- Molina Healthcare (Green Bay, WI)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and PowerPoint * Managed Care experience. * ... matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining… more
- Molina Healthcare (Green Bay, WI)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Green Bay, WI)
- …Partners with the network team to communicate recovery projects to ensure provider relations is informed and able to respond to provider inquiries. ... Analysis_ * Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. * Applies understanding… more
- The Foth Companies (Green Bay, WI)
- …**Business Development Manager - Automation** , you will leverage your network to identify and pursue new business opportunities, serving as the primary contact ... strategies, and develop winning proposals. + Once projects are awarded, you'll provide high-level oversight and ensure successful execution by Foth's engineering and… more
- Molina Healthcare (Green Bay, WI)
- …member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Completes ... caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. * Performs ongoing… more
- Molina Healthcare (Green Bay, WI)
- …member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Completes ... physician and/or other appropriate health care professionals and member support network to address member needs and goals. * Conducts telephonic, face-to-face… more
- Molina Healthcare (Green Bay, WI)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Actalent (Green Bay, WI)
- …supplier responses, and develop strategic improvements as directed by the department manager . + Document and measure supplier performance and work with them to ... + Address product and service issues with suppliers and provide solutions. + Utilize Microsoft Office Suite and ERP...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more