- CVS Health (Springfield, IL)
- …conduct a thorough analysis **Required Qualifications** + 8+ years of experience in managed care , with a focus in pharmacy benefit management, pharmaceutical ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Datavant (Springfield, IL)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... life experiences to realize our bold vision for healthcare. **Job Summary** The Senior Manager, Facilities at Datavant will lead all aspects of facilities operations… more
- CVS Health (Chicago, IL)
- …in Provider Relations or Network Strategy * Minimum 5+ years' experience in Medicaid Managed Care business segment environment with exposure to benefits and/or ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...contract interpretation * Medicaid Regulatory Standards for Network Access,… more
- Highmark Health (Springfield, IL)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more
- Cardinal Health (Springfield, IL)
- …strategic C-suite and senior executive leadership partnerships with payers and managed care organizations + Comprehensive understanding of the evolving ... covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with… more
- Cardinal Health (Springfield, IL)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- Fresenius Medical Center (Chicago, IL)
- …with management and executives to determine appropriate plan of action. Supports Managed Care staff in budgeting and forecasting activities. PRINCIPAL DUTIES ... procedures. + Responsible for timely and accurate communication of revenue reporting to Managed Care Management Team. + Responsible for compliance with all… more
- Rush University Medical Center (Chicago, IL)
- …for facilitating weekly Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and ... design, and implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health… more
- Highmark Health (Springfield, IL)
- …Doctor of Pharmacy degree + Active pharmacist license + 4 years of experience in managed care pharmacy + 2 years of clinical account management experience in ... respective client portfolio as well as its P&L and contract compliance. Responsibilities include leading initiatives regarding the specific...Medicare as part of the 4 year managed care experience + 2 years of… more
- Evolent (Springfield, IL)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... sales with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations)… more
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