- 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 ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Waukesha, WI)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- Molina Healthcare (Milwaukee, WI)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Milwaukee, WI)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Molina Healthcare (Milwaukee, WI)
- …standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost -effective member care . Essential ... related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more… more
- Molina Healthcare (Milwaukee, WI)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Molina Healthcare (Milwaukee, WI)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… more
- Elevance Health (Waukesha, WI)
- …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to...(BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. **How you will make an… more
- Molina Healthcare (Wauwatosa, WI)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Provides...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Molina Healthcare (Milwaukee, WI)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Milwaukee, WI)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Leonardo DRS, Inc. (Menomonee Falls, WI)
- …Drive programs. We are looking for someone to direct the daily execution of contract requirements that ensure cost , schedules, and performance goals are met on ... Leonardo DRS Naval Power Systems business is a trusted provider of innovative naval gas and hybrid power systems,...a large, complex program. **What You Will Do** + Provide interface, communication and coordination with internal and external… more
- WM (Milwaukee, WI)
- …Stericycle is a US based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health ... the performance of operational efficiencies and assist in ensuring that their performance and cost goals are being achieved by utilizing cost tracking tools and… more
- Generac Power Systems (Waukesha, WI)
- …construction operations on multiple projects' design, procurement, and construction, including cost , schedule, and quality control. Oversees all aspects of each ... other similar roles, including the site management team, design team, contract administration, construction accounting, and others, to ensure the project's… more
- Leonardo DRS, Inc. (Menomonee Falls, WI)
- …ID: 113172** The Leonardo DRS Naval Power Systems business is a trusted provider of innovative naval gas and hybrid power systems, control technology and support ... Director of Operations** in our Menomonee Falls, WI facility will provide strategic leadership and operational experise for Manufacturing Engineering, Assembly,… more
- Generac Power Systems (Waukesha, WI)
- …customer expectations by directing the site management team, design team, contract administration, construction accounting, and others as required. Works directly ... management of a project's design, procurement, and construction, including cost , schedule, and quality control. Coordinates all team bandwidth requirements… more
- Veolia North America (Milwaukee, WI)
- …consecutive years, and the country's largest private water operator and technology provider as well as hazardous waste and pollution treatment leader. It offers ... recovering resources from their waste. We do this in a safe, cost -effective and innovative manner for cities, governments, campuses, businesses, and industries. At… more
- CDM Smith (Milwaukee, WI)
- …federal background check. * Knowledge of design review, construction administration, cost estimating, scheduling, and contract management. * Demonstrates ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Superior Ambulance Service (Oak Creek, WI)
- …service skills. + Ability to work cooperatively with other employees and medical agencies to provide the highest level of patient care . + Ability to pass a ... is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 3,500 licensed EMT, Paramedics… more
- WM (Sturtevant, WI)
- …Stericycle is a US based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health ... and management to resolve claims at the least possible cost and effectively deploy post loss reduction techniques such...in a full range of benefits, including a health care program which includes medical, dental, vision and prescription… more