- 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
- 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
- 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
- Wolters Kluwer (Chicago, IL)
- …practical experience. + Pharmacist (PharmD) highly preferred, especially if you worked in managed care pharmacy for a payer with product development experience. ... Payer/PBM (pharmacy benefit manager) needs in drug management, pharmacy-medical cross-management, managed care pharmacy, and medical drug management, including… more
- CVS Health (Chicago, IL)
- …digested by VPs and above. **Required Qualifications** **Knowledge of:** + Key managed care functions including provider contracting, benefit design, medical ... and impact on financials (underwriting, sales, product development, network management) + Managed Care Organization competitive environment as well as governing… more
- Huron Consulting Group (Chicago, IL)
- …recommendations for mitigation. + Lead the coordination with operational leaders, managed care , vendor management, and other stakeholders to development of ... clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology...are now and create your future. At Huron, Directors lead with expertise and collaboration, partnering with Huron and… more
- Elevance Health (Chicago, IL)
- …Skills, Capabilities, and Experience:** + Leadership experience working in the managed care /healthcare insurance industry most notably in behavioral health ... depression, and insightful analytics to improve the delivery of care . The **Director Behavioral Health Program and Services** is...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Chicago, IL)
- …background. Highly preferred skills and experiences: + Healthcare industry experiences in managed care or providers preferred + Demonstrated ability to work ... over 150 years. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity, palliative care ,… more
- Elevance Health (Chicago, IL)
- …and experiences:** + Strategy RFP/Capture Strategy experience is strongly preferred. + Managed Care experience preferred + Demonstrated experience in clinical ... plans upcoming procurement. + Collaborates with the Business Development Leader , Growth Partners, Health Plan SMEs, and other RFP...BA/BS degree in business, public health, nursing, medicine, health care delivery, or a related field and a minimum… more
- Elevance Health (Chicago, IL)
- …a minimum of associate's degree in nursing. + Requires a minimum of 4 years managed care experience and requires a minimum of 2 years clinical, utilization ... not be receiving appropriate type, level, or quality of care , eg, if services are not in line with...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Rising Medical Solutions (Chicago, IL)
- …Possess a strong understanding of the business practices of the work comp or managed care industries. Experience + 4+ years experience with SQL, PostGreSQL, ... be assigned based on company needs. + Can work remote. Reports to: Data Analyst Lead Requirements Education/Training + Bachelor's Degree or equivalent experience. +… more
- Select Medical (Chicago, IL)
- …progressive experience in healthcare sales and marketing required. + Knowledge of managed care and physical rehabilitation required. + Strong interpersonal, oral ... staff. This is a great opportunity for a strong leader who has a passion for rehab and is...Medical's Inpatient Rehabilitation Hospitals provide advanced treatment and comprehensive care to best address the medical, physical, emotional and… more
- EPAM Systems (Chicago, IL)
- EPAM is seeking a dynamic **Head of Delivery - Managed Services** to lead and oversee our managed services delivery operations across the Americas. This ... improvement initiatives to enhance our service offerings. If you're a visionary leader with a passion for innovation and delivering high-impact solutions, we'd love… more
- AbbVie (Chicago, IL)
- …Brand Team-led strategy. + Exhibit deep and broad market knowledge, including key managed care and payer dynamics. Share and provide quantitative and qualitative ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...including not only revenue but also resource targets. + Lead the sales team to maximize product potential. +… more
- Elevance Health (Chicago, IL)
- …health related field and a minimum of 3 years behavioral health clinical and managed care or clinical quality improvement experience; or any combination of ... depression, and insightful analytics to improve the delivery of care . **Title:** Behavioral Health Clinical Quality Audit Analyst SR...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Gilead Sciences, Inc. (Chicago, IL)
- …teams + Experience in selling injectable physician-administered products + Familiarity with the managed care landscape and its impact on business The salary ... ready to make a direct impact. We believe every employee deserves a great leader . People Leaders are the cornerstone to the employee experience at Gilead and Kite.… more
- Axis (Chicago, IL)
- …flow and audits. + Insert Axis claim expertise and an expanded value added Managed Care offering where / if possible. + Assume staff management responsibilities ... market segments or products as necessary. + Play a lead role in the underwriting and pricing of new...the satisfactory profitability expectations in that specific class. + Lead Peer Review sessions to educate and develop the… more
- Elevance Health (Chicago, IL)
- …hire. **Preferred Skills, Capabilities, and Experiences:** + Experience working in the managed care /healthcare insurance industry most notably in Large Groups ... creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are… more
- Robert Half Finance & Accounting (Chicago, IL)
- …engagement, and financial modeling. * Ensure compliance with Medicare, Medicaid, and managed care contracts while providing effective oversight of grant ... sound financial stewardship and strategic vision. Key Responsibilities * Lead financial strategy, long-term planning, investment decisions, and executive leadership… more
- Pearle Vision (Orland Park, IL)
- …entry, and realistic service delivery time quote as measured by: * Maximize Managed Vision Care relationships and sales opportunities. * Execution of operational ... is to drive profitable sales growth by delivering outstanding patient experience. Lead team in a positive and productive environment, modeling exemplary patient … more