- Cardinal Health (Madison, WI)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Molina Healthcare (Racine, WI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
- Elevance Health (Waukesha, WI)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consult Senior...end results. + Works side by side with their manager . **Minimum Requirements:** Requires BA/BS degree in Mathematics, Statistics… more
- Clarity Care Inc (Oshkosh, WI)
- Home Care & CES Manager Job Details Job...maintains training material for new staff in areas of Managed Care , County, State and Federal laws, regulations ... subject to changes based on business necessity. The Home Care & CES Manager assists with the...operating procedures, and business plans to achieve the agency's growth goals. + Responsible for renewing DVR Service Agreement contract… more
- Elevance Health (Arcadia, WI)
- …precertification process; knowledge of contracts and strong knowledge of managed benefit programs (family care /partnership) strongly preferred. Please be ... **Title** : Manager II GBD Special Programs - LTSS Care /Service Coordination **Location: We are currently seeking people in the following counties:** Durand,… more
- Elevance Health (Waukesha, WI)
- …including familiarity with prior authorization and precertification process; knowledge of contracts and strong knowledge of managed benefit programs strongly ... **Title:** Manager II Utilization Management **Hybrid 2:** This role...or LCSW license preferred. + 3 years of health care UM experience is highly preferred. + Prior experience… more
- Humana (Marshfield, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate...+ Daily documentation in member files within required DHS contract timeframes. + Participate in member monthly phone contacts… more
- Molina Healthcare (Madison, WI)
- …equivalent combination of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...in the development and implementation of value-based programs and contracts by supporting both the local markets and national… more
- Microsoft Corporation (Mount Pleasant, WI)
- **Overview** As a Microsoft Data Center Inventory & Asset Technician Manager (DIAM), you will lead a team of Inventory & Asset Management technicians responsible for ... millions of servers. Our foundation is built upon and managed by a team of subject matter experts working...across boundaries; Help the team adapt and learn. + Care - Attract and retain great people; Know each… more
- Datavant (Madison, WI)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... to realize our bold vision for healthcare. **Job Summary** The Senior Manager , Facilities at Datavant will lead all aspects of facilities operations across… more