- Molina Healthcare (Madison, WI)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Molina Healthcare (WI)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Indeed (Milwaukee, WI)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Molina Healthcare (Green Bay, WI)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Molina Healthcare (WI)
- …Qualifications** * At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), formulary, and/or managed care setting, and 1-2 years ... team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...Qualifications** * Medicare Part D and/or Medicaid experience. * Managed care experience. To all current Molina… more
- Molina Healthcare (Kenosha, WI)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (WI)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year… more
- Molina Healthcare (Hudson, WI)
- …Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + ... 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year experience working with population who receive… more
- Humana (Madison, WI)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- Gentiva (Madison, WI)
- …to grow and flourish, and full benefit package. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...+ We maintain a drug-free workplace Keywords: hospice RN manager , patient care manager senior,… more
- Molina Healthcare (Wauwatosa, WI)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... regimens. * Care manager RNs may conduct medication reconciliation...care , including at least 1 year experience in care management, managed care , and/or… more
- Humana (Stevens Point, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... matters most. Humana is currently seeking an RN Case Manager to join our team, serving members in the...Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate… more
- Clarity Care Inc (Oshkosh, WI)
- …+ Develops and maintains training material for new staff in areas of Managed Care , County, State and Federal laws, regulations and organization policies ... Community Employment Services Manager Job Details Job Location Oshkosh Office -...client satisfaction, employee development, community involvement, consumer rights and care , DVR relations and compliance, and supervision. ESSENTIAL FUNCTIONS… more
- CDM Smith (Kenosha, WI)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Festival Foods (WI)
- …Summary Join Our Festival Foods Team as a Deli Assistant Department Manager ! Job Title:Deli Assistant Department Manager Supervisor:Deli Department Manager ... you've excelled in fast food, worked in a restaurant, managed a line cook station, or are eager to...guest concerns, you'll handle each interaction with professionalism and care . Your willingness to help guests with what they… more
- Molina Healthcare (Green Bay, WI)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- St Croix Hospice (Middleton, WI)
- …The Manager of Clinical Services is responsible for ensuring that patient care is coordinated and managed appropriately. This position is responsible for ... Manager of Clinical Services Job Details Level Management Job Location...ensuring that care and services are delivered appropriately and for the supervision of… more
- Compass Group, North America (Green Bay, WI)
- …CCL Hospitality Group has a philosophy rooted in caring for the individuals who care for our guests. Our most significant competitive advantage is our team members. ... company. We are seeking a growth minded bench **Chef Manager ** for our growing business. In this role, you...ordering and receiving + Knowledge of P&L accountability and contract- managed service experience is desirable + Proficient in menu… more
- Elevance Health (Neillsville, WI)
- …+ Service delivery coordination, discharge planning, or behavioral health experience in a managed care setting preferred. + RN, LSW, or LPN/LVN license ... **Be Part of an Extraordinary Team** **Title** : ** Manager II GBD Special Programs** **Location: We are...the development, implementation, and coordination of a comprehensive health care program in which members' needs are identified, including… more
- Microsoft Corporation (Mount Pleasant, WI)
- …every day and we need you as a **Data Center Business Operations Program Manager - Logistics** with the primary focus of reducing stranded capacity by being a ... our cloud services. As a CO+I Business Operations Program Manager , you will perform a key role in delivering...1 million servers. Our foundation is built upon and managed by a team of subject matter experts working… more