Menasha Jobs

Position Purpose: Assist the Plan in credentialing and re-credentialing. Credential and re-credential various providers, including physicians, healthcare delivery organizations, or pharmacies, according to applicable specifications. Maintain and update cr

Position Purpose: Lead the overall functions of complex and high dollar account relationships including implementations, relationship building, monitoring contract compliance, ensuring performance guarantees, and overall client satisfaction. Responsibilit

Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Assist with non medical aspects of the member’s care, including referrals to community resources. Identify special needs members through the completion of health

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary

Position Purpose: Develop and respond to Requests for Proposals (RFP’s) and Requests for Information (RFI’s) for pharmacy benefit management services Develop high-quality pharmacy benefit management proposals within required timeframes using proposal data

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health stat

Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement programs according to URAC and NCQA standards. Lead and/or participate in Qualit

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health stat

More information about this job Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compa

More information about this job Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compa

Customer Service Representatives (Billing) Everything you want to be! **Start Date 10/31/16** Are you versatile and cool under pressure? Does your “can do” attitude prevail over a fast-paced variety of customer concerns? Do you picture yourself a tech whi

Career Field: Workforce Management, workforce staffing, workforce planning, workforce forecasting, workforce development, business strategy, workforce scheduling Position Summary: The Workforce Management Real Time Specialist is responsible for the daily

Duties and Responsibilities Perform all Click-to-Chat Analyst responsibilities with consistent reliabilityAbility to maneuver through various systems to provide the customer with prompt, courteous and accurate information including: Accurately respond to

Position Summary The Business Analyst is the initial contact for dealership personnel. The Business Analyst listens to customer inquiries and provides an accurate and timely response to the customer. Duties and Responsibilities Perform all Business Analys

Whataburger Team Member Job Fair Thursday, September 8, 2016 2:00 pm - 6:00 pm Visit any of our locations in Las Cruces & Roswell, New Mexico Instructions: Please apply online and visit us on September 8, 2016 for an interview! The Team Member is a busine

Title _Claims Adjuster with Heavy Equipment Experience_ About the Organization AmTrust Financial Services, Inc., (Nasdaq: AFSI) headquartered in New York City, is a multinational insurance holding company, which, through its insurance carriers, offers spe

Title _Senior Accountant - Fee Income_ About the Organization AmTrust Financial Services, Inc., (Nasdaq: AFSI) headquartered in New York City, is a multinational insurance holding company, which, through its insurance carriers, offers specialty property a

The Cook Children’s Health Care System is an integrated delivery organization dedicated to providing quality health care and to improving the well-being of children. Cook Children’s recognizes that the care of ill and injured children requires highly skil

The Cook Children’s Health Care System is an integrated delivery organization dedicated to providing quality health care and to improving the well-being of children. Cook Children’s recognizes that the care of ill and injured children requires highly skil

The Cook Children’s Health Care System is an integrated delivery organization dedicated to providing quality health care and to improving the well-being of children. Cook Children’s recognizes that the care of ill and injured children requires highly skil