- 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
- Sedgwick (Madison, WI)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Humana (Madison, WI)
- …caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, Teaming ... and applicable file documentation in support of a US Government Prime Contract in accordance Company Policy and Contractors' Purchasing Systems Review (CPSR)… more
- GE HealthCare (Waukesha, WI)
- …manufacturing or procurement source strategies. + Major deliverables for this role are to provide detailed insight to part level cost up to system level finished ... **Job Description Summary** Responsible for driving innovation in MR portfolio cost structures, system configuration and portfolio level cost management… more
- Microsoft Corporation (Milwaukee, WI)
- …be an opportunity like no other. Microsoft's CO+I team is seeking **a** Campus Construction Cost Lead to provide services for Milwaukee, WI site in the US. ... the subcontract packages including the approval of the sub contract Letters of Authorization (LOAs). + Deep understanding of...of all other program vendors including:** + Manage the Cost Management firm contracted to provide commercial… more
- Centene Corporation (West Allis, WI)
- …markets. + Perform periodic analyses of the provider network from a cost , coverage, and growth perspective. Provide leadership in evaluating opportunities to ... + Support market expansion and M&A activities by leading provider contract analysis related to due diligence....MHA degree preferred. 10+ years of experience in managed care network development and provider relations/contracting management… more
- Prime Therapeutics (Madison, WI)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- IMSolutions, LLC (Madison, WI)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Prime Therapeutics (Madison, WI)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- HomeSafe Alliance (Madison, WI)
- …crate and freight alternate shipments. + Focus on GHC US Government Contract customer satisfaction, cost , schedule, delivery, safety, process improvements, ... of Operations Excellence** is responsible for HomeSafe Alliance Global Household Goods Contract PWS metrics, Key Performance Indicators, and Contract Deliverable… more
- Sedgwick (Madison, WI)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more
- Prime Therapeutics (Madison, WI)
- …outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication ... and analysis. Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancements)....achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Humana (Madison, WI)
- …or Bachelor's Degree in Business, Finance or a related field + Health Care experience + Credentialing, Contract Load, Service Fund, Directories or CIS ... customers. Credentialing Operations bonds the trust between patient and provider . Come join our organization and assist us in...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- Prime Therapeutics (Madison, WI)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client`s program(s). Requires communication across ... responsible to serve as the clinical liaison for assigned contract (s). Manages overall client relationship. Participates in the development...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Quad (Sussex, WI)
- …up with service/referral provider regarding results + Communicates with provider /nurse care teams regarding referral orders JOB REQUIREMENTS Education: + ... - at work and in life. Determined to make a difference? Join our health care revolution and be a part of something better. Referral coordination is a critical… more
- Molson Coors Beverage Company (Milwaukee, WI)
- …Requesting and managing data for metal packaging categories from material creation to contract execution in MCBC systems; + Work directly with suppliers to ensure ... Canada + Work with metal packaging category owners to provide input on supplier performance for Quarterly Business Reviews...+ Manage metal packaging spend data including spend by cost driver, impacts of changes in the category as… more
- Sedgwick (Sun Prairie, WI)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- IMSolutions, LLC (Madison, WI)
- …the US_** As a **Mid-Level Acquisition Specialist (CS2)** , you will provide acquisition support services, including contract pre‐award, administration, and ... of both industry and business practices, procurement, contracting policies, methods, cost relationships, and options. + Specialized knowledge of pre‐award … more
- Humana (Madison, WI)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... looking for an experienced **Inpatient MSDRG medical coding auditor** to handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Prime Therapeutics (Madison, WI)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... is responsible for performing multifaceted financial analyses to assess manufacturer contract performance, plan performance and to develop rebate estimates related… more