- Elevance Health (Chicago, IL)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- CVS Health (Buffalo Grove, IL)
- …to make health care more personal, convenient and affordable. Position Summary The Sr. Clinical Pharmacist, Medicare - Medical Affairs leads within the ... Affairs and key stakeholders across the organization to support customer needs. The Sr. Clinical Pharmacist, Medicare - Medical Affairs is responsible for… more
- Elevance Health (Chicago, IL)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Elevance Health (Chicago, IL)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… more
- Boehringer Ingelheim (Chicago, IL)
- …expectations for insight generation related to scientific objectives. + In collaboration with Medical Excellence, the MSL Director and TA Sr. AD MSLs, identify ... within Medicine and across stakeholders, and support the MSL Director in accountabilities and key initiatives. + Collaborate with...- required. + 8 or more years' of relevant medical affairs experience, clinical practice, or research:… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** Reporting to the Director /Manager of Clinical Trials Research Revenue Cycle, this position will create ... coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and...regulatory documents to prepare a billing plan for all medical procedures and services required in a clinical… more
- College of American Pathologists (Northfield, IL)
- …The CAP's standards have been called "the toughest and most exacting in the medical business." In addition to accrediting clinical laboratories to both CLIA and ... leader in laboratory quality assurance. An advocate for high-quality and cost-effective medical care, the CAP inspects and accredits medical laboratories under… more
- Mitsubishi Chemical Group (Chicago, IL)
- …RADICAVA(R) (edaravone) oral suspension in 2022. The company handles research, clinical development, sales, marketing, medical affairs, and business development ... respected - is a research-driven pharmaceutical company that has tirelessly pursued medical breakthroughs with global reach. MTPC has discovered and produced several… more
- Rush University Medical Center (Chicago, IL)
- …requirements specific to Research Billing. * Maintain a detailed understanding of Medicare 's Clinical Trial Policy (NCD 310.1) and related guidance documents. ... and OnCore reports for analysis and communicates findings to Director and team. * Provides resolution of escalated issues,...clinical trial management system(s) (CTMS) as well as medical billing software (ie OnCore, EPIC). * Excellent verbal… more
- CVS Health (Buffalo Grove, IL)
- …processes and requests. The Sr. Clinical Pharmacist leads within the Medical Affairs team supporting Medicare formularies and external cross-functional teams ... Medicare formularies, drug lists, utilization management, and other clinical programs and related processes, assuring clinical appropriateness, accuracy,… more
- Brookdale Senior Living (Chicago, IL)
- Overview Seeking District Director of Sales for CCRC Portfolio Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity Make Lives Better ... on a scheduled basis and as approved by Division Director of Sales or VP Sales. Partners with on-site...to achieve and maintain full occupancy. + Interacts with Clinical Operations and other home office associates. Educates and… more
- AdventHealth (Glendale Heights, IL)
- …ensures efficient and cost-effective care through appropriate resources monitoring and clinical care escalations. The Social Worker is under the general supervision ... and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination. The Social… more
- Walgreens (Deerfield, IL)
- …pharmacy and payer segments. In addition, experience with billing procedures for hospital, medical offices and Medicare (B / D benefits). + Experience with ... with buy and bill practices, reimbursement and billing issues within oncology medical practices, particularly with Medicare . Should have experience with current… more
- Fresenius Medical Center (Chicago, IL)
- …tracking and monitoring of Coordination of Benefit period and ensures that the Medicare applications are processed 90 days prior to the 30-month coordination period ... for compilation in Division monthly reports + Provides IC Director with monthly reports in the absence of the...other FKC Management teams. Provides education to Operations and clinical staff and area/regional management as to the IC… more
- AdventHealth (Hinsdale, IL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general ... supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a… more
- AdventHealth (Hinsdale, IL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general ... supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a… more
- Trinity Health (Maywood, IL)
- …(via E-Value), clinic and call information. Ensures the accuracy of all clinical assignments for compliance with Medicare scrutiny. Ensures the availability ... Coordinating the administrative aspects of a healthcare professional residency program ( medical , surgical, dental, podiatric) with special focus on becoming expert… more
- Trinity Health (Maywood, IL)
- …(via E-Value), clinic and call information. Ensures the accuracy of all clinical assignments for compliance with Medicare scrutiny. Ensures the availability ... plans and executes events, activities, and meetings. + Assists Division Director with creation, preparation, and distribution of materials to be presented… more
- CVS Health (Chicago, IL)
- …remote and can sit anywhere within the US This position will report to the Lead Director of Data Science- Clinical Stars Strategy and play a critical role in ... opportunities that drive change in areas such as Patient Safety and Medicare Stars. Required Qualifications: -Languages- python, Java,C++,SQL, R, C++, Tableau, Power… more
- IQVIA (Deerfield, IL)
- …our Contract Performance Solutions (CPS) Team. This position will report to the Director , CPS Government Pricing Operations. The purpose of the role is to ... support a variety of government pricing services to our life science and medical device customer base. This role is responsible for the timely delivery of… more