- Option Care Health (Chicago, IL)
- …Requirements** + Bachelor's degree and at least 2 years of experience in managed care account management, contract analysis or administration, payer ... relationships with payers. Assist with reimbursement issues arising from contracts for medical and pharmacy billing. Assist managing department...diploma/GED and at least 5 years of experience in managed care account management, contract … more
- CommonSpirit Health (Chicago, IL)
- …and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and ... The Senior Analyst , Payer Economics performs complex managed care payer financial analysis, strategic pricing...senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract … more
- Prime Therapeutics (Springfield, IL)
- …depth perception and ability to adjust focus. **Preferred Qualifications** Pharmacy services, PBM, managed care or health care industry experience Certified ... passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists in… more
- Walgreens (Deerfield, IL)
- …and coordinateswith internal teams or external agencies as needed, including managed service providers. + Develops and executes security controls, defenses and ... conductingvendor assessments to ensure vendor is complying with security contract language and WBAsecurity requirements. + May conduct ...May perform as "Level 3" support in the event Managed Service provider is unable to resolve anissue. +… more
- CVS Health (Springfield, IL)
- …analytical financial experience. + Minimum of 3-5 years' experience with key managed care functions including provider and population analytics, provider ... questions for the Account, Finance, UM, or Network Teams. + Extensive knowledge of managed care and how provider reimbursement policies relate to the control of… more
- Elevance Health (Chicago, IL)
- …experience with complex psychiatric/ substance abuse cases required. + Prior managed care experience required **Preferred Skills, Capabilities and Experiences:** ... **Behavioral Health Care Manager II** This role enables associates to...cost-effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more