- Xcel Energy (Eau Claire, WI)
- …responsible for leading work within or across end-to-end solution lifecycle. They provide IT expertise, vision, and work direction to achieve strategic initiatives, ... customer and operational needs, portfolio health and business outcomes. They provide in-depth knowledge of the business needs, processes, and corresponding… more
- Wipfli LLP (Milwaukee, WI)
- …responsibilities (Controller, Director of Finance, FP&A). + Manage both ongoing interim contract roles (minimum six months, not intended to sunset) and project-based ... months). + Lead project work in areas such as revenue optimization, contract negotiation, and financial analysis and optimization. Licensing and PPS expertise are… 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 ... 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
- Humana (Madison, WI)
- …the health of the communities we serve. The Regional Vice President will also provide executive leadership to Provider Contracting, Provider Education and ... Develop and lead efforts re: continuous improvement for unit cost strategy. + Ensure access to care ...with internal partners to ensure best in class credentialing, contract load and directory accuracy + Incorporate provider… more
- Molina Healthcare (Racine, 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 (Green Bay, 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
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- … care community. - Promotes a practice environment that empowers staff to provide compassionate and efficient care . - Demonstrates a commitment to Equal ... incumbent is the Department Head (DH) for VA Primary Care , for Evanston CBOC, for Kenosha CBOC, or for...or long-term absence of one, the remaining DHs shall provide supervisory coverage as necessary. The incumbent performs a… more
- Molina Healthcare (Racine, 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 (Kenosha, WI)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... health care concerns, uses clinical judgment to provide care management or refer members to...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Molina Healthcare (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
- Molina Healthcare (Milwaukee, WI)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... JOB DESCRIPTION Job Summary Provides support for care management/ care coordination long-term services and...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 (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
- Highmark Health (Madison, WI)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… 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
- Humana (Madison, WI)
- …. The case manager will offer guidance, support, and coordination of the beneficiary's care as directed by the beneficiary, the provider (s) or other members of ... needs of TRICARE beneficiaries, to maximize each beneficiary's capacity for self- care , to cost -effectively achieve desired clinical outcomes and to enhance… more
- Molina Healthcare (Montello, WI)
- …of care across the continuum, and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term… more
- CVS Health (Madison, WI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Leonardo DRS, Inc. (Menomonee Falls, WI)
- …ID: 113046** The Leonardo DRS Naval Power Systems business is a trusted provider of innovative naval gas and hybrid power systems, control technology and support ... how job costs are collected and billed on all contract types + Establish, develop, and maintain effective business...accounting principles and develop a working knowledge of the cost accounting standards (CAS) and IFRS + Supports proposal… more
