Managed Care Jobs in Rockford

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Search Results - Managed Care Jobs in Rockford

Financial Project Analyst - Managed Care, Corporate Remote, FT, Days

Prisma Health-Rockford-1 week ago

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...

Remote COO: Growth, Strategy & Provider Network Leader

Centene Corporation-Rockford-appcast.io-4 days ago

Centene Corporation seeks a senior executive to lead day-to-day operations, profitability, and growth within its managed care framework. The role focuses on building provider networks, developing business plans, and delivering strong financial...

Sales Director, M&R - Phoenix, AZ

UnitedHealth Group-Rockford-yesterday

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...

Chief Operating Officer, Illinois Health Practice Alliance

Centene Corporation-Rockford-appcast.io-4 days ago

contractual requirement information regarding state and federal regulatory agencies. Education/Experience: Bachelor's Degree in related field required. Master's Degree preferred. 7+ years of senior level managed care experience, preferably as a plan operating...

Diabetes Sales Specialist - Virginia Beach, VA

Abbott-Rockford-6 days ago

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...

Sales Executive

Universal Background Screening-Rockford-mindmatch.ai-2 days ago

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...

Regional Sales Director, Immunology - Northeast Region

Merck Sharp & Dohme (MSD)-Rockford-1 week ago

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...

Behavioral Health Case Manager

Crusader Community Health-Rockford-6 days ago

and psychosocial issues. The Behavioral Health Case Manager works in conjunction with the provider(s), patient, family, specialty services, community entities and managed care organizations. The Case Manager will be responsible for the provision of services...

Maternal Health and EPSDT Coordinator, Remote in Nebraska

UnitedHealth Group-Rockford-yesterday

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...

New Hire Bonus! Case Management Coordinator - Field (Winnebago -Jo Daviess Counties, IL))

CVS Health-Rockford-yesterday

experience. • Managed Care experience. Education • Bachelor's degree or non-licensed master level clinician required with either degree being in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family therapy, Counseling...

Healthcare Analyst III

SCAN Health Plan-Rockford-yesterday

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...

Sr IT Project Management Specialist

Sedgwick-Rockford-yesterday

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...

Supervisor, Care Management

SCAN Health Plan-Rockford-yesterday

and corrective actions • Actively support SCAN’s vision and goals • Other duties as assigned Key requirements • Bachelor's Degree or equivalent experience • 2+ years in managed care, healthcare, or case management • 2+ years experience with seniors and remote...

Licensed Psychologist, Peer Reviewer - ABA Services - Remote

UnitedHealth Group-Rockford-1 week ago

determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...

AR Billing Supervisor

Pennant Group-Rockford-1 week ago

Responsibilities • Oversee full-cycle accounts receivable for assigned communities • Audit AR functions for accuracy and compliance • Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities • Prepare AR, Medicaid, and managed care...