- Molina Healthcare (Racine, WI)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Elevance Health (Waukesha, WI)
- …of behavioral health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. **How you will make an impact:** +… more
- Elevance Health (Waukesha, WI)
- …managing the overall medical policies and clinical guidelines to ensure appropriate and cost -effective care . The Director also leads initiatives to direct ... **Plan Performance Medical Director ** Location: This role enables associates to work...the plan regarding cost of care and other strategic directives.… more
- Molina Healthcare (Racine, WI)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PR** **E**… more
- Molina Healthcare (Racine, WI)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Molina Healthcare (Racine, WI)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- Molina Healthcare (Racine, WI)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Lilly (Pleasant Prairie, WI)
- …determined to make life better for people around the world. The Engineering Sr. Director - Parenteral Engineering role is a critical role to ensure we continue to ... planning. Drive operational process improvements, best practice sharing and cost efficiencies **Effective Communication** + Drive connectivity between sites,… more
- Molina Healthcare (Racine, WI)
- …most effective setting. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Determines appropriateness ... care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care .… more
- Molina Healthcare (Racine, WI)
- …strategic plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Under the direction ... operations leadership, responsible for oversight of internal and external clinical program performance at Molina. * Monitors performance of assigned clinical… more
- Ascension Health (Racine, WI)
- **Details** + **Department:** Memory Care + **Schedule:** Full-time + **Facility:** Lakeshore at Siena + **Location:** Racine, WI + **Salary:** $86,930.00 - ... and strategies. **Responsibilities:** + Organize operations to provide high quality, cost effective services. Model leadership and teaming excellence by providing… more
- Elara Caring (Hebron, IL)
- …a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out ... our elite team of healthcare professionals, providing the Right Care , at the Right Time, in the Right Place....and continuing education opportunities for all employees at no cost + Opportunities for advancement + Comprehensive insurance plans… more
- CVS Health (Antioch, IL)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... of internal and external solutions to achieve provider satisfaction, cost targets, utilization/performance, network growth, and efficiency targets. Manages and… more
- Conagra Brands (Darien, WI)
- …regulatory compliance, physical asset management, supply chain effectiveness, cost control, workplace safety/security/health, community/employee relations and human ... capabilities. + Develop and manage facility budget including capital expenditures and cost management. + Assure regulatory compliance including OSHA, EPA, FDA, FLSA,… more
- WM (Sturtevant, WI)
- …option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage, healthcare ... party administrators (TPA) and management to resolve claims at the least possible cost and effectively deploy post loss reduction techniques such as return to work… more