Managed Care Jobs in Peoria
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Search Results - Managed Care Jobs in Peoria
Prisma HealthPeoria
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
Universal Background ScreeningPeoriamindmatch.ai
Managed Care, Education, and Professional Services.
About the Role
The Account Executive is responsible for selling Universal Background Screening’s employment screening, drug testing, and occupational health solutions to organizations. The primary focus...
UnitedHealth GroupPeoria
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
Healthcare Recruiting Specialists IncPeoria
Managed Care, and private pay sources.
• Direct local purchasing, vendor contract negotiations, and physical plant maintenance investments.
3. Clinical Quality & Interdisciplinary Leadership
• Collaborate with the Director of Nursing (DON) and Medical...
AbbottPeoria
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
LundbeckPeoria
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• Previous CNS sales management experience.
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• Previous sales management experience and/or experience in other areas of the business; i.e., marketing, sales training, managed care account manager, sales operations, account management...
Merck Sharp & Dohme (MSD)Peoria
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
Peoriacarlehealth.org
physicians, court system, and managed-care entities.
• Key Accountability
Meets clinical productivity standards
Meets compliance standards for all documentation and clinical charts.
• Key Accountability
Participates in in-service and competency training...
UnitedHealth GroupPeoria
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
Peoriacarlehealth.org
managed care and the precertification and utilization review activities necessary to obtain treatment approval.
• Participates in covering weekend inpatient evaluations on a rotating basis.
• Provides statistical data or special reports as required...
SCAN Health PlanPeoria
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
Peoriacarlehealth.org
with community agencies, primary care physicians, court system, and managed-care entities.
Provide effective communication
Provides effective, concise and pertinent documentation in a timely manner
Actively maintains open communication and demonstrates...
SedgwickPeoria
with emphasis on data analysis or planning
• Knowledge of project management and insurance-related procedures or managed care systems (preferred)
• Strong Excel/data analysis skills
• Excellent verbal and written communication, including presentations
• PC...
Peoriacarlehealth.org
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 on a rotating basis...
Peoriacarlehealth.org
of the Aftercare Plan with patient and recommends post-treatment referrals for patients.
• Documents per department guidelines.
• Maintains current knowledge of behavioral managed care and the precertification and utilization review activities necessary to obtain...
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