- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- Humana (Madison, WI)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care… more
- Marshfield Clinic (Beaver Dam, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... the most exciting missions in the world!** **Job Title:** Manager CBRF/RCAC **Cost Center:** 351011460 Beaver Dam-CBRF-Remembrance **Scheduled Weekly Hours:**… more
- Humana (Madison, WI)
- …behavioral and physical health services + Oversees, monitors, and assists with effective implementation of the Quality Management (QM) program ; and work closely ... health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our Illinois FIDE members. The individual in this role collaborates… more
- Molina Healthcare (Racine, WI)
- …services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality ... utilization and effective resource management. * Assumes leadership relative to knowledge, implementation , training, and supervision of the use of the criteria for… more
- Humana (Madison, WI)
- …Capacity Management - provide value-based guidance on backlog prioritization to the implementation team. Coordinate with the Product Manager and set boundaries ... the overall set of features prioritized by the Product Manager . Additionally provide clarity to scrum team members with...+ Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development… more
- Fresenius Medical Center (West Allis, WI)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Molina Healthcare (Kenosha, WI)
- …in line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services. ... to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions.… more
- Fresenius Medical Center (Fitchburg, WI)
- …clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction ... ensure ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving FMS quality standards through education… more
- Marshfield Clinic (Beaver Dam, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... to the Director of Nursing, RN Lead or RN Manager . Documentation: 15. Documents completely, accurately and timely according...and non-licensed nursing staff. 22. Leads and/or participates in implementation of change to provide high quality of care… more