- Exact Sciences (Madison, WI)
- …you will need to succeed in this role before applying below. At Exact Sciences, we're helping change how the world prevents, detects and guides treatment for cancer. ... We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you're working to help others. Position… more
- CVS Health (Madison, WI)
- …The **Employee Assistance Program Worklife Customer Support Associate** position is fully remote, with the ability to work from anywhere in the continental United ... States. This is a call center role, operating 24 hours a day, 7 days a week. As a result, you will be expected to work on some holidays, and schedules may be adjusted based upon business need. We are looking for high-performing individuals to join our team.… more
- Molina Healthcare (Madison, WI)
- …Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring ... appropriate resolution of claims. **Essential Job Duties** * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate… more
- The Walt Disney Company (Madison, WI)
- …:** + Lead the WDT Technical Team providing performance coaching, recognition, and discipline + Oversee the daily operation of all WDT technical and stage elements + ... Partner with Stage Manager to perform emergency abbreviated shows + Partner with Entertainment Leadership Teams regarding emergency abbreviated shows, load ins/outs, new show installs, Cast changeovers, equipment tests, vendor support, movie premieres, company… more
- Lumen (Madison, WI)
- …Responsible for protecting base revenue and meeting/exceeding growth quota to maximize revenue within assigned base of customers. Responsibilities include identifying ... decision makers, determining customer needs, identifying appropriate solutions, and positioning these solutions with the customer. Through customer relationship, assessing product fit and expanding product portfolio. Responsible for updating relevant customer… more
- Coinbase (Madison, WI)
- …and characteristics outlined in the job description. For select roles, Coinbase is also piloting an AI interview intelligence platform to transcribe and summarize ... interview notes, allowing our interviewers to fully focus on you as the candidate. *The above pilots are for testing purposes and Coinbase will not use AI to make decisions impacting employment*. To request a reasonable accommodation due to disability, please… more
- Molina Healthcare (Madison, WI)
- …**Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and ... predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments… more
- Molina Healthcare (Madison, WI)
- …Provides support for pharmacy technician activities. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and ... quality cost-effective member care. **Shift: (11 AM-7:30 PM MST or 12:30-9 PM MST)** Essential Job Duties * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional… more
- Roehl Transport (Fitchburg, WI)
- …As you see the nation, you'll also see many different shippers and locations. **Ask about our Dynamic Pay Plan that better rewards you for your time & performance!** ... See our Refrigerated Primary Commercial Zone Map (https://www.roehl.jobs/getmedia/fdc44265-e220-49e1-8acc-f796e31db5d5/pcz-refrigerated-2023-06-21.png) You can add to your income as a Driver Trainer ({$DriverTrainerPay$}) or referring other drivers to Roehl,… more
- Molina Healthcare (Madison, WI)
- …Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding ... coverage amount and benefit interpretation. Also monitors and controls backlog and workflow of claims, and ensures that claims are settled in a timely fashion and in accordance with cost-control standards. **Essential Job Duties** * Researches claims tracers,… more
- Sedgwick (Madison, WI)
- …+ Examines insurance policies, claims, and other records to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + ... Interviews, telephones, or corresponds with claimant(s) and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of… more
- Sedgwick (Madison, WI)
- …+ Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption ... and stock). + Examines claim form and other records to determine insurance coverage. + Interviews, telephones, or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent… more
- CVS Health (Madison, WI)
- …Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to… more
- Centene Corporation (Madison, WI)
- …As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace ... flexibility. **Position Purpose:** Develops and operationalizes data pipelines to make data available for consumption (reports and advanced analytics), including data ingestion, data transformation, data validation / quality, data pipeline optimization, and… more
- Molina Healthcare (Madison, WI)
- …Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating ... integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job… more
- The Walt Disney Company (Madison, WI)
- …:** + Install, set-up, operate and strike equipment for assigned shipwide and island events + Handle heavy equipment and road cases + Manage the daily use of wireless ... microphones, including frequency tuning, power management and signal path + Mix live audio with digital audio consoles + Manage sound/mic checks for shipwide venues and performers + Operate lighting consoles for intelligent and conventional fixtures + Report… more
- CenterWell (Madison, WI)
- …+ Interpret and validate contracts, ensuring compliance with all amendments and terms. + Establish and maintain effective relationships with community groups, ... **Become a part of our caring community and help us put health first** The Billing Analyst is responsible for supporting the organization's billing operations with a focus on contract interpretation, validation, and payer setup. This role works collaboratively… more
- Cracker Barrel (Madison, WI)
- …Whether you're greeting guests, rolling out biscuits, or keeping things humming behind the scenes, you make the moments that matter, both big and small. Here, the ... work means more because we take pride in doing it together. So, join our team and find your place, because here we're all in good company. **What You'll Do - You'll Make the Moment** Our Retail Sales Team is all about hospitality and bringing joy to our… more
- Sedgwick (Madison, WI)
- …+ Examines claim forms and other records to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, ... telephones, or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. +… more
- Molina Healthcare (Madison, WI)
- …Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, ... identifying root-cause of processing errors through research and analysis, coordinating and engaging with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** *… more
