- Southland Industries (Milwaukee, WI)
- …Details** + Provide support to a single large project or multiple projects being managed by a Senior Project Managers and Project Engineers + We do self-performing ... dental, and vision insurance **(100% paid for employee)** + Annual bonus program based upon performance, achievement, and company profitability + Term life, AD&D… more
- Novo Nordisk (Wausau, WI)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... About the Department The Cardiometabolic Care Sales Team is at the forefront of...Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I… more
- Sedgwick (Madison, WI)
- …clients, customer satisfaction, revenue growth, client surveys, and new business; to provide managed care program management for jumbo clients requiring ... Services Director **PRIMARY PURPOSE** : To determine account management strategies related to managed care client service plans; to be responsible for retention… more
- CenterWell (Madison, WI)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director,… more
- WestCare Foundation (Milwaukee, WI)
- …+ 2 years admission review experience preferred. + Previous experience in Medicaid/ Managed Care preferred + Maintains confidential files and records + ... with coverage and escalates complicated issues to the billing manager and/or director. + Coordinate with the billing ...knowledge of HIPAA regulations and guidelines. + Knowledge of managed care and reimbursement principles. + Understanding… more
- Molina Healthcare (Racine, WI)
- …at least 2 years as a medical director in managed care organization supporting utilization management/quality program management, or equivalent combination ... utilization management services) in the development and execution of care management, utilization management and disease management programs. Develops clinical… more
- Molina Healthcare (Madison, WI)
- …and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer ... * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- Marshfield Clinic (Weston, WI)
- …development experience for hospital-based positions; for individuals working in a managed care setting, no prior experience required. **Preferred/Optional:** ... works with physicians, staff, and committees to optimize the care of patients by providing and supporting drug use...Individuals who have not completed an ASHP accredited residency program will be considered based on the following: Five… more
- Ascension Health (Milwaukee, WI)
- …nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer ... **Responsibilities** Ascension Wisconsin is looking for a Neurology Advanced Practice Provider Manager for our Columbia St. Mary's neurology department This is a… more
- Ascension Health (Mequon, WI)
- …nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer ... the offer._ **Responsibilities** **Position Highlights:** + Strategic thinking to help the program grow + ACLS/BLS certified + Liaison between hospitalist team and… more