- Molina Healthcare (Racine, 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 (Racine, 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 (Racine, 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
- US Bank (Milwaukee, WI)
- …Banking segment defined as companies with less than $2.5M in revenues. A successful Payment Services Market Manager will work to develop a pipeline of ... launching new products, we're building a range of tailored payment solutions powered by the latest technology. As part...among the first considered when hiring begins. **The Market Manager will operate remotely but will require frequent traveling… more
- Molina Healthcare (Racine, 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
- Lincoln Financial (Milwaukee, WI)
- …**The Role at a Glance** Lincoln has an opening for a **Relationship Manager ** who is passionate about helping plan sponsors and financial professionals deliver the ... best retirement plan experience possible. As a Relationship Manager , you will lead an experienced and dynamic service...+ Free financial counseling, health coaching and employee assistance program + Tuition assistance program + Work… more
- Clarios (Milwaukee, WI)
- **What will you do** **:** As the Global Logistics Manager , you will have the opportunity for leading all strategic, tactical logistics & logistics procurement ... role in trade compliance alignment, vendor negotiations and procurement, and freight & payment audit oversight. This role reports to the Director of Global Logistics… more
- CBRE (Milwaukee, WI)
- Associate Property Manager Job ID 242199 Posted 14-Oct-2025 Service line Advisory Segment Role type Full-time Areas of Interest Property Management Location(s) ... States of America **About The Role:** The Associate Property Manager will support the Manager or higher...as necessary. + Review and recommend approvals for accurate payment of vendor invoices on behalf of the property… more
- Turner & Townsend (Milwaukee, WI)
- …and fun company culture. Our clients value our proactive approach, depth of expertise, integrity and the quality we deliver. As a result, our people get to enjoy ... **Turner & Townsend** is seeking an experienced **Senior Cost Manager or Quantity Surveyor** to provide commercial management, cost...on a global technology client's massive data center construction program . To be successful in this role you must… more
- Molina Healthcare (Racine, 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 (Racine, 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
- WestCare Foundation (Milwaukee, WI)
- …client prior to discharge. + Maintain proper balance regarding source of payment (fee for service, Medicaid, public, private, and third-party payers) + Responsible ... with coverage and escalates complicated issues to the billing manager and/or director. + Coordinate with the billing ...to operate a computer and complete documents in Microsoft program formats. + Ability to complete work tasks within… more