- WTW (Chicago, IL)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- CommonSpirit Health (Chicago, IL)
- …This position requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract ... apply to this exciting role. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract… more
- Amgen (Chicago, IL)
- …or private third-party access arena or pharmaceutical industry in in field reimbursement, managed care , clinical support, or sales OR Master's degree and 6 ... will participate in strategic meetings at various levels and lead their team to success. + Lead ...access arena or pharmaceutical industry in in field reimbursement, managed care , clinical support, or sales OR… more
- AbbVie (North Chicago, IL)
- …& Access department who uses clinical expertise and experience/ knowledge of managed care , health policy, and pharmacoeconomics to support AbbVie's scientific ... and private health care entities, including but not limited to, managed care organizations (MCOs), specialty pharmacy providers (SPPs), pharmacy benefit… more
- Rush University Medical Center (Chicago, IL)
- …and maintaining relationships with third party payers including but not limited to Managed Care Commercial payers, Medicare Advantage payers and Medicaid payers ... and negotiating managed care agreements both fee-for-service (FFS) and...monthly payer joint operating committee (JOC) meetings; serve as lead role for addressing contract issues. + Staff Committees… more
- Walgreens (Deerfield, IL)
- …areas Pharma, GPO, National Accounts, pharmacy marketing, pharmacy sales, and or managed care . + Experience developing innovative and strategic client ... the One Walgreen's value proposition. Serves as a key leader to bring insights and information from the marketplace...and manage executive to executive interactions and meetings. + Lead and direct cross functional teams that matrix with… more
- Molina Healthcare (Kenosha, WI)
- …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... contracting processes, policies and procedures. * Assists the Provider Quality Lead Supervisor to identify trends and establish processes to address deficiencies… more
- ChenMed (Chicago, IL)
- …proactive professional who excels in evidence-based pharmacy practices. With a focus on managed care , this person will prioritize the most cost-effective options ... modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Strong understanding of managed care practices and operations. + Knowledge of and experience… more
- CVS Health (Northbrook, IL)
- …success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy ... **Required Qualifications:** -10+ years of professional work experience in healthcare, managed care , health plans, or PBM, preferably with a focus on financial… more
- Zurich NA (Schaumburg, IL)
- …profitability goals and ensure the delivery of quality, cost effective services to our Managed Care stakeholders. You will act as a subject matter expert and ... the AVP of Utilization Review & Pharmacy, you will lead and direct a team of Utilization Review and...technical resource to Managed Care stakeholders regarding operational and regulatory… more
- Molina Healthcare (Kenosha, WI)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- J&J Family of Companies (Chicago, IL)
- …to address critical access and affordability issues for patients . Partner with managed care colleagues to understand current policies and potential future ... (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in… more
- Molina Healthcare (Kenosha, WI)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Walgreens (Deerfield, IL)
- …clinics. + Business to business experience preferred in a medical setting and or managed care experience working with medical offices, provider groups or IDNs ... and external stakeholders in discussions, as needed. Plays a lead role on key region initiatives and priorities. Spends...systems, IDN's and provider groups / networks to coordinate care and sell Walgreens and AllianceRx Walgreens Prime services… more
- WTW (Chicago, IL)
- …including producers, client advocates, broking teams, and sub-segment leaders (Life Sciences, Managed Care & Senior Living) + Actively participate on both ... Role** The Healthcare and Life Sciences (HC&LS) Industry Vertical leader is highly-collaborative and provides both the strategic vision...evolve the business, + Participate in sales calls and lead the delivery of the value propositions, + Educate… more
- Walgreens (Deerfield, IL)
- …sources within a hospital infusion environment + Experience selling in healthcare, managed care , Specialty Pharmacy. + Experience working with community support ... Works across highly matrixed field organization including store operations, managed markets sales, government affairs, etc. **Job Responsibilities:** + **Business… more
- AbbVie (Mettawa, IL)
- …accrued vs paid rebate schedules and analyzing variances for Medicaid, Managed Care , and Medicare, currently approx. $14 billion. Lead the month end close ... + Prepare rebate paid vs. reserves analysis monthly for Medicaid, Medicare, Managed Care and analyze variances. + Work closely with Rebate Operations (Government… more
- Grifols Shared Services North America, Inc (Chicago, IL)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- Molina Healthcare (Kenosha, WI)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT + Crystal Reports for data… more
- Molina Healthcare (Kenosha, WI)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more