- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics.** **Position** Clinical Education Manager - Hybrid **Location** US:IL:Chicago **Req ID** ... may vary depending on the circumstances of each case. Hybrid - 2 days work from home per week...2 days work from home per week **Summary:** The Clinical Education Manager will manage… more
- The Cigna Group (Chicago, IL)
- …innovation and a commitment to delivering impactful solutions in the pharmacy and clinical space. This Product Manager will work closely with pharmacy product ... **_Please note: This is a hybrid position, available in any Cigna office. ...at hom_** The Business Development Lead on the Pharmacy Clinical Strategy Team will play a key role in… more
- Wolters Kluwer (Chicago, IL)
- **_NOTE:_** **_This is a hybrid position that requires eight days a month in office at a specified Wolters Kluwer location._** **_Preferred Location(s): (USA) ... IN or New York, NY._** **Basic Function** **Wolters Kluwer Health's Clinical Effectiveness (CE)** organization is a fast-growing and innovation-driven healthcare… more
- Elevance Health (Chicago, IL)
- **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse** **Location:** This position will work a hybrid model (remote and office). Ideal ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Chicago, IL)
- **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & Abuse** **Location:** This position will work a hybrid model (remote and office). The ideal ... miles of one of our Elevance Health PulsePoint locations. ** Hybrid Workplace Strategy:** 1-2 days in office per week...Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues… more
- Elevance Health (Chicago, IL)
- …studies and sites of care with ordering providers when consistent with applicable clinical criteria. + Provide education regarding applicable clinical ... The ** Clinical Operations Medical Director** is responsible for supporting...vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the… more
- Elevance Health (Chicago, IL)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work in a ... hybrid model (remote and office). The ideal candidate will...to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Elevance Health (Chicago, IL)
- …shifts between 7am - 7pm CT (later shift hours preferred) The ** Clinical Ops Medical Director** opportunity is responsible for supporting the medical management ... will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. +...vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the… more
- AMOpportunities (Chicago, IL)
- …position: The Institutional Partnerships Manager will report directly to the VP for Clinical Education and will focus on scaling a rapidly growing part of ... Institutional Partnerships Manager Who we are: AMOpportunities is the pioneer...and their students. A strong understanding of how healthcare clinical education programs function, combined with experience… more
- Elevance Health (Chicago, IL)
- **Nurse Care Manager Senior - LGBTIA+/ Transgender Community** **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and ... could work **12:30 PM** **to 9 PM EST** **.** The **Nurse Care Manager Senior** is responsible for collaborating with healthcare providers and/or consumer to drive… more
- Elevance Health (Merrillville, IN)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for ... (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to...with a social work agency; or any combination of education and experience which would provide an equivalent background.… more
- Elevance Health (Gary, IN)
- …per week in-person with patients, members or providers The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management of member's ... make an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of… more
- Elevance Health (Chicago, IL)
- …any embassy located in or outside of the US. + Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an ... locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
- Merck (Chicago, IL)
- …align with customer needs and business priorities + Partner with Regional Sales Manager to develop and execute effective business strategy to reach and exceed ... priorities for lasting success + Meet with key opinion leaders in both clinical and university settings to discuss our company's Animal Health portfolio as well… more
- Elevance Health (Chicago, IL)
- …surgical procedures, imaging and appropriate sites of service. + Provides education regarding applicable clinical criteria and discusses clinically appropriate ... provider appeals of coverage decisions. + Provides support and education to internal clinical and non- clinical...to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by… more
- Elevance Health (Chicago, IL)
- Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed ... reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers, and members… more
- Elevance Health (Chicago, IL)
- ** Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management** **Location:** Alternate locations may be considered. This position will ... work in a hybrid model (remote and office). The ideal candidate will...advancement of care for the people we serve._ The ** Clinical Operations Associate Medical Director** is responsible for supporting… more
- Elevance Health (Chicago, IL)
- **Provider Reimburse Admin Sr.** **Location:** This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our ... PulsePoint locations. **Schedule:** This is a Hybrid 1 (home/office) position. The employee must work in the office 1-2 days per week. The **Provider Reimburse Admin… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** **Breast Surgery Oncology - Clinical Faculty** **Rush University Medical Center** **Chicagoland** **Rush University Medical Center and RUSH MD ... will possess breast surgery fellowship training. This position offers a unique, hybrid model with dual community practice locations and support from a large… more
- Elevance Health (Chicago, IL)
- **SIGN-ON BONUS: Up to $1,000** **Location:** This position will work a hybrid model (remote and office) which requires working in the nearest Elevance Health office ... of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. **How… more