- Molina Healthcare (Racine, WI)
- …they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives ... on-budget delivery. **Tools/Methods (examples):** Salesforce, QNXT (or similar core claims ), JIRA/Azure DevOps, MS Project /Smartsheet, Visio/Miro/Lucid, SQL,… more
- Molina Healthcare (Racine, WI)
- …recommendations for improvement to decision-makers. At the direction of the Manager , Encounters, collaborates with cross-functional teams to identify and resolve ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Elevance Health (Waukesha, WI)
- **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... by law. The **Provider Contract Cost of Care Consult Senior / VBC** is responsible for providing the highest...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Molina Healthcare (Racine, WI)
- …projects + Responsible for analytics and reporting, acting as a Jr Project manager to oversee vendor implementations, coordinating data extractions, gathering ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more