- Unknown (Chicago, IL)
- …of 7 years' of sales or business development experience specifically with healthcare payers, PBMs, or managed care organizations. Extensive payer relationships ... models, value-based care, and regulatory considerations. Experience in selling clinical services , healthcare SaaS platforms, or data-driven health solutions is… more
- Unknown (Chicago, IL)
- Regional Vice President of Sales, Health Systems About the Company Innovative healthcare software provider specializing in user-friendly solutions for patients, ... a Regional Vice President (RVP) of Sales - Health Systems to drive revenue growth by directly engaging with...will be responsible for acquiring new partners, expanding the service line inventory, and nurturing long-term relationships to enhance… more
- Unknown (Chicago, IL)
- Senior Vice President, Medicare About the Company Ambitious healthcare management organization Industry Hospital & Health Care Type Non Profit Founded 1945 Employees ... Categories Biotechnology Health Diagnostics Health & Wellness Health Care Health Systems Medicine Hospital Non Profit Health Maintenance Organizations [HMO] Life and… more
- Huron Consulting Group (Chicago, IL)
- …Technology Strategy leader is responsible for setting the strategic direction for technology within Healthcare Managed Services (HMS), with a strong focus on ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Huron Consulting Group (Chicago, IL)
- …in the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: ... and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling… more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Huron Managed Services Coding Operations Director oversees a portfolio of clients and is ... Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations management… more
- Huron Consulting Group (Chicago, IL)
- …as a senior leader responsible for the delivery and operational performance of Huron Managed Services (HMS) across all service lines for HMS's mid-tier ... **Qualifications** : + 10+ years of senior-level leadership in revenue cycle operations, healthcare BPO, or managed services ; experience in consulting a… more
- Molina Healthcare (Kenosha, WI)
- …**Preferred Education** Bachelor's Degree. **Preferred Experience** + 5 years' experience in managed healthcare administration and/or Provider Services . + 5 ... development and management, or project management experience in a managed healthcare setting. **Required Experience** + 2...2 - 3 years customer service , provider service , or claims experience in a managed … more
- Molina Healthcare (Kenosha, WI)
- …**Job Summary** Molina's Provider Contracting function provides guidance, signature support services , standards and resources to help Molina Healthcare ... equivalent experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care, and/or Provider Network Mgmt &… more
- Molina Healthcare (Kenosha, WI)
- …intake, interviews, and/or research of consumer or provider issues. Basic understanding of managed healthcare systems and mental health issues. **Required ... High School diploma. **Required Experience** 2 years experience in customer service , consumer advocacy, and/or health care systems . Experience conducting… more
- EPAM Systems (Chicago, IL)
- As the **Head of Next-Generation Managed Services ** at EPAM Systems , you will revolutionize our service delivery model by implementing AI-first ... across multiple accounts + Implement effective incident management; drive system performance improvements; and establish advanced monitoring and alerting...with at least 10 years in managed services + Deep expertise in Service Design,… more
- Huron Consulting Group (Chicago, IL)
- …oversees the system -wide physician billing and coding compliance program for Munson Healthcare , one of Huron's Managed Services clients. Works in close ... related to the design, implementation, revision, and maintenance of system -wide processes and systems that promote compliance...+ Oversee physician billing and coding operations across Munson Healthcare within Huron's Managed Services … more
- Health Care Service Corporation (Chicago, IL)
- …manage multiple parallel efforts ad deliver quality deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare ... analysis, process improvement, strategic planning, product administration or other relevant healthcare function + 4 years of experience leading with large and… more
- Health Care Service Corporation (Chicago, IL)
- …and PowerPoint. PREFERRED JOB REQUIREMENTS: * Professional designation such as Managed Healthcare Professional (MHP) or Certified Employee Benefit Specialist ... + 7 years experience requiring data analysis and information reporting relating to healthcare data. + 4 years leadership experience including 2 yrs in a management… more
- AbbVie (North Chicago, IL)
- …operations + 1-2 years supervisory experience in a call center, large physician, managed care, or healthcare insurance setting desired + Demonstrated strong, ... areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please… more
- Rush University Medical Center (Chicago, IL)
- …has responsibility for all cancer sites and services across the Rush System cancer service line, for maintaining operations, excellent patient care through ... that support the implementation of strategic initiatives and operational goals and objectives for Cancer Services across the Rush System for Health. This role… more
- Molina Healthcare (Kenosha, WI)
- …medical cost ratio (MCR), non-emergent utilization, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) to positively influence future ... the department, including leading and supporting various enterprise-wide provider services activities including education, outreach and resolving provider inquiries.… more
- Rush University Medical Center (Chicago, IL)
- …Compliance. + Lead performance improvement activities and educational programs, monitor healthcare service quality, and coordinate risk minimization efforts + ... + Lead program development and implementation of new clinical services + Assist in system integration of...and become part of one of the nation's best healthcare systems . _Rush is an equal opportunity… more
- Proven IT (Westchester, IL)
- …MNS team. + Maintain asset tracking accuracy for all assigned sites. + Support healthcare technology compliance and ensure all systems meet HIPAA standards. + ... CAREER PATH This position provides a hands-on foundation for advancement within Managed Network Services (MNS) or Project Engineering roles. Future opportunities… more
- Molina Healthcare (Kenosha, WI)
- …coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment… more
