• Care Coordinator (Region II)

    Humana (Beloit, WI)
    …with resources appropriate for the care and wellbeing of members. The LTSS Care Coordinator _( Care Coach 1)_ employs a variety of strategies, approaches, ... techniques to manage a member's health issues. The LTSS Care Coordinator _( Care Coach 1_...care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + Intermediate to advanced… more
    Humana (08/23/25)
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  • Utilization Management Administration…

    Humana (Madison, WI)
    …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
    Humana (08/23/25)
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  • Senior Coordinator , Individualized…

    Cardinal Health (Madison, WI)
    …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
    Cardinal Health (08/20/25)
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  • Coordinator , Appeals and Grievances

    Evolent (Madison, WI)
    …in processing appeals is preferred. + 3 years of experience within a health plan , managed care organization or third-party administrator is preferred. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
    Evolent (08/21/25)
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  • Jennie-O Turkey Store - Inventory & Distribution…

    Hormel Foods (Barron, WI)
    …with purchasing specialists, department sales and other departments 7. Need to be self- managed to perform duties & to solve problems 8. Inventory cycle counting ... to area companies AND you become eligible for health care plans after 30 days of employment); life insurance;...30 days of employment); life insurance; Employee Stock Purchase Plan ; 401k with match; and tuition reimbursement program +… more
    Hormel Foods (08/22/25)
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  • RN Care Manager

    Humana (Oshkosh, 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 ... us put health first** Humana is seeking an RN Care Manager (Health & Wellness Coordinator ) to...development and ongoing review and coordination of the member's plan of care . + Take the lead… more
    Humana (08/21/25)
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