- Molina Healthcare (Madison, WI)
- …as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer . * Evaluates authorization requests in timely ... monitoring for over and under-utilization. * Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline… more
- Molina Healthcare (Madison, WI)
- …Coverage). * Reviews medically appropriate clinical guidelines and other appropriate criteria with chief medical officer on denial decisions. * Resolves ... are seeking a candidate with a RN licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or...* Prepares and presents cases in conjunction with the chief medical officer for administrative… more
- Coinbase (Madison, WI)
- …global, fast-paced environment * Ability to motivate a range of senior stakeholders including Chief Financial Officer , Chief Compliance Officer , Business ... most trusted name in Crypto. You'll be working with a cross functional group of data scientists, machine learning engineers, risk analysts, and designers to design… more
- Molina Healthcare (Madison, WI)
- …such as credentialing, Pharmacy and Therapeutics (P&T) and others as directed by the chief medical officer . * Evaluates authorization requests in timely ... or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline… more
- Norstella (Madison, WI)
- …compliant, and aligned with employee needs and organizational objectives. Reporting to the Chief Human Resources Officer , this leader will play a critical role ... right time. Each organization (Citeline, Evaluate, MMIT, Panalgo, The Dedham Group ) delivers must-have answers for critical strategic and commercial decision-making.… more
- Oracle (Madison, WI)
- …Ethics and Compliance Operations Program Director, you will work directly with the Chief Health and Life Science Compliance Officer and compliance teams as ... policies, training and monitoring. + Experience with Software as a Medical Device marketing and promotion compliance requirements. + Experience with healthcare… more
- Oracle (Madison, WI)
- **Job Description** **Overview** The **Field Chief Technology Officer (Field CTO)** is a senior customer-facing technology leader who drives technical strategy ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… more