- Centene Corporation (Madison, WI)
- …Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure ... adherence to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
- Sevita (Madison, WI)
- …experience a career well lived. **SUMMARY** + Position Type: Full-time, non-exempt, hourly supervisor role. + Scope of Role: + Supervises a single program or unit ... implements Sevita compliance plan; manages individual rights implementation. 6. Management of Individuals' Assets: When assigned, assures safety of individual's… more
- Carrier (Madison, WI)
- …range of talents and skill sets. **About this role** The Building Automation Field Supervisor is a team leader of a selected number of Field Engineers (FE). Their ... FE's. They are responsible for working with the Project Management group in coordinating timely completion of all assigned...field operations department do so. + Ensure proper time utilization from timesheet collection, site visits, and daily logs… more
- Highmark Health (Madison, WI)
- …contribute to highest levels of performance. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but limited to: involved in hiring and ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct, and control… more
- Molina Healthcare (Madison, WI)
- …Summary** Leads and supervises team responsible for enterprise network management and operations activities including network development, network adequacy, and ... contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
- CVS Health (Madison, WI)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- CVS Health (Madison, WI)
- …- 3+ years of acute experience as a Registered Nurse - 1+ years of Utilization Management experience - Must have experience using MS Office suites - Must ... it all with heart, each and every day. The supervisor is responsible for oversight of healthcare management...Occasional travel less than 5% to complete audits/meetings - Utilization Management is a 24/7 operation and… more
- Molina Healthcare (Madison, WI)
- …physicians. Such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding, for ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more
- Fresenius Medical Center (Madison, WI)
- …on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative ... questions. + Identifies and communicates patient related issues to facility management , as needed. + Completes documentation of patient information from admission… more
- Wolters Kluwer (Madison, WI)
- …in dynamic environments, and have a strong background in digital campaign/omnichannel management , this could be your next career step. **Essential Duties and ... Responsibilities** _Strategy Development & Campaign Management :_ + Oversee comprehensive marketing campaigns tailored to different funnel stages across multi-channel… more
- Cardinal Health (Madison, WI)
- …payers, pharmacists and manufacturers for integrated care coordination and better patient management . Backed by nearly 100 years of experience, with more than 40,000 ... product and service education to facilitate technology adoption and workflow change management . The primary purpose of this position is to oversee the evaluation… more
- Emmi Roth (Stoughton, WI)
- …efficiently stacks and stores materials in designated areas to optimize space utilization . * Performs routine inspections of forklifts and equipment to ensure they ... records by updating stock movements, counts, and locations in the warehouse management system. * Conducts regular cycle counts and assists in physical inventory… more
- Highmark Health (Madison, WI)
- …to set health goals by working cooperatively with medical providers, case management departments and/or health plans to help ensure that patients have comprehensive ... (10%) + Responsible for providing consistent communication to program supervisor /manager to evaluate patient/family status, ensuring that provided information and… more