- Optum (Chicago, IL)
- …care setting and working with medically complex patients Working knowledge of Medicare Advantage Risk plans Understanding of HEDIS measurements and delivering ... and out of the hospital, or those with life-limiting illnesses. The physician will lead the team in high-risk patient care and the transition of care management.… more
- Humana (Springfield, IL)
- …Humana's Marketing organization is seeking a Product Marketing Lead who is experienced with Medicare Advantage . As the Lead , Medicare Advantage , ... Medicare Advantage ?... Lead the development of go-to-market strategies for Medicare Advantage products, including positioning, messaging, and campaign… more
- CVS Health (Northbrook, IL)
- …as needed. + Knowledge of all types of health care products including HMO, PPO, Medicare Advantage and Medicare Part D. + Knowledge of all types ... of pharmacy products including specialty drug, Medicare Part D and understanding of PBM operations. + Working knowledge of Microsoft Office products (Word, Excel,… more
- Humana (Springfield, IL)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Springfield, IL)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage , and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Springfield, IL)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- Humana (Springfield, IL)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... case reviews of requests received by members of the Medicare population and reports to the Lead ...the Medicare population and reports to the Lead Medical Director.** **Other duties:** + Identify medical management… more
- Humana (Springfield, IL)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... case reviews of requests received by members of the Medicare population and reports to the Lead ...the Medicare population and reports to the Lead Medical Director. **Other duties:** + Identify medical management… more
- Humana (Springfield, IL)
- …CenterWell and Conviva, delivers care to approximately 300,000 patients from many different Medicare Advantage health plans, and is the largest provider of ... team to develop strategies that support continued growth + Lead the clinical team to partner closely with the...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Mathematica (Chicago, IL)
- …and/or providers. The Sr. Fellow's work could be focused on improving the Medicare , Medicare Advantage , Medicaid, and veterans and military focused ... to capture planning and proposal development. This person will also lead client engagements includes serving as project director or principal investigator… more
- Medtronic (IL)
- …position supports engagement with commercial payers, managed care organizations, and Medicare Advantage plans. Additionally, this role requires experience and ... helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in...us as we champion healthcare access, drive equity, and lead the evolution of market access in a complex,… more
- CenterWell (Springfield, IL)
- …learning design, adult learning principles, or LMS platforms. + Exposure to Medicare Advantage , value-based care, or population health programs. **Additional ... National Clinical Education team, the Program leader, Provider Education will lead the execution of high-impact learning initiatives that support provider… more
- Humana (Springfield, IL)
- …learning and content delivery-and we're looking for a product manager to lead the development of capabilities that support broker, agent, and partner education. ... role: owning the roadmap for platforms like Agent Marketing Hub (AMH) and Agent Advantage University (AAU), while acting as an embedded expert within agile pods to… more
- Alight (IL)
- …driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the ... + Responsible for ensuring quality including identifying process improvements that will lead to improvements in quality and efficiency + Monitoring and tracking… more
