- Highmark Health (Springfield, IL)
- …sales and customer service to respond to client/broker/member inquiries regarding provider contract , claim/member issues or provider file/record/directory ... assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial… more
- Humana (Springfield, IL)
- …and LTSS) who are responsible for day-to-day, front-line relationship management for network providers in Humana. This role supports provider onboarding, ... develops and grows positive, long-term relationships with physicians, providers and healthcare systems. The Provider Engagement Professional (Physician and LTSS)… more
- Humana (Springfield, IL)
- …'s issues. + Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience in all provider ... 4 or more years of progressive experience in managed care operations, including network management and provider relations -OR- equivalent work experience with 7… more
- Centene Corporation (Springfield, IL)
- …one who changes everything for our 28 million members. **Position Purpose:** Oversee provider network and contracting related activities. Lead all aspects of ... provider network strategy including, access analysis, ...+ Support market expansion and M&A activities by leading provider contract analysis related to due diligence… more
- Amergis (Chicago, IL)
- …that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any ... Salary: $2070 / Week Amergis Healthcare Staffing is seeking an Intensive Care Unit...facility or Intensive Care Unit (ICU) Registered Nurse (RN) contract requirement). Benefits At Amergis, we firmly believe that… more
- RLDatix (Skokie, IL)
- …to help raise the standard of care everywhere. Trusted by over 10,000 healthcare organizations around the world, our solutions help improve health and care. Our ... over 2,000 team members in making a difference in healthcare every day. We're searching for a Skopje-based Service...across our global offices. The Service Desk Analyst will provide first- and second-line support for internal systems, software,… more
- Axis (Chicago, IL)
- …+ While the focus is on the US market, experience with international healthcare reinsurance markets can provide additional insights and strategies. + Familiarity ... opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand...taking part in the selection process. **Head of US Healthcare Reinsurance** **How does this role contribute to our… more
- Highmark Health (Springfield, IL)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan… more
- Humana (Springfield, IL)
- …with payer-specific needs (MA, D-SNP). + Provide clinical input into network development, contract negotiations, and delegation oversight. + Serve as ... improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP… more
- GE Vernova (Oakbrook Terrace, IL)
- …system studies listed below and/or specify scope, review, comment, direct/oversee 3rd party provider (s) for the studies below: + Load Flow / Power Flow, Reactive ... or under desired characteristics section. + Excellent Technical Communication skills to provide guidance, analysis and reports in clear succinct manner to customers,… more