- Molina Healthcare (Madison, WI)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- Centene Corporation (Madison, WI)
- … in planning and establishing goals and policies to improve quality and cost -effectiveness of care and service for members. + Provides medical expertise ... Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality...clinical practice in order to improve the quality and cost of care . + Interfaces with physicians… more
- World Council of Credit Unions (Madison, WI)
- …six continents, as well as industry partners who support our work. The Director of Communications position is primarily responsible for the tactical and strategic ... digital content for the organization. In this role, the Director of Communications will: + Develop/maintain the corporate communications...+ Management of the annual WOCCU Digital Growth Award program . + Establish and manage the brand identity of… more
- Select Medical (Madison, WI)
- …in order to ensure proper reimbursement for hospital provided services and to promote cost attentive care via a focus on resource management. + Demonstrating ... **Overview** **Critical Illness Recovery Hospital** ** Director of Case Management** $10,000 Sign On Bonus **_Clinical license as a registered nurse or respiratory… more
- Molina Healthcare (Madison, WI)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PR** **E**… more
- Molina Healthcare (Madison, WI)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- Sharecare (Madison, WI)
- …frameworks, and ensuring successful project delivery through hands-on project management. The Director will maintain a focus on quality, cost , and profitability ... in the lives of others through their work every day! **Job Summary:** The Director of Project Management will be culturally aligned with Sharecare by displaying and… more
- Prime Therapeutics (Madison, WI)
- …solutions, including optimizing optimize drug utilization, patient outcomes, and cost -effectiveness through value-based care models, digital health initiatives, ... and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description**… more
- Molina Healthcare (Madison, WI)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- CVS Health (Madison, WI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... your next role? Join CVS Health as a Lead Director Specialty Trade Relations, where you will be involved...relationships at a leadership level, be accountable for the cost of goods of pharmaceutical manufacturer products, and improvement… more
- Molina Healthcare (Madison, WI)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Otsuka America Pharmaceutical Inc. (Madison, WI)
- **Senior Director , Early Development Team Lead** **Role Summary:** The Early Development Team (EDT) Lead is a critical role - working to deliver Otsuka's pipeline ... senior leaders and functional area stakeholders to ensure alignment of program strategy and operational plans with functional area capabilities. _Leadership &… more
- Molina Healthcare (Madison, WI)
- …most effective setting. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Determines appropriateness ... care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care .… more
- Molina Healthcare (Madison, WI)
- …strategic plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Under the direction ... operations leadership, responsible for oversight of internal and external clinical program performance at Molina. * Monitors performance of assigned clinical… more
- CVS Health (Madison, WI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... performance insights to advise leadership on vendor strategy. Identify opportunities for cost savings, service enhancements, and innovation. + Manage a team of… more
- Kyndryl (Madison, WI)
- …+ Align contact center transformation with healthcare business models including value-based care , STAR ratings, and cost containment. + Embed intelligent ... experience is a strong plus, especially in payer/provider operations and care management workflows. **Preferred Qualifications: ** + 15+ years' experience in… more
- St Croix Hospice (Fort Atkinson, WI)
- …Year Degree Travel Percentage 100% Job Shift Day Job Category Health Care Description Responsible for developing and maintaining a positive relationship with ... as designated communities, and for providing education on topics pertaining to hospice care . Also, responsible for assisting intake as needed to ensure timely and… more
- Cardinal Health (Madison, WI)
- …met/exceeded, the Security Manager will partner with the Regional Security Director (RSD) team, with additional collaboration amongst all department team members, ... corporate functions, business unit leaders, and external partners. **_Responsibilities_** Program Implementation and Management- 80% + Lead the **development and… more
- CVS Health (Madison, WI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... corporate activities related to the prevention, investigation, and prosecution of health care fraud to recover lost funds. Responsible for compliance with state and… more
- Sedgwick (Madison, WI)
- …Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and Managed Care Organization's covered employees are provided information on eligibility, coverage, ... to deliver great work. + Works directly with clients, program managers, and MCO covered injured workers to ensure...CMS (company) MCO'S. + Works with the company Medical Director and vendor partner(s) on physician identification and credentialing… more