for Loyola **Home Care ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- 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
- 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
- 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
- CVS Health (Downers Grove, IL)
- …based on experience. **Required Qualifications** *A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value… more
- Rush University Medical Center (Oak Park, IL)
- …experience * Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service ... Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly… more
- Superior Ambulance Service (Elmhurst, IL)
- …codes + Familiar with ambulance physician certification requirements for Medicare, Medicaid and Managed Care + Strong knowledge of Medicare, Medicaid and ... ability to conduct critical process analysis, manage change, and lead teams to a common vision is required. Expectation...Managed Care guidelines + Background of medical terminology including various… more
- 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
- 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
- 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
- AdventHealth (Hinsdale, IL)
- …of concern and plans for resolution. . Analyzes the impact of environmental changes in managed care , health care reform, and government payment systems on ... **GENERAL SUMMARY:** Consumer Access Regional Director serves as the market leader integrating practices in coordination with clinical executives, facility executive… more
- 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
- 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
- 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
- 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
- Trinity Health (Westchester, IL)
- …with other hospital departments such as Patient Access, Coding, Case Management, and Managed Care to gather necessary information and ensure claims are processed ... and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Trinity Health (Westchester, IL)
- …+ Other duties as assigned Qualifications + Strong understanding of Medicare, Medicaid, Managed Care , and Commercial rules and regulations + Proficient in ... and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Trinity Health (Maywood, IL)
- …appointments and tests. + Verifies and updates patient demographic and insurance information. ** Managed Care ** - + Understands and identifies insurance types. + ... and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more