115 Local Healthcare Providers jobs in Palatine
Regulatory Health Services Professional, RN

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As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
As a Regulatory Health Services Professional, you will help establish and implement processes to ensure utilization management (UM) programs are compliant and supportive of regulatory and PBM pharmacy guidelines. Knowledge of utilization management interventions including prior authorization, step therapy, quantity limits and formulary exceptions is required.
Additionally, you will work in a matrix relationship with business partners and regulatory affairs to assist in identifying the impact of new regulatory guidance and requirements on UM criteria. Knowledge of regulations impacting UM for Medicare, Medicaid and Exchange clients is preferred. It may be necessary to create regulatory content for all business segments (Commercial, Medicare, Medicaid and Marketplace) with the ability to be consultative to product owners, account management and clients.
This is a hybrid role, based out of our Buffalo Grove, IL, Pittsburgh, PA, or NYC office locations.
**Required Qualifications**
+ Active Registered Nurse (RN) Licensure in good standing
+ 5+ years of healthcare experience
+ Ability to collaborate and communicate with members of an interdisciplinary care team
+ Effective problem solving, decision-making, and prioritization skills
+ Strong PC skills: Office 365 with ability to quickly learn new applications as needed
**Preferred Qualifications**
+ Experience reviewing and interpreting laws, rules, and regulations
+ Knowledge of PBM and benefit design preferred
+ 2+ years of Managed Care or PBM experience
**Education**
Registered Nurse degree, either associates or bachelors
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$95,738.00 - $206,206.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 09/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Health Services Administrator (RN Required)

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- Make a difference every day in the lives of the underserved
- Join a mission driven organization with a people first culture
- Excellent career growth opportunities
**Join us and find a career that supports:**
- Caring for overlooked, underserved, and vulnerable patients
- Diversity, equity, inclusion, and belonging
- Autonomy in a warm team environment
- Growth and training
**Perks and Benefits**
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
- DailyPay, receive your money as you earn it!
- Tuition Assistance and dependent Scholarships
- Employee Assistance Program (EAP) including free counseling and health coaching
- Company paid life insurance
- Tax free Health Spending Accounts (HSA)
- Wellness program featuring fitness memberships and product discounts
- Preferred banking partnership and discounted rates for home and auto loans
*Eligibility for perks and benefits varies based on employee type and length of service.
**Why Us**
**Now is your moment to make a difference in the lives of the underserved.**
If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to "Always Do The Right Thing!", and to collectively do our part to heal the world, one patient at a time.
Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
**How you make a difference**
The Health Services Administrator (HSA) manages and evaluates the health care delivery program in compliance with regulations and accreditation standards. They oversee the implementation of policies, monitor subcontracted services, and ensure quality and cost-effective medical, dental, and mental health care. The HSA directs recruitment, orientation, and evaluations for staff while ensuring licensure and credentialing requirements are met. They review and manage inmate health cases, hospitalizations, and referrals to optimize care and control costs. The role also involves maintaining communication with facility and external partners, promoting quality improvement, and functioning as a liaison for accreditation and professional standards.
**Key Responsibilities**
+ Manage and evaluate the health care delivery program to ensure compliance with regulations, accreditation standards, and facility policies.
+ Oversee staff recruitment, orientation, performance evaluations, and continuing education programs.
+ Monitor subcontracted services, medical records, and contracted provider performance for quality and cost-effectiveness.
+ Review and manage serious inmate health cases, hospitalizations, and referrals while controlling costs and liabilities.
+ Maintain communication with facility leadership, staff, and outside agencies, and promote quality improvement initiatives.
**Additional Details**
We are looking for a full time RN Administrator to lead our clinical team at Kane County Adult Jail.
**Qualifications & Requirements**
EDUCATION
+ Bachelor's Degree in Nursing
EXPERIENCE
+ Delivery and administration of correctional medical, dental, and mental health care recommended
+ Three years administrative, management, and supervisory experience
+ Sound decision-making skills are mandatory
+ Organizational experience in operations and planning required
+ Experience in managing budgets and analyzing contracts preferred
LICENSES/CERTIFICATIONS
+ CPR certification
+ Current licensure as a Registered Nurse within the state of employment
**We are an Equal Employment Opportunity Employer**
We are committed to fostering, cultivating, and preserving a culture of uniqueness.
We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.
**We encourage you to apply!** If you are excited about a role but your experience doesn't seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.
We are an Affirmative Action Employer in accordance with applicable state and local laws.
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**Job** _25-180760_
**Facility** _IL Kane Cty Adult JC_
**Type** _Full-Time_
**Shift** _Day 8 hour_
**Recruiter : Full Name: First Last** _Candice Losego_
**Recruiter : Email**
**Compensation Information** _$114,753.6 - $127,504 / year_
Vice President Sales, Health Services

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**Scope (e.g., Specific metrics this role will be responsible for):**
+ Driving growth and profitability for the key account segment.
+ Manages profit, revenue and gross margin for new prospects. Developing strategic work plan goals to include, but not limited to, identify and prospect strategy in the middle market segment, win new middle market clients, and grow gross margin, Arx's, and other organic growth opportunities.
+ Identify short- and long-term sales goals and develop a corresponding strategic plan to achieve them. Assess capabilities and/or partnerships required to win in the market.
+ Manage a team of middle market Sales Directors, as well as Directors focused exclusively on our clinical differentiation. Provide career development opportunities, work direction, evaluate performance and provide feedback to promote employee growth and retention.
+ Coaching to and holding the team accountable for using the Challenger Selling approach, as well as important sales processes such as use of company CRM.SFDC.
+ Work collaboratively with relevant business departments to price products/services, inform the development of new products/services and effectively market the business.
+ Identify gaps and lead special projects & task forces focused on improving operational effectiveness and implementing best practices within the division.
+ Ensure teams have the necessary tools and resources to deliver exceptional service
**MINIMUM QUALIFICATIONS TO ENTER THE JOB:**
+ **Education/Certification (required/desired):**
+ Bachelor's degree required (BS Pharmacy preferred); MBA preferred
+ A result-focused executor, who brings discipline, drive, and accountability to ensure delivery on plans for capturing market share.
+ An inspirational, compelling leader who is capable of communicating the vision to external and internal constituents; and commanding the respect and enthusiasm.
+ Experience in prospecting new opportunities.
+ Experience with client negotiations required.
+ Experience in attracting top talent, building and developing effective teams.
**The following competencies/behaviors will be expected for incumbents in this position:**
+ Strong in strategy development, communication and execution
+ Strong business and financial acumen
+ Client centric / customer focused
+ Ability to build strong relationships with senior members of client organization
+ Ability to build and manage strong internal teams
+ Demonstrate the ability to negotiate cross functionally to drive client issues to resolution
+ Ability to manage work strategically, effectively anticipating/planning for client impact of internal and external influencers.
Open to considering candidates in locations outside what is listed on job posting.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 212,900 - 354,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna ( .
**About Evernorth Health Services**
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
Patient Account Rep-Behavioral Health Services
Posted 4 days ago
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This position is full time, 40 hours/week. Hours are day time between Monday and Friday. The BHS Business Office Representative reflects the mission, vision, and values of NM, adheres to the organizations Code of Ethics and Corporate Compliance Prog Behavioral Health, Patient, Behavioral, Health, Customer Service, Account, Healthcare
Patient Account Rep-Behavioral Health Services
Posted 10 days ago
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Job Description
This position is full time, 40 hours/week. Hours are day time between Monday and Friday.
The BHS Business Office Representative reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
BHS business office representatives coordinate the process of admitting patients, verifying insurance information, reconciling charge reports, resolving patient inquiries and supporting the Employee Assistance Program. This position supports all BHS clinical staff and provides accurate insurance and billing information while ensuring compliance with NM revenue cycle requirements.
Responsibilities:
Patient satisfaction:
- Provides outstanding, courteous, prompt and professional customer service to all customers.
- Protects behavioral patient privacy at all times, verbally and physically, by checking for release of information before confirming a patient's presence, securing work station and paper records, and using patient first names only.
- Provides customer support by answering overflow phone calls from main reception line. Adheres to answer time metrics to ensure calls are being answered in a timely manner.
- Registers and admits BHS patients efficiently and accurately in Epic.
- Verifies benefits for all BHS patients for all levels of care. Scans and notes benefits accurately in Epic.
- Accurately communicates with patients (and family members when appropriate) including explanation of benefits, NWM policies for deposits and discounts, and financial aid.
- Acts as advisor to ED social work staff in order to expedite ED patient placement.
- Monitors all internal and external Employee Assistance Program (EAP) requests. Facilitates EAP assignment process for all EAP clients accurately within 24 business hours of requests.
Revenue cycle support:
- Maintains working knowledge of behavioral health (BH) insurance plans and specific insurance contracts for all BHS sites. Guides clinical teams accurately helping to ensure proper patient placement.
- Monitors and corrects insurance on all BHS inpatient accounts. Guides inpatient psychiatry HUCs and Admin techs in proper insurance codes and document scanning.
- Reconciles daily outpatient charge reports and facilitates corrections.
- Demonstrates ability to problem solve moderately complex billing, coding and contractual issues.
- Prepares monthly billing statements and provides reports for external Employee Assistance Program (EAP) accounts. Closely monitors EAP account payments and facilitates reminders and account collection as needed.
- Processes copayments, miscellaneous recovery living and Employee Assistance Program payments, and prepares bank deposits.
- Audits charts for key information and provides reports to management staff, ensuring compliance with JCAHO requirements.
Departmental productivity support:
- Demonstrates the ability to be flexible, adaptive to change, and handle stressful situations in a mature, professional manner.
- Shows proficiency in covering for all BHS support positions.
- Provides ongoing leadership and support for reception positions.
- Completes special assignments and projects while consistently meeting targets, timetables and deadlines while coordinating clerical work for the department.
- Provides accurate precertification requirements to BHS Intake, BHS Utilization Review and ED social work team. Interfaces daily with clinical staff to communicate benefit status and anticipated patient copayments.
- Processes and tracks supply orders and People Soft requisitions for BHS staff.
- Attends staff meetings and contributes to department process improvement.
Required:
- High school diploma or equivalent.
- Minimum of 4 years of office or customer service experience in a health care setting.
- Basic knowledge of medical terminology.
- Basic knowledge of commercial and government insurance plans.
Preferred:
- Previous experience working in a behavioral health treatment environment.
- Proficient in Epic scheduling and registration.
- Excellent communication skills, ability to prioritize work flow continuously and multitask efficiently.
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events.
Strategy& Health Services - Payor/Provider, Manager

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**Industry/Sector:** Health Services
**Time Type:** Full time
**Travel Requirements:** Up to 60%
A career within Corporate and Business Strategy services, will provide you with the opportunity to help our clients solve their toughest problems and seize essential advantages by defining and evaluating strategies of all types. We analyse business and market trends to explore new approaches that help our clients make tough choices and surpass the competition. At both the business unit and corporate level, we help organisations with organic enterprise growth, pricing and profitability, shareholder value, and sustainable corporate strategies.
To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.
As a Manager, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:
+ Develop new skills outside of comfort zone.
+ Act to resolve issues which prevent the team working effectively.
+ Coach others, recognise their strengths, and encourage them to take ownership of their personal development.
+ Analyse complex ideas or proposals and build a range of meaningful recommendations.
+ Use multiple sources of information including broader stakeholder views to develop solutions and recommendations.
+ Address sub-standard work or work that does not meet firm's/client's expectations.
+ Use data and insights to inform conclusions and support decision-making.
+ Develop a point of view on key global trends, and how they impact clients.
+ Manage a variety of viewpoints to build consensus and create positive outcomes for all parties.
+ Simplify complex messages, highlighting and summarising key points.
+ Uphold the firm's code of ethics and business conduct.
**Job Requirements and Preferences** :
**Basic Qualifications** :
**Minimum Degree Required** :
Bachelor Degree
**Minimum Years of Experience** :
5 year(s) experience
**Preferred Qualifications** :
**Degree Preferred** :
Master of Business Administration
**Preferred Knowledge/Skills** :
Demonstrates extensive knowledge of and/or success in professional services or corporate roles, helping companies define and evaluate corporate and business unit strategies and investment portfolios, reflecting market, competitive and other external drivers.
Demonstrates extensive leadership, strategic and creative thinking, problem solving, individual initiative, and the following abilities:
+ Building productive and collaborative relationships with team members and proactively providing and seeking guidance, clarification and feedback;
+ Managing a team to a successful project conclusion through problem solving global, enterprise-wide strategy issues;
+ Building, maintaining, and utilizing networks of client relationships;
+ Communicating cogently in an organized and knowledgeable manner in written and verbal formats; and,
+ Conducting and managing market research and quantitative and qualitative analyses, including the timely synthesis of complex data into meaningful insights and the ability to readily grasp analytical frameworks and employ them effectively to either qualitative or quantitative evidence.
Demonstrates extensive-level abilities as a team leader, emphasizing the following areas:
+ Possessing working experience in Payor operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.) to help payors and providers manage their medical costs, quality, and experience;
+ Possessing working experience in Clinical Analytics, Medical Economics, and/or Population Health Analytics or working in collaboration with related functions;
+ Possessing working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools);
+ Possessing working knowledge and experience in software development, implementation, and optimization to accurately translate clinical and business requirements into engineering design documents and instructions;
+ Possessing experience in project management and product development life cycle management specifically in healthcare product design and development to support care management and delivery workflows;
+ Possessing understanding of global trends for health organizations utilizing pragmatic approaches to achieve sustainable financial functions, consumer experience, and operating models;
+ Possessing experience managing and advising healthcare executive leadership or has direct experience from former position; and,
+ Understanding Medicare Stars performance across different markets and helping to develop strategies and programs to match those needs.
Learn more about how we work: does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.
Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: salary range for this position is: $99,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link:
Remote Senior Case Manager - Mental Health Services
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Registered Nurse - Correctional @ Cermak Health Services of Cook County
Posted 8 days ago
Job Viewed
Job Description
Client Name
Cermak Health Services of Cook County
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Corrections
Job ID
16839718
Job Title
Registered Nurse - Correctional @ Cermak Health Services of Cook County
Weekly Pay
$2394.03
Shift Details
Shift
5 Afternoon Shifts X 8 Hrs
Scheduled Hours
40
Job Order Details
Start Date
08/05/2025
End Date
11/04/2025
Duration
13 Week(s)
Job Description
Provides healthcare services to incarcerated individuals in correctional facilities.
Client Details
Address
2800 South California Avenue
City
Chicago
State
IL
Zip Code
60608
Registered Nurse - Correctional @ Cermak Health Services of Cook County
Posted 8 days ago
Job Viewed
Job Description
Client Name
Cermak Health Services of Cook County
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Corrections
Job ID
16839716
Job Title
Registered Nurse - Correctional @ Cermak Health Services of Cook County
Weekly Pay
$2154.06
Shift Details
Shift
3 Night Shifts X 12Hrs
Scheduled Hours
36
Job Order Details
Start Date
08/05/2025
End Date
11/04/2025
Duration
13 Week(s)
Job Description
Provides healthcare services to incarcerated individuals in correctional facilities.
Client Details
Address
2800 South California Avenue
City
Chicago
State
IL
Zip Code
60608
Registered Nurse - Correctional @ Cermak Health Services of Cook County
Posted 8 days ago
Job Viewed
Job Description
Client Name
Cermak Health Services of Cook County
Job Type
Travel
Offering
Nursing
Profession
RN
Specialty
Corrections
Job ID
16764795
Job Title
Registered Nurse - Correctional @ Cermak Health Services of Cook County
Weekly Pay
$2302.04
Shift Details
Shift
3 Night Shifts X 12Hrs
Scheduled Hours
36
Job Order Details
Start Date
08/05/2025
End Date
11/04/2025
Duration
13 Week(s)
Job Description
Provides healthcare services to incarcerated individuals in correctional facilities.
Client Details
Address
2800 South California Avenue
City
Chicago
State
IL
Zip Code
60608