Managed Care Supervisor jobs in Illinois

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

U
Managed Care Specialist
  • USA Vein Clinics, Vascular, Fibroid and Oncology Centers
  • Chicago, IL FULL_TIME
  • The Managed Care Specialist partners with the Manager of Contracting and Payor Relations on the implementation of payor strategy, focusing on payor operations, client services, and process improvement. This role ensures resolution of payor issues received from the field, leadership, or other internal departments, tracking of opportunities, and continual documentation and improvement of processes.

    Responsibilities

    • Assist with implementation of payor strategy in partnership with the Manager of Contracting and Payor Relations.
    • Maintains a thorough operational knowledge of contractual agreements and specific contractual language with Payors.
    • Collaborate with credentialing regarding demographic updates and needs related to contracting efforts.
    • Collaborates with Operations, legal, billing, and compliance to track and resolve payor issues, including payment and/or billing disputes.
    • Continually create, document, and improve processes to provide clear communication throughout the lifecycle of contracting efforts.
    • Determine and implement any tools or technology required to assist in providing communication and updates to leadership and other relevant stakeholders.
    • Manages contract assignments and any documentation relevant to the negotiation, strategy, and/or implementation of the contract.
    • Proactively monitor and report current contracting efforts.
    • Partner with internal team to ensure that contracting efforts align with company and divisional goals.
    • Communicate with relevant stakeholders to ensure contract commitments are operationalized.
    • Performs various tasks assigned related to contracting.
    • Additional duties as assigned
  • 6 Days Ago

U
Managed Care Specialist
  • USA Vein Clinics, Vascular, Fibroid and Oncology Centers
  • Northbrook, IL FULL_TIME
  • The Managed Care Specialist partners with the Manager of Contracting and Payor Relations on the implementation of payor strategy, focusing on payor operations, client services, and process improvement...
  • 1 Day Ago

P
PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Chicago, IL FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 23 Days Ago

C
Managed Care Manager
  • Clinical Management Consultants
  • Auburn, IL FULL_TIME
  • If you are a Managed Care Manager looking to take the next step forward in your career, then this is the ideal opportunity for you! A vast healthcare network in dynamic Illinois is actively looking fo...
  • 25 Days Ago

M
Member service representative
  • Managed Care Staffers
  • Alsip, IL FULL_TIME
  • You must have at least 3 years of pens... Last updated : 2024-06-05
  • 4 Days Ago

S
Child Care Supervisor
  • Stratton Mountain
  • Stratton Mountain, VT
  • Please note, this position is located at Stratton Mountain Resort in Stratton Mountain, VT Year Round At Stratton, we ar...
  • 6/11/2024 12:00:00 AM

T
Residential Care Supervisor
  • THE CENTERS FOR HABILITATION
  • Gilbert, AZ
  • Job Description Job Description Direct Care Supervisor II (Tempe) 3196 WHO WE ARE: TCH has been serving the needs of ind...
  • 6/11/2024 12:00:00 AM

T
Floor Care Supervisor
  • Threes Co Carpet & Uphostery I
  • Pikesville, MD
  • Job Description Job Description Starting salary 21.77 per hour Part time position averaging 30 hours per week Some night...
  • 6/11/2024 12:00:00 AM

C
Care Supervisor
  • ComForCare
  • Lansdale, PA
  • Benefits: Bonus based on performance Competitive salary Flexible schedule Paid time off Wellness resources Full job desc...
  • 6/7/2024 12:00:00 AM

P
Animal Care Supervisor
  • Petco
  • Rochester, MN
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/6/2024 12:00:00 AM

M
Direct Care Supervisor
  • Mosaic
  • Axtell, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

M
Direct Care Supervisor
  • Mosaic
  • Kearney, NE
  • If making a positive impact in the lives of others is a constant on your to-do list — you’ll LOVE working with a team th...
  • 6/6/2024 12:00:00 AM

P
Animal Care Supervisor
  • Petco
  • Wausau, WI
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 6/3/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$78,238 to $107,968

Managed Care Supervisor in Columbia, SC
The Supervisor Business Services of Government Billing and Collections will be responsible for the overall AR management of all government inventory.
January 02, 2020
Managed Care Supervisor in Colorado Springs, CO
In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.
February 15, 2020
Managed Care Supervisor in Portland, ME
·        Minimum one year resolving claims issues with Payer Relations representatives to handle managed care contract implications.
February 19, 2020