- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- CVS Health (Madison, WI)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Gilead Sciences, Inc. (Milwaukee, WI)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… more
- Cardinal Health (Madison, WI)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Prime Therapeutics (Madison, WI)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- Molina Healthcare (Kenosha, WI)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- CVS Health (Madison, WI)
- …within network as well as other business areas (clinical, operations, Medicare segment). **Required Qualifications** + Successful project management experience in ... increasingly more complex projects across a highly-matrixed organization + Project/ program expertise in stakeholder facilitation, communications and relationship management… more
- Gentiva (Milwaukee, WI)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more
- Prime Therapeutics (Madison, WI)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Cardinal Health (Madison, WI)
- …+ Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and policies, ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... the most exciting missions in the world!** **Job Title:** Senior Financial Analyst II (Remote) **Cost Center:** 101651010 Finance-Corporate...Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Marshfield Clinic (Weston, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... in the world!** **Job Title:** Pharmacy Technician I, II, III or Senior **Cost Center:** 301691305 Weston-Sterile Prod-Inv Drug **Scheduled Weekly Hours:** 40… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... the most exciting missions in the world!** **Job Title:** Maintenance Senior **Cost Center:** 301351035 Building Services **Scheduled Weekly Hours:** 40 **Employee… more
- Bluestone Physician Services (Milwaukee, WI)
- …by the overall savings per Medicare beneficiary. Position Overview : The Program Manager (GUIDE Model) is responsible for implementation of the GUIDE Model ... the Director to ensure alignment with company strategy and forecast. The GUIDE Program Manager is responsible for the effective implementation and day-to-day… more
- Mathematica (Madison, WI)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- Molina Healthcare (WI)
- …Clinical Systems, Medical Economics, Market Engagement, etc. to ensure efficient and effective program delivery + Package material for senior leaders, up to and ... Economics and Finance teams, drive, plan and manage a comprehensive program focused on identifying, defining, designing, implementing and tracking performance for… more
- Aveanna (Madison, WI)
- Home Health RN Assistant Clinical Manager ApplyRefer a FriendBack Job Details Requisition #: 195866 Location: Madison, WI 53703 Category: Nursing Salary: $85,000.00 ... per year Position Details Position Overview TheHome Health RN Assistant Clinical Manager , will evaluate nursing activities to ensure patient care, staff relations,… more
- Humana (Madison, WI)
- …is seeking a marketing savvy, strategy and solutions oriented, highly organized, Project Manager 2 to join our innovative team at The Hive, Humana's in-house agency, ... and motivate change through brand expression. As the Project Manager 2, you will manage all aspects of a...to prepare and provide project presentations during meetings with Senior Management + Strong analytical and problem-solving skills +… more
- CenterWell (Madison, WI)
- …health outcomes for seniors, serving as a behavioral health (BH) strategy, program and operations expert, and advancing BH goals through innovative, data-driven ... position formulates national goals and strategies, benchmarks best practices, drives program design and implementation, evaluates program effectiveness, and… more
- Marshfield Clinic (Beaver Dam, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... resident needs and maintain appropriate weight, report any changes to CNA, Lead, Manager , or Director. 6. Involves residents in cooking based and purposeful activity… more