- 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
- CommonSpirit Health (Chicago, IL)
- …This position requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract ... apply to this exciting role. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract… more
- Amgen (Chicago, IL)
- …or private third-party access arena or pharmaceutical industry in in field reimbursement, managed care , clinical support, or sales OR Master's degree and 6 ... will participate in strategic meetings at various levels and lead their team to success. + Lead ...access arena or pharmaceutical industry in in field reimbursement, managed care , clinical support, or sales OR… more
- AdventHealth (Bolingbrook, IL)
- …. Understanding of CMS Conditions of Participation for Discharge Planning . Understanding of Managed Care and Value Based Programs . Ability to work autonomously ... Ave, Glendale Heights, IL) **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight...partner of a diverse leadership team . Ability to lead and sustain change . Knowledge of change management… 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
- 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
- J&J Family of Companies (Chicago, IL)
- …to address critical access and affordability issues for patients . Partner with managed care colleagues to understand current policies and potential future ... (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in… more
- WTW (Chicago, IL)
- …including producers, client advocates, broking teams, and sub-segment leaders (Life Sciences, Managed Care & Senior Living) + Actively participate on both ... Role** The Healthcare and Life Sciences (HC&LS) Industry Vertical leader is highly-collaborative and provides both the strategic vision...evolve the business, + Participate in sales calls and lead the delivery of the value propositions, + Educate… more
- Grifols Shared Services North America, Inc (Chicago, IL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- J&J Family of Companies (Chicago, IL)
- …cardiovascular, rheumatologic and/or pulmonary disease states Preferred + Working knowledge of managed care and hospital sales + Cardiopulmonary experience + ... the way. Learn more at https://www.jnj.com/innovative-medicine Purpose: A Key Leader coordinates all Customer Care Area (CCA)...Purpose: A Key Leader coordinates all Customer Care Area (CCA) activity to meet customer needs through… more
- Medtronic (Chicago, IL)
- …in business planning/consulting and territory financial analysis; preferred knowledge of managed care + Experience / knowledge of Physiology/clinical therapies ... 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
- Genesis Orthopedics & Sports Medicine (Chicago, IL)
- …All Charts Review Reports for missed billing and documentation. + Manage Managed Care Organization contract compliance reports. + Coordinate schedules with ... Sports Medicine clinical locations. This role ensures the efficient delivery of patient care , effective staff management, and the maintenance of a safe and welcoming… 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 role requires associates...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Actalent (Chicago, IL)
- …standing with the State Board of Pharmacy. + Two years of experience in retail, managed care , or clinical pharmacy. + Ability to prioritize tasks and manage ... & Qualifications + Previous experience in Pharmacy Benefits Management or Case/ Care Management. + Retail pharmacy experience preferred over hospital experience. Work… more
- Molina Healthcare (Thornton, IL)
- …Degree **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + 2+ years Medicare, Medicaid, managed care or other health/insurance related sales experience To ... is simple - deliver effective, reliable and affordable health care to those who need it most. But we...health interpreter and public health, health coach, aide, community lead , community advocate, nonprofit, non-profit, social worker, case worker,… more
- Elevance Health (Chicago, IL)
- …physicians. **Minimum Requirements:** + Requires BA/BS in Pharmacy. Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...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)
- …required. + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly ... 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