- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... + Directs and oversees one of the following key Healthcare Services functions: case management/disease management/care transitions; utilization… more
- Huron Consulting Group (Madison, WI)
- …and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling ... reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change.… more
- Huron Consulting Group (Madison, WI)
- …and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling ... reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change.… more
- Humana (Madison, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... solution and system architects that supports insurance and prescription integrated healthcare . The Director , Solutions Architecture is responsible for… more
- SHI (Madison, WI)
- …leadership customers and while attending industry events. This individual will report into Sr. Director - Healthcare Strategy and is required to report into the ... International Corp. is a $12 billion global provider of IT solutions and services , and currently has over 5,000 dedicated employees worldwide. To learn more about… more
- Molina Healthcare (Madison, WI)
- …the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Manages one or more Healthcare Services clinical programs using staff and matrixed resources with ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan… more
- Molina Healthcare (Madison, WI)
- …Clinical Center of Excellence and to deliver value through highly efficient shared service . To achieve this objective, this role will support a specific Clinical ... Engagement, Delegation + Collaborate and facilitate activities with other shared services departments and with Molina Health Plans. + Responsible for governance… more
- Humana (Madison, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... part of our dynamic Wisconsin leadership team in this position as the Director , Consumer Service Operations. This position works with insurance companies,… more
- Humana (Madison, WI)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with ... services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups,...our customers and our company. Through our Humana insurance services and CenterWell healthcare services ,… more
- Humana (Madison, WI)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with ... services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups,...our customers and our company. Through our Humana insurance services and CenterWell healthcare services ,… more
- Humana (Madison, WI)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with ... us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on...our customers and our company. Through our Humana insurance services and CenterWell healthcare services ,… more
- Humana (Madison, WI)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with ... relies on medical background and reviews preauthorization requests for services . The Medical Director work assignments involve...our customers and our company. Through our Humana insurance services and CenterWell healthcare services ,… more
- Humana (Madison, WI)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are concordant with ... background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service...our customers and our company. Through our Humana insurance services and CenterWell healthcare services ,… more
- National Youth Advocate Program (Madison, WI)
- …and operational systems related to foster care, case management, and clinical services for minors. The Assistant Program Director provides supervision to ... each year! (11 holidays + 22 days PTO) + Healthcare Benefits for you and your family + Pet...Exciting Benefits and Opportunities at NYAP! The Assistant Program Director for La Jornada is responsible for assisting the… more
- Humana (Madison, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- SSM Health (Madison, WI)
- …WI and is not remote work eligible. **_Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare_** **_Names One of the Diversity Leaders 2024 - Modern ... and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve. With care… more
- Humana (Madison, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and… more
- Public Consulting Group (Madison, WI)
- …and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 ... better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational...Business Solutions + Project Assurance PCG is hiring a Director to manage a team and multiple public sector… more
- Humana (Madison, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make it easier for the ... Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- SSM Health (Madison, WI)
- …Type:** Regular **Job Highlights:** **_Named 150 Top Places to Work in Healthcare 2023 - Becker's Healthcare_** **_Named One of America's Greatest Workplaces for ... and more than 12,800 providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve. With care… more