59 remote care manager jobs at 37 companies in Mount Prospect, IL
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Manager, Care Management
Illinois or Quincy or Harrisburg or Jacksonville or Champaign or Dekalb or Belleville or Marion or Carbondale or Elgin or Freeport or Mount Vernon or Effingham or Peoria or Decatur or Aurora or North Chicago or Mattoon or Naperville or Rockford or Joliet or Chicago or Waukegan or Bloomington or Galesburg or East Chicago or Cairo or Sterling or North Aurora or Springfield
$86k-$119k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
5+ YOE2+ MgmtMust reside in Illinois; Associate's degree minimum; active RN or SW license; 5+ years professional experience with 2+ years management; proficiency with Microsoft Windows/Outlook/Excel/Word and MIS; knowledge of Medicaid/Medicare and care management models.
Microsoft Windows, Microsoft Outlook, Microsoft Excel, Microsoft Word, MIS, HireVue
Health Care Service Corporation: Provides health insurance and managed care to millions of members.
2+ YOECurrent unrestricted state licensure (RN or behavioral health licenses), 2+ years clinical practice, plus 3 years wellness/managed care experience preferred; strong communication, analytical and PC skills; valid driver\u0002s license and ability to travel.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Rolling Meadows or Wisconsin or Michigan or Illinois or Charlotte or Georgia or Alabama
$38-$57/hrRemoteFull Time
Advocate Health: Provides integrated clinical care through a network of hospitals.
5+ YOERequires an RN license, bachelor's degree in nursing or related field, 5 years of clinical nursing or 1–2 years of care management experience, Epic EMR experience, and strong communication, critical thinking, and organizational skills.
Waymark: Providing technology-enabled community healthcare services for Medicaid beneficiaries.
Supervise and coach care coordinators, perform outreach and care coordination, analyze performance data using Excel and EHRs, collaborate with multidisciplinary teams, and travel locally up to 30%.
Allied Benefit Systems: Administers self-insured health benefit plans for employer organizations.
2+ YOEBachelor's degree or equivalent,2 years group health/self-funded plan experience,excellent communication,analytical and organizational skills,proficient with Microsoft Office.
Firefly Health: Provides virtual primary care and integrated health insurance plans.
5+ YOEMD/DO with residency in Family or Internal Medicine, board certified, 5+ years primary care experience, multi-state licensure preferred (MA required), experience supervising NPs and in value-based care, maintain CME.
Discovery Senior Living: Developer and operator of senior living and care communities.
10+ YOE5+ MgmtActive nursing license, 10 years of nursing experience, 5 years of nursing management, and assisted living, home health, or long-term care experience required. Nursing bachelor's or master's degree preferred.
Los Angeles or Orange County or Atlanta or Chicago or Phoenix or California or United States
RemoteFull Time
City of Hope: Medical research and treatment center for cancer and diabetes.
10+ YOE5+ MgmtBachelor's degree; 10+ years healthcare/financial analytics experience with managed care expertise; 5+ years leading analytics teams; deep knowledge of payer reimbursement, contracting, and value-based models; SQL/Power BI/Tableau/Epic proficiency.
Vytalize Health: Provider enablement platform for value-based healthcare delivery.
3+ YOE3+ years in practice transformation or population health; experience with physician practices in value-based care; strong program management and data-driven improvement skills.
Kenosha or Madison or Milwaukee or Green Bay or Wisconsin
$180k-$215k/yrRemoteFull Time, Part Time
Talkiatry: A clinician-led virtual psychiatry practice providing outpatient telepsychiatry and integrated behavioral health services.
3+ YOEBoard-certified PMHNP with active unrestricted license, minimum 3 years post-grad PMHNP experience, outpatient psychiatric care and medication management experience, EMR proficiency, and comfort with fully remote telepsychiatry.
HuronNasdaq: HURN: Professional services firm providing management consulting and digital transformation.
5+ YOE1+ MgmtBA/BS in Nursing with CCDS; 5+ years acute care hospital and 5+ years in clinical documentation integrity; travel may be required; US work authorization.
American Heart Association: Nonprofit organization dedicated to fighting heart disease and stroke.
5+ YOEBachelor's in a health-related field required (Master's preferred), 5+ years relevant experience, experience with Get With The Guidelines (heart failure) and acute care quality improvement, strong PowerPoint/Word/Excel skills, virtual meeting proficiency, occasional travel.
GWTG Registry Platform, Microsoft Dynamics, Microsoft PowerPoint, Microsoft Word, Microsoft Excel, Microsoft Teams, Zoom
Cypress or Chicago or Phoenix or Houston or Boston or Tampa
$249k-$373k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with active unrestricted medical license and board certification; 5+ years clinical practice; 2+ years quality management; managed care proficiency; strong communication, project management, and data analysis skills.
Guidehouse: Provides management and technology consulting services to diverse organizations.
15+ YOE15+ years in managed care, payer, ACO or healthcare consulting; Bachelor's required (Master's preferred); proven book-of-business and sales record; deep managed care contracting, analytics, and negotiation experience; travel up to 50%.
Guidehealth: AI platforms and managed services for value-based healthcare providers.
3+ YOEActive Illinois RN license, 3+ years healthcare experience, knowledge of utilization review/managed care, Microsoft 365 skills, strong clinical judgment and communication, ability to meet CE requirements.
Microsoft 365, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Minneapolis or Chicago or Cleveland or Columbus or Des Moines or United States
$140k-$145k/yrRemoteFull Time
HeartFlowNASDAQ: HTFL: Provides AI-driven non-invasive cardiac diagnostic software and analysis.
5+ YOE5+ years managed care/reimbursement experience; BS required (MBA preferred); experience negotiating payer coverage and contracts, knowledge of coding/payment/reimbursement, strong communication and regulatory compliance skills.
Northbrook or Idaho or Arkansas or Texas or Georgia or Montana or Iowa or Oregon or Wisconsin or Washington or Alaska or New York or Hawaii or District of Columbia or Connecticut or Nebraska or Rhode Island or Kentucky or Tennessee or Ohio or West Virginia or Massachusetts or Maryland or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or New Jersey or Indiana or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Florida or Colorado or Wyoming or Delaware
$142k-$239k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE5+ years developing healthcare innovation products, registered pharmacist (PharmD), experience with managed care and product roadmaps, strong cross-functional influence and analytical skills, ability to travel 1-2x/year.
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
Array Behavioral Care: Provides virtual psychiatry and mental health therapy services.
5+ YOE3+ MgmtBachelor's degree, 5+ years in healthcare operations, 3+ years in leadership, multi-site operations and $20M+ revenue oversight, financial management, strategic planning, and project management.
Field Reimbursement Manager - Kidney (Chicago, IL)
Chicago, Illinois, United States
$136k-$204k/yrRemoteFull Time
Vertex PharmaceuticalsNASDAQ: VRTX: Develops and sells prescription drugs for serious genetic diseases.
5+ YOEField reimbursement, payer strategy, and account management experience; travel 50-70%; bachelor's in health care, life sciences, or business; 5+ years in sales/reimbursement; knowledge of PA, coding, and billing; valid driver's license.
CRM, Payer portals, Microsoft Outlook, Excel, PowerPoint, Salesforce CRM