- TreeHouse Foods, Inc. (Green Bay, WI)
- …Brook **Job Type:** Quality **Job Posting Title:** Customer Food Safety and Quality Manager **About Us** **:** TreeHouse Foods (NYSE: THS) is a leading manufacturer ... Better Together.** We are a diverse team driven by integrity , accountability, and a commitment to exceptional results. We...You G** **ain** **:** + Competitive compensation and benefits program with no waiting period - you're eligible from… more
- TreeHouse Foods, Inc. (Green Bay, WI)
- …Speak Up, and Better Together.** We are a diverse team driven by integrity , accountability, and a commitment to exceptional results. We embrace change, prioritize ... enterprise-wide goals. **What You G** **ain** **:** + Competitive compensation and benefits program with no waiting period - you're eligible from your first day! +… more
- Molina Healthcare (Green Bay, WI)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… 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. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Green Bay, WI)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (Green Bay, WI)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- Molina Healthcare (Green Bay, WI)
- …level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit… more
- Molina Healthcare (Green Bay, WI)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
