- Cardinal Health (Madison, WI)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Molina Healthcare (Madison, WI)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Molina Healthcare (WI)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Molina Healthcare (Kenosha, WI)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… 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 ... be reviewed and is subject to changes based on business necessity. The Home Care & CES Manager assists with the day-to-day operations of the Home Care & CES… more
- Molina Healthcare (WI)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year… more
- Molina Healthcare (Kenosha, WI)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (Hudson, WI)
- …Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + ... 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year experience working with population who receive… more
- Gentiva (Madison, WI)
- …to grow and flourish, and full benefit package. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...+ We maintain a drug-free workplace Keywords: hospice RN manager , patient care manager senior,… more
- Molina Healthcare (Madison, WI)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... regimens. * Care manager RNs may conduct medication reconciliation...care , including at least 1 year experience in care management, managed care , and/or… more
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