• VP , Marketplace Clinical Operations…

    Molina Healthcare (WI)
    …related field **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + 10 years managed care experience with management responsibility including clinical ... Reporting to the Marketplace segment leader at Molina, the VP , Marketplace Clinical Operations leads a team that works...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum. This includes physical health and… more
    Molina Healthcare (12/05/24)
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  • Senior Data Architect (Principal Enterprise

    Wolters Kluwer (Madison, WI)
    **Senior Data Architect (Principal Enterprise Architect) - Remote R0038318** We are looking for a **Senior Data Architect** (Principal Enterprise Architect) to ... products and look for inefficiencies. As a **Senior Data Architect** (Principal Enterprise Architect), you will partner with several teams to look for performance… more
    Wolters Kluwer (12/20/24)
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  • COE Clinical Value Program Director, Healthcare…

    Molina Healthcare (WI)
    …program and be accountable for its success, reporting directly to the Vice President of Clinical Value. **KNOWLEDGE/SKILLS/ABILITIES** + Partner with program ... Social Work or other healthcare related field. **Preferred Experience** + 10+ years managed care experience + Operational and process improvement experience +… more
    Molina Healthcare (11/20/24)
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  • SVP State Public Sector - REMOTE

    Prime Therapeutics (Madison, WI)
    …**Job Posting Title** SVP State Public Sector - REMOTE **Job Description** The Senior Vice President , State Public Sector is responsible for the development and ... This executive leader is a key influencer across the enterprise and will work cross functionally with internal and...include 8 years of experience leading operations of a managed care and/or health services company, or… more
    Prime Therapeutics (01/14/25)
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  • Director, Insurance Strategy

    Humana (Madison, WI)
    …stakeholders **Role Desirables** + Prior healthcare industry experience, preferably in the managed care or provider sector **Additional Information** Humana is ... business unit, and more broadly with leaders throughout the enterprise , as they deliver strategy projects addressing some of...you. **Reporting Relationships** The role reports to the Associate Vice President of the Insurance Strategy team,… more
    Humana (12/21/24)
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  • Pricing Analyst Senior Principal

    Prime Therapeutics (Madison, WI)
    …pricing, quality improvement and/or business analysis, to include 5 years of experience in managed care or the pharmacy benefit management industry + 5 years of ... of analytical strategies which have significant impact on the enterprise . The position influences a team of skilled analysts...to adjust focus **Reporting Structure** + Reports to Assistant Vice President in the Finance department Potential… more
    Prime Therapeutics (12/19/24)
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  • Clinical Design Director (RN required)

    Molina Healthcare (WI)
    …Work or other healthcare related field. **Preferred Experience** + 10+ years managed care experience + Operational and process improvement experience **Preferred ... to drive clinical excellence and quality results across the enterprise . + Delivers a unified or fully Integrated DSNP...program development and clinical strategy. + Partner with COE VP to ensure COE is operating effectively and ensuring… more
    Molina Healthcare (01/13/25)
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  • COE CM Director, (RN required)

    Molina Healthcare (WI)
    …Work or other healthcare related field. **Preferred Experience** + 10+ years managed care experience + Operational and process improvement experience **Preferred ... and processes to drive clinical excellence and quality results across the enterprise . + Identifies case management best practices and capabilities across all plans… more
    Molina Healthcare (01/13/25)
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  • Sr. Incident Response Engineer

    Baylor Scott & White Health (Madison, WI)
    …and coordinate internal incident response efforts between operations team, and managed security services. + Develop Incident Response initiatives that improve our ... organization + Be a security liaison and enabler to Managed Service counter parts. + Create and improve security...for improvements and strategies, with oversight from Director and VP as needed + Knowledge of interdependencies of healthcare… more
    Baylor Scott & White Health (01/10/25)
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  • Director, Medicare Segment Optimization (Remote…

    Molina Healthcare (WI)
    …or comparable experience. **REQUIRED EXPERIENCE:** + 5-10 years' experience in Managed Care , specifically government programs and/or Medicare/Duals Health Plan ... local regulatory requirements. **Job Duties** + Under the leadership of the VP Medicare Segment Lead, this role will facilitate transparent and compliant execution… more
    Molina Healthcare (11/09/24)
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