- Molina Healthcare (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Molina Healthcare (Racine, WI)
- …Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Lilly (Pleasant Prairie, WI)
- …site data lead team. The Site Data Leader ensures a robust Data Integrity Program exists and is maintained within the site providing strong project ... the site and align with corporate objectives. The Associate Director , Quality Assurance, will also provide computer...This role ensures compliance and inspection readiness of the data integrity and data management program… more
- Molina Healthcare (Racine, WI)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record… more
- Molina Healthcare (Racine, WI)
- …programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs, ... This role focuses on equipping providers with the tools, training, data , and support needed to deliver high-quality, efficient care. Oversees initiatives… more
- Elevance Health (Waukesha, WI)
- **Medical Director -PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... unless an accommodation is granted as required by law. The **Medical Director -PSCCR** is responsible for the administration of physical and/or behavioral health… more
- Lilly (Pleasant Prairie, WI)
- …have a focus on minimizing the impact to our environment. The IT Associate Director -Lilly Kenosha is responsible for the smooth operation of critical IT systems ... and Quality Control Labs at the Lilly Kenosha manufacturing site. The Associate Director assists the Senior Director in overseeing the site IT footprint… more
- Molina Healthcare (Racine, WI)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Racine, WI)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- CVS Health (Antioch, IL)
- …Director to develop and implement strategies to streamline, policies, procedures, provider interactions/trainings and optimize workflows. + Data & Insights ... **Position Summary** Provides strategic leadership and oversight for the provider experience staff (approximately 3-4 colleagues). Develop long-term relationships… more
- GE HealthCare (Waukesha, WI)
- **Job Description Summary** The Senior Director , Resilience, plays a critical leadership role in advancing the company's enterprise-wide resiliency strategy while ... to the Global Head of Business Continuity & Resiliency, the Senior Director is responsible for delivering both business continuity and end-to-end resiliency… more
- Elevance Health (Waukesha, WI)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... an accommodation is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician and oversees the administration of medical… more
- Molina Healthcare (Racine, WI)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- Lilly (Pleasant Prairie, WI)
- …manufacturing, specifically the formulation/filling/inspection of pharmaceutical products. The Associate Director will provide guidance on time management and ... support communities through philanthropy and volunteerism. **Responsibilities:** The Associate Director TS/MS - Sterility Assurance is responsible for the oversight… more
- Molina Healthcare (Racine, WI)
- **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) ... Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services. + Proficient in ...+ Able to deliver formal training on Cyber Recovery Program to stakeholders. **Essential Job Responsibilities:** + Maintain, manage,… more
- Molina Healthcare (Racine, WI)
- …requiring consistent oversight. May include travel up to 25%. * Defines program scope, establish approach for implementation and maintain program infrastructure ... of Corporate Operations units via establishment of an internal compliance program , including annual, periodic, focal, etc. audits. * Performance Management &… more
- Ascension Health (Racine, WI)
- …respective managers. + Analyze patient and/or resident care information from data sources. Identify real or potentialconcerns and oversee development of ... quality improvement activities, including periodic reporting of organizational performance data . + Oversee adherence to regulatory standards for quality improvement.… more
- Molina Healthcare (Racine, WI)
- …and identifies and implements solutions with alignment from key stakeholders. * Uses data to evaluate actual to expected program performance. * Synthesizes and ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- Molina Healthcare (Racine, WI)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Molina Healthcare (Racine, WI)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data ... be assist with implementing and managing the in-home assessment program that leads to the overall achievement of improved...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more