- Molina Healthcare (Green Bay, WI)
- JOB DESCRIPTION Job Summary Provides support for non-clinical healthcare services auditing activities. Responsible for performing audits for non-clinical ... policies, protocols. * Maintains detailed records of auditing results. * Assists healthcare services with developing training materials or job aids as needed to… more
- Molina Healthcare (Green Bay, WI)
- **Job Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Green Bay, WI)
- …executive level strategy and leadership to drive business performance of long-term services and supports for the enterprise which includes the operational and ... with a focus on person-centered and strength-based activities of daily living support needs, community integration and stability goals for all populations and member… more
- Molina Healthcare (Green Bay, WI)
- …senior level administrative support for Wisconsin IRIS program operations , including referrals, enrollment, eligibility, service authorization and other ... quality and cost-effective care. Essential Job Duties * Provides senior level support to operations and field staff completing participant referrals,… more
- Molina Healthcare (Green Bay, WI)
- …Summary Provides administrative support for Wisconsin IRIS program operations , including referrals, enrollment, eligibility, service authorization and other ... * Follows directions to meet established protocols and deadlines. * Provides technical support and customer service . * Researches and provides assistance on… more
- Molina Healthcare (Green Bay, WI)
- …Sales Operations will be responsible for operationalizing the Sales Support functions by identifying opportunities and then creating and implementing action ... **Job Description** **Job Summary** The AVP of Sales Operations is a key leadership role directly tied...well-honed critical thinking skills and an action-oriented approach to support Molina initiatives to drive enrollments from a variety… more
- Molina Healthcare (Green Bay, WI)
- JOB DESCRIPTION **Job Summary** Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, ... Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician... support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated.… more
- Molina Healthcare (Green Bay, WI)
- …for retrieving specified information from data sources. + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, ... **Job Summary** The Manager, Medical Economics provides support and consultation to the New York Health...related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor… more
- Humana (Green Bay, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... Healthcare , or 1-3 years of experience in healthcare communications, Medicaid operations , or a related...experience + Background working in regulated industries such as healthcare or financial services or with compliance-driven… more
- Molina Healthcare (Green Bay, WI)
- …in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services , including 2+ years in a direct or matrix leadership position * ... adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
- Walgreens (De Pere, WI)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . ** Operations ** + Responsible for assisting pharmacist ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Molina Healthcare (Green Bay, WI)
- …the creation and solution design of architectures for delivery, development, and support of projects. + Must have experience integrating multiple applications and ... tools and the organization process. + Experience with various processes within Healthcare Domain + Analyzing the business impact that individual technical choices… more
- Molina Healthcare (Green Bay, WI)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to ... of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior… more
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** **Job Summary** Provides support for development of educational/training content and resources for clinical systems applications/platforms. ... and training delivery for utilization management, care management, long-term services (LTSS), behavioral health, and other applicable clinical systems functions.… more
- Molina Healthcare (Green Bay, WI)
- …SQL, Excel and QNXT) in support of Network Management and Operations areas of responsibility (eg, Provider Services /Provider Inquiry Research & Resolution, ... Provides timely, accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with… more
- Molina Healthcare (Green Bay, WI)
- …Reimbursement will be primarily responsible for implementation, maintenance, and support of provider reimbursement for all provider types, including hospitals ... PPS pricing methodologies. Works closely with IT, the pricing software vendor, operations , health plan representatives, and other business teams involved in claim… more
- Molina Healthcare (Green Bay, WI)
- …of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. ... and compliance for clinical functions supported through technology. Maintains lights-on support and governance of clinical system changes. Participates with senior… more
- Molina Healthcare (Green Bay, WI)
- …value at scale. Partner with cross-functional teams (data science, engineering, product, operations , etc.) to align project outcomes with the company's AI roadmap ... project teams to increase efficiency (for example, using Moveworks for internal support automation). Encourage knowledge sharing and training on these tools. Stay… more
- Ascension Health (Appleton, WI)
- …range at the time of the offer._ **Responsibilities** Works in a customer service capacity providing administrative and clerical support to patients and ... appointments. + Enters, reviews and submits charges for patient procedures and services daily. Collects co-payments and reconciles all daily reports and deposits for… more
- Kellermeyer Bergensons Services (Ashwaubenon, WI)
- …, education, manufacturing, and more-maintain clean, efficient and welcoming spaces that support their operations . As we continue to grow, we're looking ... and exciting company full of great opportunities! Kellermeyer Bergensons Services (KBS) has an immediate opportunity to join our...a culture built on respect, opportunity, and pride in service . If this sounds like the right environment for… more