• Field Medical Director, Interventional Cardiology…

    Evolent (Madison, WI)
    … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
    Evolent (04/30/25)
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  • Business Intelligence Analyst Contract Analyst…

    Marshfield Clinic (Marshfield, WI)
    …world!** **Job Title:** Business Intelligence Analyst Contract Analyst / Analyst Senior ( Remote in WI or MN) **Cost Center:** 682891544 SHP-Provider Network Mgmt ... payment and healthcare service models, promote an understanding of health care utilization through analysis of internal and external data sources, and translates… more
    Marshfield Clinic (06/25/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (WI)
    …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... _WORK SCHEDULE: Monday thru Friday 8:00AM to 5:00PM MST)_ _This is a Remote position, home office with internet connectivity of high speed required._ **Job Summary**… more
    Molina Healthcare (07/20/25)
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  • HIM - Analyst

    UnityPoint Health (Madison, WI)
    …adult acute care RN experience in med/surg, critical care, emergency or Utilization review . + Previous experience in clinical documentation improvement is ... ID: 164399 Overview We're seeking a Clinical Documentation Integrity Specialist (CDIS) RN to join our team! In this...In this role, you'll be responsible for performing concurrent review of medical records to ensure complete and accurate… more
    UnityPoint Health (06/21/25)
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  • Clin Sls Supt Spec

    Canon USA & Affiliates (Madison, WI)
    **Clin Sls Supt Spec - req1466** **OVERVIEW** The Clinical Sales Support Specialist (CSSS) role will report into the National Sales Programs Manager and will be a ... clinical/sales touch current. + Provide clinical advice to improve utilization of the system and ancillary equipment in an...as booth staffing, virtually and/or in person, as demo specialist and subject matter experts for sales support, as… more
    Canon USA & Affiliates (07/08/25)
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