- Molina Healthcare (Madison, WI)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Madison, WI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Madison, WI)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Madison, WI)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Centene Corporation (Madison, WI)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as appropriate. + ... standards. + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management , quality… more
- Acxiom (Madison, WI)
- As the Director , Campaign Management , Retail & Commerce Networks Acxiom's Commerce & Retail Media Network Practice, you will play a critical role in ... channels. In this role, you will focus on yield optimization, campaign management , media activation, and performance reporting, ensuring every campaign is planned… more
- Cardinal Health (Madison, WI)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Humana (Madison, WI)
- …personnel to ensure high-quality and appropriate care delivered through the BH Provider network + Establishes and maintains relationships with Providers, ... build collaborative care models in their practices + Coordinates with the Medical Director to integrate the administration and management of behavioral and… more
- Highmark Health (Madison, WI)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- SHI (Madison, WI)
- …every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's ... **Job Summary** SHI is seeking an executive visionary to serve as Sr Director of Services Delivery Integrators & GTM Alliances, responsible for crafting the program,… more
- Molina Healthcare (Madison, WI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Madison, WI)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Merck (Madison, WI)
- …plans in partnership with Precision Medicine Health Systems Oncology Medical Affairs Director (PM HSO-MADs), oncology account management , and precision medicine ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with… more
- Hilton (Madison, WI)
- …brands by being relentlessly motivated to grow market share\. On the Strategic Account Management team reporting to the Managing Director , you will lead a ... the combined benefits of scale, access, competence, and experience\. As a Director , Sales Worldwide Accounts \(Strategic Accounts\) _,_ you will support the team… more
- Cardinal Health (Madison, WI)
- … of Sales, Market Access_ will directly support the team's diverse account management responsibilities across our network of 500+ existing payers. This hands-on ... healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial leader for… more
- nVent (Madison, WI)
- …+ Develop and implement strategy for core cyber defense activities including exposure management , monitoring for anomalous activity on the network , and threat ... + Inspire and lead a diverse cyber operations center, including team management activities, budgeting, and maintaining a balanced workload that promotes health and… more
- Molina Healthcare (Madison, WI)
- …the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...Cloud, disaster recovery, business continuity, team leadership, and project management . + Strong knowledge of application, network ,… more
- Serendipity Labs (Madison, WI)
- …corporate workplace. Trusted by some of the largest and smallest companies around, we provide flexible workplace solutions and have created a national network of ... is workplace as a service. As we expand our network of locations and grow membership, we are looking...solving people's/business challenges with high value solutions. The Role: Director of Sales - Full Time As a member… more
- Madison Gas & Electric (Madison, WI)
- ** Director - Gas Engineering Planning and Compliance** Location **Madison** Job Category **Gas Engineering** Apply Now ... (https://phf.tbe.taleo.net/phf01/ats/careers/v2/applyRequisition?org=MGE&cws=38&rid=1992) **Job Purpose** The Director of Gas Engineering, Planning, and Compliance provides high-level… more
- Sumitomo Pharma (Madison, WI)
- …seeking a dynamic, motivated, and experienced individual for the position of ** Director , Thought Leader Liaison - Oncology (Prostate Cancer)** . This field-based ... in prostate cancer care within both academic and community oncology. The Director will engage medical oncologists and radiation oncologists, ensuring ORGOVYX is… more