- Sumitomo Pharma (Springfield, IL)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- AbbVie (Mettawa, IL)
- …implementing appropriate processes to maintain rebate payment accuracy and contract compliance for AbbVie. Core Job Responsibilities: Responsibilities will include, ... but are not limited to: + Initiate process and provide Payer analytics invoice to invoice across clients/pharmacies w/ comparative KPI's + Development brand by brand… more
- Walgreens (Danville, IL)
- …and reports are in compliance with US (Federal & State) Healthcare regulations, Payer Contract terms, accounting principles and adheres to company policies. ... of escalated collections, audits and customer service issues. + Focus on payer relationships to ensure timely collections and resolution of escalated issues. +… more
- Rush University Medical Center (Chicago, IL)
- …Cash Poster FSR 2 will be required to investigate and resolve all payer specific variances including provider level adjustments such as interest and overpayment ... recovery payments and observe and report payer trends to management. Cash Poster will be required...effectively with peers and internal and external customers. *Assist manager and supervisor in resolving unclaimed cash, chargebacks, and… more
- Walgreens (Waukegan, IL)
- …growing the business at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures that store personnel provide ... authorizations on behalf of prescribers. **Operations** + Works with the Pharmacy Manager toward the success of the pharmacy operation (scheduling, customer service,… more
- Surgery Care Affiliates (Mokena, IL)
- …cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are ... corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts....breaks + Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts , appeals,… more
- HealthEdge Software Inc (Springfield, IL)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Robert Half Accountemps (Moline, IL)
- …our client! This candidate will work closely with the Revenue Cycle Manager while performing all components in the Insurance Verification/Authorization process for ... Advocate regarding patient's financial responsibility Review confirmation reports to identify payer rejection issues and execute payer procedures needed to… more
- Sumitomo Pharma (Chicago, IL)
- …motivated, and experienced individual for the position of **Uro-Oncology Account Manager - (Chicago South).** In this field-based role, the Prostate Cancer Sales ... and compliantly discuss various practice business drivers such as GPO contracts , IDN influence, reimbursement and copay implications. + Knowledge and understanding… more
- AbbVie (Mettawa, IL)
- …Follow @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description The Manager of Access & Fulfillment Analytics will be a key contributor to the ... Manage, and continuously improve various levels of reporting for program / contract evaluations as well as executive communication **Can hire a candidate at… more
- Rush University Medical Center (Chicago, IL)
- …and implementing new processes. 6. Stays abreast of network, reimbursement and payer contract language changes impacting the day-to-day functions and processes ... knowledge of inpatient and outpatient reimbursement methodology and interpretation of payer policies. * Excellent verbal and written communication skills due to… more
- WestCare Foundation (Chicago, IL)
- …of Human Services (IDHS) Substance Use and Prevention (SUPR), and insurance contracts . Essential Job Functions: + Create billing claims, including medical coding, ... effectively, and efficiently within timely filing limits for each payer . Review the documented reasons for payment denials that...be re-billed and communicate this to the Financial Operations Manager . + Contribute to the overall functions of the… more
- Rush University Medical Center (Chicago, IL)
- …functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy ... admission notification (NOA) process which is a required communication with the patient's payer to ensure that the payment for patient's inpatient stay is secured.… more
- Rush University Medical Center (Chicago, IL)
- …functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy ... admission notification (NOA) process which is a required communication with the patient's payer to ensure that the payment for patient's inpatient stay is secured.… more
- Walgreens (Deerfield, IL)
- …unit portfolio and ensure profitable access. + Negotiate profitable customer contracts , direct customer initiatives and special projects. + Facilitate and manage ... management. + Experience negotiating with outside vendors, including negotiating contracts , prices, resolving service issues and reconciling differences. +… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary** Serves as a segment manager for Walgreen's cash discount card business segment. With oversight from leadership, this role is ... Role will be responsible for managing key relationships and supporting contract development, negotiation and management. Accountable for Pharmacy-led P&L performance… more