- Molina Healthcare (Milwaukee, WI)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Madison, WI)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Madison, WI)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Madison, WI)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… 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 collaboration ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Consult Senior ...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- RxBenefits (Milwaukee, WI)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Nestle (Eau Claire, WI)
- …Team + Responsible for the administration of workers' compensation program, to minimize claims cost, reduce lost time and direct return to work program. + ... in our recruitment experience. Contact us at ###@nestle.com or please dial 711 and provide this number to the operator: ###. This position is not eligible for Visa… more
- Walworth County (Elkhorn, WI)
- Senior Accountant - HHS (Finance) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5088010) Apply Senior Accountant - HHS (Finance) ... annual operating and capital improvement budgets, under the direction of the finance manager and in cooperation with the director of health and human services.… more
- Festival Foods (WI)
- …tasks and plans to meet department objectives. Provides direct leadership to the Senior Claims Specialist and Workplace Safety Specialist. Prepares and delivers ... leader who's ready to make a meaningful difference. Job title: Workplace Safety Manager Department: Asset Protection Reports to: Senior Director of Asset… more
- Medtronic (WI)
- …education, clinical evidence interpretation, and Medtronic employee education. You will provide feedback to product development, internal training and education on ... Leads coordination of new-hire training with accountability to hiring manager (CSM or RM) + Responsible for new hire...can craft a message as to why Medtronic therapies provide a competitive advantage. + Disseminate competitive information to… more
- Cardinal Health (Madison, WI)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Kerry (Beloit, WI)
- …service issues by clarifying the customer's requirements, communicate solutions and provide proactive resolution to achieve customer satisfaction. + Proactive issue ... KPI's and providing regular updates to the Customer Care Team Manager Key responsibilities Communication Management + Provides professional, timely, reliable and… more
- Fujifilm (Madison, WI)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Madison, WI)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Amcor (Neenah, WI)
- …At Amcor, we unpack possibility through our innovative and responsible packaging to provide solutions that benefit our customers, our people and our planet. More ... Marketing Segment Leads, R&D, & Functional Managers), and intermittently interact with senior leaders (Directors, VPs, BU / Function Exec's)to develop and apply a… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more
- CenterWell (Madison, WI)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Lake Mills, WI)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Greenfield, WI)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- American Family Insurance - Corporate (Madison, WI)
- …product development, marketing, and operations. You will report to Business Systems Senior Manager . Position Compensation Range: $61,000.00 - $101,000.00 Pay ... interpret enacted changes in legislation and regulation to business impact. * Provide business guidance on enacted changes in legislation and regulations to assist… more