- 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
- Surgery Care Affiliates (Chicago, IL)
- …Statistics, Economics or related field + 3+ years of analytical experience in a Healthcare/ Managed Care environment required + Travel to company meetings (10%) + ... aligning incentives to support growth and transition to value-based care . + We lead the industry in...strong analytical and critical thinking skills + Experience with managed care contract terms analysis + Strong… more
- Elevance Health (Chicago, IL)
- …or related field and a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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** **Location:** Target locations include Chicago-IL, New...Works on complex enterprise-wide initiatives and acts as project lead . * Uses analytic tools to track both health… more
- Elevance Health (Chicago, IL)
- …or related field and a minimum of 7 years' experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work...Works complex, large-scale enterprise-wide initiatives and acts as project lead . + Uses analytic tools to track both health… more
- Novo Nordisk (Chicago, IL)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... the people who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as… more
- Elevance Health (Chicago, IL)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which… more
- CVS Health (Downers Grove, IL)
- …assigned manufacturers. **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
- 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
- Elevance Health (Chicago, IL)
- …care setting preferred. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of licensure for members...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... **Preferred Skills, Capabilities and Experiences:** + PharmD preferred. + Managed Care Experience specific to formulary, Pharmacy...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Chicago, IL)
- …related field and a minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs,… more
- Elevance Health (Chicago, IL)
- …the applicable medical policy and industry standards accurately interpreting benefits and managed care products and steering members to appropriate providers, ... use of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient… more
- AgeOptions (Oak Park, IL)
- …foundations and corporations. + Initiate and cultivate large scale relationships with managed care organizations, Healthcare plans, foundations and other key ... maintaining the dignity of older adults and those who care for them? Then, this position might be perfect...perfect for you! AgeOptions is recognized nationally as a leader in developing and helping to deliver innovative community-based… more
- Medtronic (Chicago, IL)
- …Suite experience . Experience with implantable medical devices . Solid understanding of managed care & reimbursement . Experience in developing new, innovative ... helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in...inclusive insights to continue to be an innovative industry leader -that's why we make it a point to… more
- Ankura (Chicago, IL)
- …physician services such as eye care , dental etc. + Payer sector experience eg Managed Care Organization, Insurance Companies etc. + Long term care sector ... Performance Improvement Director Responsibilities As a director be a key leader on client engagements and workstreams + Understands complex operating issues… 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
- 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