Managed Care Jobs in Illinois
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Search Results - Managed Care Jobs in Illinois
Abbott LaboratoriesAbbott Park
Associates degree or equivliant, or 3+ years of experience in managed care, payer relations, or healthcare sales, preferably in DME or IDTF.
• Strong understanding of payer contracting, reimbursement methodologies, and healthcare regulations.
• Excellent...
OptumRockford
unrestricted RN license required, specific to the state of employment including ability to obtain additional state licenses as directed
• 5+ years of managed care and/or care management experience
• 5+ years of clinical experience
• Experience with CMS and NCQA...
Career StrategiesDes Plaines
to their patients, in team environment. Collaboration and a healthy employee culture are top priority to them. You must have MCO experience (MCOs managed care, Medicaid/Medicare) Examples: and Medicaid Managed Care Plans.
This role focuses on operational execution...
JobotGlen Ellyn
Knowledge of basic concepts of managed care.
• Ability to effectively manage multiple tasks.
• Ability to write and to verbally communicate effectively.
• Ability to be flexible and adaptable.
• Ability to work autonomously.
• Excellent customer service...
Lifepoint Health®Edwardsville (IL)
analysis.
• Ensure patient referrals are clinically appropriate and support families in informed admission decisions.
• Design and execute annual and as-needed marketing plans aligned with long- and short-term facility goals.
• Collaborate with managed care...
OptumSpringfield
unrestricted RN license required, specific to the state of employment including ability to obtain additional state licenses as directed
• 5+ years of managed care and/or care management experience
• 5+ years of clinical experience
• Experience with CMS and NCQA...
Skilled Nursing of SilvisSilvis
of healthcare regulatory standards, licensing, and operations, particularly in managed care environments.
• Proven experience leading clinical services in diverse cultural and linguistic settings.
• Sensitivity to the unique needs of diverse patient...
W3R ConsultingDanville (IL)jobvertise.com
For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
• Plus 3 years wellness or managed care experience presenting clinical issues...
Altea HealthcareOttawa (IL)
understanding of medical terminology and physiology
• Experience with managed care and EHR systems
• Experience in patient care and hospital environments
Employee must be able to perform the essential functions of this position satisfactorily, with or without...
8 similar jobs: Gaylord, Grand Rapids, Cedar Springs, Grandville, Grand Haven...
Dekalbicims.com
dedicated team at Bethany Rehabilitation & Health Care Center and help support the financial operations that allow us to provide exceptional care to our residents.
Position: Accounts Receivable Assistant
Schedule:
• Full-Time | Day Shift
• Monday...
PfizerLake Forest (IL)dejobs.org
ROLE SUMMARY:**
As a Federal Government Contract Manager, you will be accountable for having a general working knowledge of the pharmaceutical and managed care industries and experience in Federal government contracts. You...
RandstadChicagorandstadusa.com
Top Managed Care Company seeking a Registered Nurse Case Manager Must be located in Cook County, IL.
This will be a contract, temp to hire field/remote blend case management role. Will be traveling within Cook, Lake, Will, Kane, Winnebago, Rock...
Chicagotiptopjob.com
managed care contracts and single case agreements. This role ensures compliance with regulatory requirements, organizational policies, and payer guidelines while fostering strong relationships with providers to support quality care delivery...
Pekin (IL)carlehealth.org
Documents per department guidelines.
• Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain treatment approval.
• Participates in covering weekend inpatient evaluations...
Robert HalfLemont (IL)roberthalf.com
eligibility and payer status.
• Engage with Medicaid representatives and managed care organizations to resolve coverage issues and obtain prior authorizations.
• Maintain thorough documentation of claim statuses, correspondence, and related records...
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