- 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
- 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
- American Institutes for Research (Chicago, IL)
- …seeking a full-time **Researcher** with a strong background in Medicare and Medicaid policyto join AIR'sHealth Division (https://www.air.org/our-work/health) . The ... and implementation support to evaluation and analytical support for Centers for Medicare & Medicaid Services (CMS), states, and foundations. Candidates hired for the… more
- AdventHealth (La Grange, 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