- 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
- Novo Nordisk (Aurora, IL)
- …in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and ... relationships with healthcare providers, positioning Novo Nordisk as a leader in obesity care , understanding the local...to audience needs + Leverage understanding of impact of managed care in the territory and how… 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
- Trinity Health (Oak Brook, IL)
- …skills. + Knowledge of Medicare rules and regulations. + Working knowledge of managed care environment. + Experience multi-tasking on multiple computer systems. ... **Employment Type:** Part time **Shift:** **Description:** Home Care Coordinator for Loyola **Home Care ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Novo Nordisk (Aurora, IL)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... the people who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as… 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
- 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
- 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
- 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
- Daiichi Sankyo Inc. (Chicago, IL)
- …including community oncology groups, hospital/IDN systems, academic medical centers, managed care organizations, pharmacy benefit management companies, payer ... creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging… more
- R1 RCM (Chicago, IL)
- …for services provided (CPT/HCPCS codes). + **Analyze and apply Commercial and Managed Care contracts to facilitate proper pricings.** + Navigate hospital ... and validate hospital reporting. + Build and maintain expertise in Medicare and Managed Care billing, coding, and reimbursement policies. + Support algorithm… 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
- 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
- Elevance Health (Chicago, IL)
- …the healthcare industry is preferred. + Actuarial experience within a healthcare and/or managed care organization preferred + Some exposure to healthcare or ... health programs and strong understanding of actuarial principles and managed care operations preferred. + Possess working...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- J&J Family of Companies (Chicago, IL)
- …cardiovascular, rheumatologic and/or pulmonary disease states Preferred + Working knowledge of managed care and hospital sales + Cardiopulmonary experience + ... the way. Learn more at https://www.jnj.com/innovative-medicine Purpose: A Key Leader coordinates all Customer Care Area (CCA)...Purpose: A Key Leader coordinates all Customer Care Area (CCA) activity to meet customer needs through… more
- Elevance Health (Chicago, IL)
- …with a broad range of complex psychiatric/substance abuse and/or medical disorders. Managed care experience required. For Government business only LAPC LAMFT ... Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Rush University Medical Center (Chicago, IL)
- …relationship development with Rush Alumni. 12. Integrate consultant activities to maximize managed care and other contractual relationships. 13. Assist with the ... and faculty physicians within the Rush service area. The position will lead external referring community liaison efforts, working in close concert with specific… more
- Rush University Medical Center (Chicago, IL)
- …identify and expand relationship development. + Integrate consultant activities to maximize managed care and other contractual relationships. + Assist with the ... and faculty physicians within the Rush service area. The position will lead external referring community liaison efforts, working in close concert with specific… more
- Genesis Orthopedics & Sports Medicine (Chicago, IL)
- …All Charts Review Reports for missed billing and documentation. + Manage Managed Care Organization contract compliance reports. + Coordinate schedules with ... Sports Medicine clinical locations. This role ensures the efficient delivery of patient care , effective staff management, and the maintenance of a safe and welcoming… more