- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Centene Corporation (Madison, WI)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Highmark Health (Madison, WI)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- …education, and activation, ultimately improving patient access and adherence. The Director will work cross-functionally with medical affairs, market access, ... The Director , Consumer Marketing is responsible for leading the...deep expertise in direct-to-consumer (DTC) marketing, omnichannel engagement, and behavioral insights to create impactful and compliant consumer campaigns.… more
- American Family Insurance - Corporate (Madison, WI)
- …continuous insights. + You will Implement customer segmentation strategies, applying behavioral , demographic, and psychographic data to inform targeted marketing and ... customer segments and optimize acquisition/retention strategies. + Integrate customer behavioral insights with marketing measurement to create a holistic view… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... planning support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how… more
- CenterWell (Madison, WI)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The IPA Coding Leader manages a diverse...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …professional advice and consultation in areas related to professional psychology and behavioral health . 3. Knowledge of clinical research literature. Reference: ... is assigned to the Neuropsychology Service in the Mental Health Service Line (MHSL) at the Madison VA. The...of modalities, and provides adjunctive interventions for treatment of medical disorders. The psychologist consults with medical … more
- American Family Insurance - Corporate (Madison, WI)
- …services section comprised of intelligence and investigations specialists and environmental health and safety specialists. You will lead, develop and manage ... of intelligence, security, and safety initiatives. You will report to the Director , Protective Services. In this flex office/home role, you will be expected… more