- Sharecare (Madison, WI)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Molina Healthcare (WI)
- **Molina Healthcare** is hiring for a **Health Plan Operations, Payment Integrity Program Manager .** This role is fully remote . This Program Manager role ... : + 5-7 years of Program and/or Project management experience. + Managed Care experience. + Experience working in a cross functional highly matrixed organization.… more
- Highmark Health (Madison, WI)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Option Care Health (Madison, WI)
- …infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
- Molina Healthcare (WI)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program Manager is ... work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work...years of work experience in a clinical and/or managed care setting + Must be eligible to work in… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager Provider Relations ... and efficiency of customer service to members, providers and clients. The Manager of Provider Relations works in collaboration with leaders throughout the… more
- Prime Therapeutics (Madison, WI)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Manager , Reporting & Analytics - Remote **Job Description** The Manager , ... client demands, continuous improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff to meet or… more
- Prime Therapeutics (Madison, WI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager Financial Systems - Remote **Job Description** The Manager , Financial ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Madison, WI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Account Manager - Remote **Job Description** The Employer Account Mgr is responsible ... * Coordinate with the Employer Account Executive and Sr. Employer Account Manager in communication with clients throughout the development of reports and trend… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads the development of ... and operational framework. + Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed. + Develops strong… more
- UMB Bank (Madison, WI)
- …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... Thu on-site) for candidates in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but within the US.** **_How you'll… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description** Overall management of assigned book of ... or services that includes demonstrating the knowledge of the dynamics facing managed care in the current market. + Understands about the company's business and… more
- Prime Therapeutics (Madison, WI)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Operations ( Remote ) **Job Description** + Operations: Manages team members in ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Highmark Health (Madison, WI)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Molina Healthcare (Kenosha, WI)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Sharecare (Madison, WI)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... . **Job Summary:** The Manager of Operations, Medical Record Retrieval has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- CVS Health (Madison, WI)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** As a Product … more
- Molina Healthcare (WI)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Kenosha, WI)
- …Develops data quality strategies and solutions to close risk and quality care gaps. * Communicate effectively and consistently with key stakeholders, including ... organizations. * Comprehensive mastery of the drivers of value in managed health care as well as in-depth knowledge of the healthcare industry * Expert-level ability… more