- Humana (Madison, WI)
- …licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare Sales Field ... coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales must have a solid understanding of the market they serve,… more
- Molina Healthcare (Milwaukee, WI)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (Kenosha, WI)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (WI)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
- Public Consulting Group (Madison, WI)
- …to meet with and support clients. **Duties And Responsibilities** + Serves as project manager and subject matter expert, independently managing complex projects, ... agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it is… more
- Humana (Madison, WI)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where...through CCNP or the equivalent** + 5+ years of project leadership experience. + 8+ years of Layer 2/… more
- Marshfield Clinic (Marshfield, WI)
- …relocate to Wisconsin.** The Voice Engineer II is responsible for meeting project goals as well as maintaining the day-to-day operation of telecommunications, ... Clinic Health System (MCHS). This individuals primary duties include project installations, maintenance and administration of telecommunications, contact center and… more
- Elevance Health (Waukesha, WI)
- …managing and evaluating strategy and innovation initiatives, driving project management across multiple workstreams, overseeing health plan implementations, ... and Experience:** + Experience with large-scale healthcare or state Medicaid programs preferred. + Experience in management consulting, investment banking,… more
- Marshfield Clinic (Marshfield, WI)
- …to Wisconsin.** The Network Engineer Senior is responsible for leading project initiatives, designing network solutions and overseeing network installations. This ... working with other teams to communicate network requirements for successful project implementations and guiding team members on network installation and maintenance… more
- CenterWell (Madison, WI)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience...and ability to lead teams + Previous program or project management experience + Proven success in leading teams… more