- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Kenosha, WI)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... State Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Molina Healthcare (Kenosha, WI)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Little City Foundation (Grayslake, IL)
- ASSISTANT DIRECTOR OF DAY SERVICES-GRAYSLAKE Job Details Job Location Grayslake - Grayslake, IL Position Type Full Time Education Level BA/BS Human Srvcs, 3yrs exp ... and Resume. Salary range: $ 50,000- 63,000/ year PURPOSE: The Assistant Director is responsible for providing leadership, direction, and operation oversight of… more
- AbbVie (Mettawa, IL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… more
- Walgreens (Deerfield, IL)
- …including disability/veterans". \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director , Consultant Relations - Remote **Company Indicator:** Walgreens ... Systems, various other providers, etc), the various lines of business (Commerical, Medicare , Medicaid, etc) and the various healthcare services provided in the… 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
- All-Stat Portable (Skokie, IL)
- …Reimbursement management + Identify opportunities for insurance credentialing + Related to medical record request and CERTs + Work closely with All-Stat's Finance ... health information management issues and regulations + Comply with medical billing and coding policies and guidelines + Report...+ Report all department concerns and issues to the Director of Revenue for prompt necessary action. + Partner… more