- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by ... overseeing large programs and multiple projects supporting Molina's Risk Adjustment and Quality performance ....completeness and accuracy of EHR/HIE and supplemental data. * Lead activities and tasks across multiple teams and departments.… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- Ford Motor Company (Madison, WI)
- …countries around the world. In this position Ford Credit is seeking a Director of Data, Risk , and AI Architecture to lead the evolution of our data and AI ... that deliver demonstrable business value. What you'll do + Lead the development and implementation of a comprehensive data...and implementation of robust data pipelines supporting our credit risk models and ensuring data quality , integrity,… more
- Humana (Madison, WI)
- …to ensure adherence to best practices in mainframe development. The IT Lead Infrastructure Governance role tackles problems of diverse scope and complexity, ranging ... to substantial, ensuring a dynamic and impactful work environment. The Lead , Infrastructure Capacity Management conducts supply/demand, trend analyses and makes… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... tracking outcome. Assist with research, development, and completion of special performance improvement projects. **ESSENTIAL JOB DUTIES:** + Work cross functionally… more
- CenterWell (Madison, WI)
- …care continuum and quality improvement activities to address high risk , high-utilizers/high-cost patient management. The Program Delivery Lead works on ... influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems… more
- Humana (Madison, WI)
- …to design, validate scale new innovative value-based care/ alternative payment models in risk -based healthcare. The Clinical Strategy Lead will: + Engage in an ... part of a team that leads non-PCP and specialty risk initiatives, amongst other home-based and virtual care clinical...experts to identify the greatest opportunities in clinical outcomes, quality , cost, and experience for members. + Lead… more
- Humana (Madison, WI)
- …Plans by serving its members through a single source solution. We engage in risk -based (eg, capitation, shared savings) deals with health plans and other risk ... infusion services. The Value-Based finance team is seeking a Financial Analytics Lead . The position will work directly with senior management, including the Segment… more
- Humana (Madison, WI)
- …of the Humana Enterprise Architecture principles, standards, policies and methodologies. As a Lead Enterprise Architect, you play a pivotal role in the alignment of ... to improve member experience and health outcomes, create competitive advantages, reduce operational risk , and total cost of operations. Additionally, as a lead … more
- Cushman & Wakefield (Madison, WI)
- **Job Title** Procurement Lead **Job Description Summary** The Procurement Director will lead a team of procurement professionals of varying levels and ... the on-account leadership team of varying service lines. The Procurement Director will lead in all aspects of procurement including, but not inclusive of: Strategic… more
- Cardinal Health (Madison, WI)
- **Position Summary** The Director, IT - SAP Transformations Lead will drive the successful execution of SAP-related business transformation initiatives. The ideal ... integration across business processes. The Director, IT - SAP Transformations Lead will be responsible for overseeing and driving large-scale organizational change… more
- Sedgwick (Sun Prairie, WI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Comp (REMOTE - Calif Exp) **PRIMARY PURPOSE:** To supervise ... reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract… more
- Lumen (Madison, WI)
- …customer care, operations, program management plans, change management plans, resource plans, quality assurance plans, and risk management plans. + Directly ... Join us as we digitally connect the world and shape the future. **The Role** Lead Site Survey Engineer, Federal Programs in support of the Department of the Air… more
- Lincoln Financial Group (Madison, WI)
- …for this opportunity. **Requisition #:** 73532 **The Role at a Glance** This position will lead a team that is responsible for a pricing and rating model for all the ... and directs the implementation of process improvements that significantly improve quality across the team, supporting the automation and production capabilities of… more
- J&J Family of Companies (Madison, WI)
- …adequate and appropriate process controls. May be responsible for participating and/or taking lead role in developing the risk management plan for new projects ... Johnson & Johnson is recruiting for a Sr Quality Engineer for Shockwave Medical Inc. located in...technical problems. Participates in decisions on scope of work, risk management, design changes, process improvements, material disposition, and… more
- Evolent (Madison, WI)
- …for the mission. Stay for the culture. What You'll Be Doing: Our Performance Suite Analytics team offers candidates the opportunity to support the evolution of ... patient value and demonstrate this by ensuring that our risk -based financial arrangements are equitable and sustainable. We are...Opportunities: This individual will serve as a key member Performance Suite Analytics team at Evolent. This role is… more
- Catalent Pharma Solutions (Madison, WI)
- **Specialist III, Quality & Compliance** **Summary** _Catalent, Inc. is a leading global contract development and manufacturing organization (CDMO) whose mission is ... network, Catalent Biologics is positioned to drive significant growth for Catalent. The Quality Assurance department is responsible for all aspects of the quality… more
- Evolent (Madison, WI)
- …MD will lead our Quality program, with accountability for ECP's Quality performance across contracts. The MD will partner with our Payor Operations and ... and Commercial contracts, including plans related to medical expense management, quality improvement, appropriate risk adjustment, and patient and provider… more
- Mallinckrodt Pharmaceuticals (Madison, WI)
- …across Commercial, Regulatory, Customer Care, and Operations to support product performance , lead platform development, and champion design for manufacturability ... leveraging data and metrics to drive decision-making and enhance product quality . + Lead multi-disciplinary teams in effective problem-solving initiatives… more
- American Family Insurance - Corporate (Madison, WI)
- …You will identify opportunities for process improvements and enhanced services. + **Vendor Risk Assessment.** Lead the process to identify inherent risk ... and managing supplier relationships. Your efforts will ensure the procurement of high- quality products and services at competitive prices. You will collaborate with… more