Vendor Mgr, Authorization Mgt

4 weeks ago


Downers Grove Illinois, United States Duly Health and Care Full time
Overview:
Hours: Monday through Friday, 8am-5pm

Location: Downers Grove, IL (Hybrid)

 

Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.

Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning.  We invite you to join us, fulfill your purpose and make your mark

 

Holistic benefits designed to help our team members flourish in all aspects of their lives, including: 

Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.

$5,250 Tuition Reimbursement per year. 

40 hours paid volunteer time off. 

12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members. 

401(k) Match

Profit-sharing program

Responsibilities:
The Journeys and Adventures that Await

Monitor vendor performance against service level agreements (SLAs) and key performance indicators (KPIs) to ensure they meet operational and compliance standards. (50%)

Implement and oversee quality control systems to monitor the accuracy and timeliness of patient authorizations. (15%)

Collaborate with internal teams, such as billing, coding, and patient care, to integrate authorization services smoothly into the overall RCM process. (10%)

Identify and resolve issues related to vendor performance and patient authorization processes. (10%)

Drive continuous improvement initiatives with vendors to enhance service delivery and patient outcomes. (5%)

Develop and maintain strong relationships with external vendors specializing in patient authorization services. (5%)

Facilitate regular reviews and audits to ensure adherence to healthcare regulations and standards, including HIPAA. (5%)

Prepare and present regular performance reports to senior management, providing insights and recommendations for improvements.

Stay updated with changes in healthcare regulations and industry best practices to ensure vendor services remain compliant and effective.

Performs other duties as necessary

Qualifications:
MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES 

Strong understanding of healthcare processes, especially patient authorization and compliance requirements.

Excellent negotiation and relationship management skills.

Strong analytical and problem-solving abilities.

Exceptional communication and interpersonal skills.

Proficiency in healthcare IT systems and software.

Years of Experience: 5+ years

 

Level of Education: Bachelor’s degree in business administration, Healthcare Management, or related field or 10 years or more of experience in Authorization in the Healthcare field for large multi-specialty group practice.

 

Desirable Experience:

Experience with electronic health records (EHR) systems-preferably Epic

Certified Professional in Healthcare Information and Management Systems (CPHIMS) or related certification.



  • Downers Grove, United States Duly Health and Care Full time

    Overview: **Hours**: Monday through Friday, 8am-5pm **Location**: Downers Grove, IL (Hybrid) - Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work._ - Duly Health and Care works to understand what matters...


  • Downers Grove, United States Duly Health and Care Full time

    Overview: **Hours**: Monday through Friday, 8am-5pm **Location**: Remote - Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work._ - Duly Health and Care works to understand what matters most to you. We...


  • Downers Grove, United States Duly Health and Care Full time

    Overview: **Hours**: Monday through Friday, 8am-5pm **Location**: Downers Grove, IL (Hybrid) - Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work._ - Duly Health and Care works to understand what matters...

  • Bpo Vendor Mgt

    4 weeks ago


    Downers Grove, United States Duly Health and Care Full time

    Overview: **Hours**: Monday through Friday, 8am-5pm **Location**: Downers Grove, IL (Hybrid) - Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work._ - Duly Health and Care works to understand what matters...


  • Downers Grove, United States Duly Healthcare Full time

    Overview Hours: Monday through Friday, 8am-5pm Location: Downers Grove, IL (Hybrid) Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to you. We...

  • Mgr, Coding Services

    4 weeks ago


    Downers Grove, United States Duly Health and Care Full time

    Overview: **Hours**: Monday through Friday, 7am-5pm **Location**: Remote - Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work._ - Duly Health and Care works to understand what matters most to you. We...


  • Downers Grove, United States Oak Street Health Inc. Full time

    Company: Oak Street Health Title: Associate, IT Location: Corporate Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved...


  • Downers Grove, United States Duly Health and Care Full time

    OverviewHours: Monday through Friday, 8:30am-5pm Location: Remote Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work. Duly Health and Care works to understand what matters most to you. We recruit and retain...

  • Mgr, Project

    3 weeks ago


    Morton Grove, United States Bunzl Full time

    At Bunzl, We Put People First .  Bunzl was recognized as one of Forbes America's Best Mid-Sized Employers. Bunzl is a global company that offers job stability and career growth. A full range of great benefits including paid time off, medical, dental, vision, (k), educational assistance and much more to help employees take care of themselves and their...

  • Technical Assistant

    2 weeks ago


    River Grove, United States Triton College, IL Full time

    Essential Function: Assists in the Accounts Payable department by performing duties such as filing, answering phones, copying, and scanning in the Business Office Qualifications Qualifications: 1.High school diploma or GED equivalent. 2. Strong organizational, technical, and computer skills (Excel and Word). 3. Excellent customer service...


  • Elk Grove Village, United States Atlas Companies Full time

    Job DescriptionJob DescriptionDescription:Atlas Toyota Material Handling, part of the Atlas Companies, is currently hiring a full-time Accounts Payable Associate to join our Team. We are seeking an organized and motivated person with proven experience in accounts payable or other relatable accounting positions.Atlas Companies consists of four different...

  • Design Engineer

    1 month ago


    Elk Grove Village, United States Cozzini LLC Full time

    Job DescriptionJob DescriptionDescription:The design engineer directs, coordinates and exercises functional authority for planning, organization, control, integration and completion of engineering projects within the area of assigned responsibilityESSENTIAL DUTIES & RESPONSIBILITIES:1. Provides production support to the fabrication area and the assembly...

  • Structural Engineer

    11 hours ago


    Spring Grove, United States Affinity Executive Search Full time

    Position Summary: The position requires the knowledge and ability to layout, design, and manage the development of building structures, foundations, and site civil needs. Essential to this role is substantial project management of outside and inside contractors for cost effective and timely installations. Essential Job Duties and Responsibilities Layout...

  • Architectural Engineer

    13 hours ago


    Spring Grove, United States Hiring Now! Full time

    Position Summary:The position requires the knowledge and ability to layout, design, and manage the development of building structures, foundations, and site civil needs. Essential to this role is substantial project management of outside and inside contractors for cost effective and timely installations.Essential Job Duties and Responsibilities Layout...


  • Spring Grove, United States Lincoln Search Consultants Inc Full time

    Position Summary: The position requires the knowledge and ability to layout, design, and manage the development of building structures, foundations, and site civil needs. Essential to this role is substantial project management of outside and inside contractors for cost effective and timely installations. Essential Job Duties and Responsibilities ...


  • Spring Grove, United States International Staff Consulting Full time

    Position Summary: The position requires the knowledge and ability to layout, design, and manage the development of building structures, foundations, and site civil needs. Essential to this role is substantial project management of outside and inside contractors for cost effective and timely installations. Essential Job Duties and ResponsibilitiesLayout...


  • Spring Grove, United States Scot Forge Full time

    We offer you... Career Advancement Superior Benefits Bonus Plan ESOP (Employee Stock Ownership Plan) Scot Forge is an employee-owned company that manufactures custom open die and rolled ring forgings used in demanding applications all over the world. We have locations in Spring Grove, IL, Clinton, WI and Franklin Park, IL. Position Summary: The...

  • Structural Engineer

    2 weeks ago


    Spring Grove, United States Job Juncture Full time

    Job DescriptionPosition Summary:The position requires the knowledge and ability to layout, design, and manage the development of building structures, foundations, and site civil needs.  Essential to this role is substantial project management of outside and inside contractors for cost effective and timely installations.Essential Job Duties and...


  • Cottage Grove, United States Russell Tobin Full time

    Job DescriptionJob DescriptionThe Scientific Teams at Russell Tobin & Associates is hiring a Chemistry Lab Technician at a top material science/chemical company near Cottage Grove, MN.ResponsibilitiesPerform analytical chemistry test methods in both a pilot development facility and a chemical production environmentPerform in-process lab testing and testing...


  • Elk Grove, United States Winston Brands, Incorporated Full time

    ** Director of Logistics and Transportation** **Job Category****:** EGV Logistics **Requisition Number****:** DIREC001387 Showing 1 location **Job Details** **Description** The Director, Transportation & Logistics is a critical role in the supply chain organization and will lead the contracting, execution, compliance and service of the entire inbound supply...