NewDirector of Business Development (Healthcare Technology Sales) - Schaumburg, IL or Remote Employment at ASADirector of Business Development (Healthcare Technology Sales) - Schaumburg, IL or RemoteSchaumburg, IllinoisRemoteThis position develops and communicates a compelling value proposition for the use and reuse of registry data, demonstrating how organizations can leverage high-quality clinical data to support process improvement, quality improvement initiatives, regulatory reporting, and participation in federal programs such as the CMS Quality Payment Program (QPP). Additionally, this role collaborates closely with internal stakeholders across registry operations, analytics, marketing, and product development to ensure that registry services evolve to meet market demand and deliver measurable value to participating organizations.
NewDirector of Business Development (Healthcare Technology Sales) - Schaumburg, IL or Remote American Society of AnesthesiologistsDirector of Business Development (Healthcare Technology Sales) - Schaumburg, IL or RemoteSchaumburg, ILRemote$150,000–$170,000 / yearPart timeThis position develops and communicates a compelling value proposition for the use and reuse of registry data, demonstrating how organizations can leverage high-quality clinical data to support process improvement, quality improvement initiatives, regulatory reporting, and participation in federal programs such as the CMS Quality Payment Program (QPP). Additionally, this role collaborates closely with internal stakeholders across registry operations, analytics, marketing, and product development to ensure that registry services evolve to meet market demand and deliver measurable value to participating organizations.
Data Architect - Healthcare Insights - Supply Chain (Manager) Huron Consulting Group IncData Architect - Healthcare Insights - Supply Chain (Manager)Chicago, ILRemote$140,000–$190,000 / yearThe role is responsible for end-to-end architecture decisions across the platform unstructured ingestion, embeddings, retrieval, semantic layers, and governance while partnering across engineering, product, and AI teams to ship production-grade AI data products. Stakeholder-first collaborator: Builds strong relationships with stakeholders, SMEs, and consultants; clarifies goals, constraints, and tradeoffs early; communicates progress and risks clearly; sets realistic expectations around timelines, scope, and quality.
Data Architect - Healthcare Insights - Supply Chain (Manager) Huron Consulting ServicesData Architect - Healthcare Insights - Supply Chain (Manager)Chicago, IllinoisRemoteThe role is responsible for end-to-end architecture decisions across the platform — unstructured ingestion, embeddings, retrieval, semantic layers, and governance — while partnering across engineering, product, and AI teams to ship production-grade AI data products. Stakeholder-first collaborator: Builds strong relationships with stakeholders, SMEs, and consultants; clarifies goals, constraints, and tradeoffs early; communicates progress and risks clearly; sets realistic expectations around timelines, scope, and quality.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareILRemote$81,000–$115,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
Transaction Advisory Services - Senior Associate [Healthcare] CohnReznick LLPTransaction Advisory Services - Senior Associate [Healthcare]Chicago, ILRemote$80,000–$130,000 / yearCohnReznick does not accept unsolicited resumes from third-party recruiters unless such recruiters are currently engaged by CohnReznick Talent Acquisition Team by way of a written agreement to provide candidates for a specified opening. Together, the firm provides leaders with deep industry knowledge and relationships, solutions to address clients unique business goals and risks, and insight on how emerging market forces can drive opportunity.
Regional Director - Healthcare - Illinois Zscaler IncRegional Director - Healthcare - IllinoisILRemote$157,500–$225,000 / yearThe Zscaler Sales and Go-to-Market team is a global group of professionals who are passionate about delighting our customers, nurturing trusted partnerships, and sharing their expertise to drive a secure, cloud-enabled digital future and further cement our position as the world leader in cloud security. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations and could be higher or lower based on a multitude of factors, including job-related skills, experience, and relevant education or training.
Employee Experience (EX) Advisor - Healthcare Press Ganey AssociatesEmployee Experience (EX) Advisor - HealthcareChicago, TexasRemoteHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries—a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
Principal Healthcare Data Product Engineer Medical Home NetworkPrincipal Healthcare Data Product EngineerILRemoteTHE OPPORTUNITY: MHN is seeking a Principal Healthcare Data Product Engineer to lead the design and development of data enrichment processes, data marts, and data pipelines driving our enterprise data warehouse and our products directly supporting the teams delivering care in our partner practices. Proven experience designing and delivering data products that support value-based care (VBC) business models across payer and provider functions, including claims, membership, EMR/EHR, clinical, eligibility (EDT), and care management data domains.
\n \n Hybrid Breast Radiologist with Body Imaging- Radiology Partners Chicago\n \n Radiology Partners Inc\n \n Hybrid Breast Radiologist with Body Imaging- Radiology Partners Chicago\n \nHarvey, ILRemote$500,000–$600,000 / yearnnnnnnnnnnnnGeneral informationnnnnnPress space or enter keys to toggle section visibilitynnnnnnnnJob TitlennnnHybrid Breast Radiologist with Body Imaging- Radiology Partners ChicagonnnnnFunctional AreannnnClinical - BreastnnnnnCitynnnnHarveynnnnnWork Location TypennnnHybridnnnnnStatennnnILnnnnnEmployment TypennnnFull-time (30+ hrs/week)/FULLTIMEnnnnnnnnnnnnnnnnnDescription & RequirementsnnnnnPress space or enter keys to toggle section visibilitynnnnnnnnPosition Description & Requirementsnnnn Position Summary RP Chicago is seeking a full-time Breast Imager for our Chicago based practice. Position Duties and Responsibilities $500K - $600K Base + Incentive Comp + Up to $100K Starting Bonus Up to $100K Starting Bonus Schedule: Flexible hybrid (remote + onsite) or fully remote Hours: 7a-4p CST (flexible day shift hours) Productivity Bonus Available No other shift requirements outside of dedicated shift hours Local Practice and Community Overview Radiology Partners Chicago (RP Chicago) has been committed to delivering the highest quality radiology services to Chicago Southland neighborhoods since 1972.
Director, Technical Product Management - Hybrid in Chicago IL, Minneapolis MN, DC or Remote UnitedHealth Group IncDirector, Technical Product Management - Hybrid in Chicago IL, Minneapolis MN, DC or RemoteChicago, ILRemote$134,600–$230,800 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. This role acts as a critical technical expert and liaison, partnering closely with design, engineering, data science, and scrum teams to shape feature requirements and execute on next-generation automated customer experience solutions utilizing cloud contact center and AI platforms such as Amazon Connect, Amazon Lex, and Google Dialogflow.
Sr AI ML Engineer - Remote or Hybrid Eden Prairie, MN or Schaumburg, IL UnitedHealth Group IncSr AI ML Engineer - Remote or Hybrid Eden Prairie, MN or Schaumburg, ILSchaumburg, ILRemote$120,100–$214,500 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Join our innovative technology team at Optum Health Financial Technology dedicated to designing, developing, and deploying high-impact, AI-powered solutions across our Care Management and Clinical platforms.
Health Care Litigation Attorney (Hybrid/Remote) Hinshaw & Culbertson LLPHealth Care Litigation Attorney (Hybrid/Remote)Chicago, ILRemote$130,000–$165,000 / yearTitle:Health Care Litigation Attorney (Hybrid/Remote)ID:731229011Department:AttorneyLocation:Chicago, ILSalary Range:Estimated $130,000 to $165,000 annually, pro-rated to reflect reduced hours schedule. Salary Range Note :Any offered salary is determined based on internal equity, internal salary range, market data, applicant skills, relevant skills, degrees, or certifications.
Nurse Practitioner- South Holland, IL- Hybrid Remote DaVita IncNurse Practitioner- South Holland, IL- Hybrid RemoteSouth Holland, ILRemote$118,000–$150,000 / yearClinical Care & Evaluation: The primary responsibility is completing Comprehensive Health Evaluations (CHEs) to assess and manage comorbid conditions while addressing medical, social, emotional, and financial needs. Why You'll Love Working Here: Make a direct impact on the lives of patients with kidney disease Autonomy to lead and innovate in patient care Be part of a mission-driven, collaborative team.
Call Center Team Lead - Hybrid - Monday-Tuesday 11:30am-8:00pm, Wednesday-Thursday 8:00am-5:30pm, Rotating Friday 8:00am-4:30pm and Saturday 8:00am-1:00pm Versiti, Inc.Call Center Team Lead - Hybrid - Monday-Tuesday 11:30am-8:00pm, Wednesday-Thursday 8:00am-5:30pm, Rotating Friday 8:00am-4:30pm and Saturday 8:00am-1:00pmAurora, IllinoisRemoteFull timeThis combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise.
NewDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available) A&E Television Networks, LLCDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available)Chicago, ILRemote$159,643–$186,783 / yearThis role partners closely with Global Content Sales leadership and cross-functional stakeholders to develop business strategies, evaluate new market opportunities, structure commercial partnerships, and deliver executive-level insights that inform key strategic decisions. WHAT YOU'LL DO: Lead and execute business development initiatives across international FAST channel platforms, strategic distribution partnerships, and emerging digital media platforms to drive revenue, growth and expand market presence.
Acute Dialysis Registered Nurse Renaissance ManagementAcute Dialysis Registered NurseAurora, ILRemote$37–$47 / hourFull timeStrong patient assessment and monitoring skills will enable you to identify changes in patient conditions promptly, while expertise in treatment initiation and termination is vital for effective care management. Join Renaissance Management Company as a Full-Time Acute Dialysis Registered Nurse and embrace the excitement of working in a fully remote role that prioritizes innovation and patient care.
NewCase Manager Registered Nurse (Remote, Illinois) CVS Health CorpCase Manager Registered Nurse (Remote, Illinois)Chicago, ILRemote$66,575–$142,576 / yearOur Case Managers use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs.
Utilization Management Registered Nurse (RN) - Remote GuidehealthUtilization Management Registered Nurse (RN) - RemoteChicago, ILRemote$70,000–$75,000 / yearDriven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
NewNurse Auditor Humana IncNurse AuditorILRemote$78,400–$107,800 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
RN to BSN Program Coordinator Roosevelt UniversityRN to BSN Program CoordinatorChicago, ILRemote$95,000–$110,000 / yearPosition Rank Assistant/Associate Teaching Professor Track Non-Tenure Track Position Title RN to BSN Program Coordinator Category Full-Time Faculty Position Number Posting Number F0000269 Location Remote - Chicago Open Date 05/05/2026 Close Date Open Until Filled? The successful candidate will bring extensive experience in online teaching and program administration, demonstrate a commitment to inclusive and student-centered education, and possess a strong understanding of contemporary nursing education and workforce needs.
NewUtilization Management Behavioral Health Professional Humana IncUtilization Management Behavioral Health ProfessionalILRemote$65,000–$88,600 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.
Remote Registered Nurse RN RylemRemote Registered Nurse RNChicago, ILRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
Case Management Supervisor RN CorVel CorpCase Management Supervisor RNDowners Grove, ILRemote$77,960–$120,368 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Chicago, ILRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
NewRN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorChicago, IllinoisRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationChicago, ILRemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Manager, Care Management Humana IncManager, Care ManagementNorth Aurora, ILRemote$86,300–$118,700 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for the care management of Medicaid members in Humana''s Illinois market.
Apply to Future Opportunities - RN Care Navigator (100% Remote in IL) Healthmap Solutions IncApply to Future Opportunities - RN Care Navigator (100% Remote in IL)ILRemote$77,390–$115,061 / yearManaging a set caseload of mixed acuity members, reviewing and/or obtaining member data and entry in HealthMap's Care Management documentation system (Compass), completing member health and social determinants of health screenings, medication reconciliation, creation and maintaining member-centric care plans, updates of identified problems, barriers, interventions, and goals and assistance with ongoing case management. Serve as liaison between the patient, the patient's support network, treating physician, and other ancillary providers as a member of an interdisciplinary care team to coordinate care, resolve nursing problems and assist patients in meeting individualized goals.
Care Review Clinician (RN) - (IL Nursing license) Molina Healthcare IncCare Review Clinician (RN) - (IL Nursing license)ILRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
InterQual Senior Clinical Education Consultant (RN) - Remote UnitedHealth Group IncInterQual Senior Clinical Education Consultant (RN) - RemoteChicago, ILRemote$91,700–$163,700 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Assists in defining new service offerings working closely with the Director of InterQual Clinical Services Assists in the development of new programs and education delivery methods for all software programs that deliver InterQual.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorAurora, ILRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Resource RN - Pop Health - Up to 90% remote - Must have an active IL license. Cityblock Health IncResource RN - Pop Health - Up to 90% remote - Must have an active IL license.ILRemote$71,000–$90,500 / yearMeet members in various community settings such as homes,shelters, or hospitals, serving as an extender of care team providers and performing tasks like administering injections, monitoring vital signs, and in-home medication reconciliation. Medical Clearance (for Member-Facing Roles): You must complete Cityblock's medical clearance requirements, which include, but may not be limited to, evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation that precludes you from being vaccinated against these diseases.
RN Triage - Centralized Triage Endeavor HealthRN Triage - Centralized TriageWarrenville, ILRemote$33.96–$52.64 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties.
Case Management Supervisor RN CorVel Healthcare CorporationCase Management Supervisor RNDowners Grove, ILRemote$77,960–$120,368 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management.
Adjunct Faculty Nurse Assistant Program Health Professions and Public SrvceAdjunct Faculty Nurse Assistant ProgramAurora, IllinoisRemote4000 hours of nursing experience (2 years) as an RN with 2000 of those hours (1 year) in one of the following: (a) Teaching theory in an accredited nurse training program or BNATP, (b) Providing nursing care, including personal care and ADLs to older or chronically ill adults, or (c) 1 year experience in long-term care. Courses at Waubonsee Community College may be offered in various delivery modes including, but not limited to, face-to-face, asynchronous online, synchronous online, hybrid, and flex.
Remote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AK PharmD Live CorpRemote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AKILRemoteDeliver personalized care management and coordination services Conduct patient assessments and develop individualized care plans Support chronic disease management (e.g., diabetes, hypertension, CHF, COPD) Provide education on disease states, medications, and self-management strategies Utilize motivational interviewing techniques to enhance adherence and engagement Collaborate with providers and care teams to align treatment plans Identify care gaps, risks, and barriers to optimal outcomes Maintain accurate, compliant, and timely documentation Support care transitions and follow-up coordination. Strong clinical judgment and attention to detail Excellent communication and interpersonal skills Ability to build rapport and trust in a remote setting Patient-centered, outcomes-driven mindset Self-motivated and able to work independently High level of professionalism and accountability.
Remote RN Case Manager - Metro Chicago Optech, LLCRemote RN Case Manager - Metro ChicagoDowners Grove, ILRemoteThis role combines remote work with local travel throughout the Chicago metropolitan area, providing clinical oversight, care coordination, patient advocacy, and collaboration with healthcare providers, employers, and other stakeholders. The ideal candidate will have strong assessment skills, experience managing complex cases, and a passion for helping patients achieve positive outcomes while ensuring appropriate and cost-effective care.
Remote RN Case Manager (Bilingual) - Metro Chicago Optech, LLCRemote RN Case Manager (Bilingual) - Metro ChicagoDowners Grove, ILRemoteThis role combines remote work with local travel throughout the Chicago metropolitan area, providing clinical oversight, care coordination, patient advocacy, and collaboration with healthcare providers, employers, and other stakeholders. The ideal candidate will have strong assessment skills, experience managing complex cases, and a passion for helping patients achieve positive outcomes while ensuring appropriate and cost-effective care.
Health Care Navigator Government Employees Health AssociationHealth Care NavigatorSummit, MissouriRemoteHealth Care Navigators engage in proactive outreach to build successful working relationships between members and healthcare professionals; helping to support, engage, and refer members to available programs, resources, and services to navigate the complex health care system. While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerChicago, ILRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerChicago, ILRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
Clinical Quality Study Analyst TriWest Healthcare AllianceClinical Quality Study AnalystChicago, ILRemoteFull timeTechnical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.