- Boehringer Ingelheim (Peoria, IL)
- …with Managed Care Area Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO ... decisions. Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease management, etc. + Analyzes qualitative and quantitative territory information to optimize territory business plan and customer calls. Monitors… more
- Medical Express Ambulance Service (Skokie, IL)
- …have ambulance billing experience, including knowledge of Medicare, Medicaid and MCO compliance, coding, billing, posting, and excellent communication and computer ... skills. A good understanding of medical terminology and commercial insurance guidelines is necessary. Excellent salary and benefits, including sign on bonus, health, dental, life, AFLAC disability insurance, and 401K plan. MedEx is an Equal Opportunity /… more
- Carle Health (Bloomington, IL)
- …Carle McLean County Orthopedics: Originally established in 1977 as McLean County Orthopedics, MCO aligned with the Carle Health in 2021 and currently includes 33 ... providers in Orthopedics, Interventional Pain Management, Sports Medicine, Physical and Occupational Therapy, and Sports Psychology. Our friendly team of over 140 professionals currently serves patients throughout the Central Illinois region and offers… more
- Health Care Service Corporation (Chicago, IL)
- …Advantage knowledge and expertise. + Commercial, Affordable Care Act knowledge and/or Medicaid MCO . + Knowledge a plus. **This is a Flex (Hybrid) role: 3 days ... in office; 2 days remote.** **Sponsorship is not available.** \#LI-LO1 \#LI-Hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service… more
- Centene Corporation (Springfield, IL)
- …to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and shadowing opportunities to bridge gap between ... classroom training and field practice + Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success + Engages in a collaborative and… more
- Lundbeck (Kansas, IL)
- …formulary advancement + Understanding of formulary control mechanisms employed by MCO /PBMs and how they impact patients and physician's utilization + Resourcefulness ... in getting access to decision makers, directly or indirectly, to represent the company's products + Demonstration of ability to work collaboratively and influence without authority in achieving outcomes. + Demonstrated problem-solving and negotiation skills. +… more
- Molina Healthcare (East Moline, IL)
- …Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, Nevada Health Link, MCO , Managed Care, ACA, FQHC, Behavioral Health, CHW, Community Health ... Worker, Equity, DPBH, HMO, SDOH, Bilingual, Spanish, Spanish Speaking, \#PJHPO Pay Range: $20.83 - $40.62 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more