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Claims Liaison I

Sat, 05/23/2015 - 11:00pm
Details: Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send claims to the claims department for corrections Identify any system changes and work notify the Plan CIA Manager to ensure its implementation Collaborate with the claims department to price pended claims correctly Document, track and resolve all plan providers’ claims projects Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication Identify authorization issues and trends and research for potential configuration related work process changes Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes Identify potential and documented eligibility issues and notify applicable departments to resolve Research the claims on various reports to determine if appropriate to move forward with recovery due to non-covered items being allowed, etc. Run claims reports regularly through provider information systems Research verbal and written providers’ claims inquiries as needed

Field Service Representative

Sat, 05/23/2015 - 11:00pm
Details: Job Summary: The Field Service Representative performs multiple functions related to product readiness for patient utilization on a wide range of Hill-Rom rental and customer owned products. Additionally, will provide 7/24 delivery, removal, and service support for products in service centers and customer accounts in a timely and professional manner. This position requires direct customer contact and will include frequent patient transfer. Performance of minor repairs and routine parts exchange will be expected. Essential Duties and Responsibilities: – Other duties may be assigned: Engage in field and warehouse activities such as bed decontamination and product cleaning. Assist with equipment transfers to other service centers. Assist in maintaining an accurate on site inventory. Follow Standard Operating Procedures (SOPs) and comply with the standards for Continuous Improvement. Delivers and removes products as well as completes functional checks. Coordinate parts ordering/shipping. Conducts technical in-service to customers. Uses test equipment for products assigned. Uses manufacturers’ service manuals and documentation to provide initial troubleshooting and/or minor repairs. Trained and able to perform minor repairs on products. These include (Pre-Installation and Preventive Maintenance, Routine Maintenance (RM’s), component replacement and minor cosmetic repairs. Dedicated to providing excellent customer service. Develops and maintains strong and effective relationships with various levels of internal and external customers. Use of the hand-held device for tracking completed and assigned work. Maintains a clean and safe work environment including 5S activities. Safety training, meeting and medical testing requirements are kept up-to-date. Operates safely and within guidelines or regulations. Demonstrates a pro-active approach towards safety, health, and quality in compliance with all company, governmental and customer regulations. Collaborates and communicates effectively with sales, co-workers, other departments and customers. Exhibits excellent time management skills. Meets project deadlines (i.e. upgrades, mods). Participates in the on-call rotation to provide 24/7 coverage. Ability to learn and comply with standard work processes/procedures as established by the Company. Excellent verbal and written communication skills. Priority One complaint documentation. Adherence to all company policies and procedures . Effectively implement service policies and procedures to support company objectives, including service documentation, SOP/WI training, expense and fleet reporting, maintenance and calibration of test equipment and filing and record keeping systems in accordance with standard work. All other duties assigned. Secondary Duties, if trained Perform complex repairs Warranty work on Capital Products

Sales Assistant/ Model Home Attendant

Sat, 05/23/2015 - 11:00pm
Details: D.R. Horton, Inc., the largest homebuilder in the U.S. , was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high quality homes designed principally for the entry-level and first time move-up markets. The Company also provides mortgage financing and title services for homebuyers through its mortgage and title subsidiaries. Please visit our website at www.drhorton.com for more information. D.R. Horton, Inc. is currently looking for a Sales Assistant/Model Home Attendant for their Sales and Marketing Department. The right candidate will Host model homes or sales office.

Shred Specialist/ Baler

Sat, 05/23/2015 - 11:00pm
Details: Position Description Position Title: Shredding Specialist Reports to: Service Route Manager, Plant Supervisor, Plant Manager, Operations Manager Exempt/Non-Exempt: Non-Exempt SUMMARY The Shredding Specialist is responsible for receiving, segregating and loading waste paper into a paper shredder as well as various traditional warehouse support duties. The Shredding Specialist is a member of the local operations team who coordinates the parking of all trucks in preparation for the next day. The Shredding Specialist must be a team player and contribute to a safe and harmonious work environment. The Shredding Specialist maintains Shred-its policies, standards, and practices and ensures adherence to Shred-it’s Vision, Mission and Values. SHREDDING RESPONSIBILITIES: Unloads shredded paper, media, and product from Shred-it’s trucks at the assigned branch nightly. Operates and maintains baling machinery at the branch. Ensures all paper bales are staged or loaded for shipment as required. Performs shredding operations in support of Shred-it’s off-site shredding program. Safeguards plant hardware and equipment by locking and activating security systems. Operates forklifts and performs preventative maintenance on forklifts as required. Maintains a clean and safe working area according to Shred-It and NAID standards Ensures that truck shredder compartments and cabs are cleaned nightly in accordance with company guidelines. Performs weekly, monthly and yearly preventative maintenance on all equipment. Maintains supplies for plant operations. Maintain a responsible approach to all security and safety matters related to the operation of Shred-it following the company’s policies and procedures at all times bringing the manager's attention to any and all areas of concern. Other duties as assigned. PERSONAL SPECIFICATIONS Communication Skills Oral Communication Effectively expresses self in one-on-one and group situations and presentations. Listening Demonstrates attentiveness and the ability to understand the oral communications of others through active listening skills. Personal Motivation Impact Maintain personal appearance and company vehicle in a professional manner. Create a good first impression. Initiative Self-starter who exhibits initiative and internal motivation to achieve goals, including those beyond standard expectations. Independence Must be able to work independently, think before acting and make sound judgments. Stress Management Handle all situations (e.g., time pressure, deadlines, task difficulty, etc.) with dignity and poise. Integrity Maintain social, ethical and organizational norms. Attention to Detail Achieve tasks and objectives through concern for all areas involved, no matter how small. Self–Development Attends all Shred-it training courses as required. Commits to ongoing personal development. Interpersonal Skills Teamwork Ability to work well in a team environment; always willing to assist other partners. Reliability Can absolutely be counted on to meet deadlines, carry out tasks, and keep commitments. Impact Portray an approachable image, act in a friendly manner with people and put them at ease. Judgment Develop alternative courses of action and make decisions which are based on logical assumptions and which reflect factual information, Decisions must be in the best interest of the customer and Shred-it. Responsibility Accept personal responsibility for all actions related to decision-making and personal judgment. EXPERIENCE AND EDUCATION Class B Commercial Driver’s License High school diploma or equivalent. Minimum of one (1) year of experience in a manufacturing or warehouse environment preferred. Basic knowledge of forklift truck driving and maintenance. Minimum of six (6) months as a certified forklift driver is considered an asset. Ability to lift a minimum of 57 pounds repeatedly over the course of the day. PHYSICAL REQUIREMENTS Ability to withstand the physically strenuous demands of lifting up to 80 pounds. Ability to pull and push heavy equipment and objects (80 to 100 pounds). Ability to drive a motor vehicle throughout the day for business needs. Ability to sit for up to eight (8) hours per day. Ability to walk in the course of business up to eight (8) hours per day. Disclaimer Statement: This position description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, duties, skills, or working conditions associated with a particular job. It is intended to be only a general description of the principal requirements common to positions of this type.

DirecTV Promotional Sales - Full Training / Full Time / Entry Level

Sat, 05/23/2015 - 11:00pm
Details: DirecTV Promotional Sales - Full Training / Full Time / Entry Level Full time / Competitive Pay / Company paid travel opportunities / Mentorship / Cell phone reimbursement / Personal & sick days / Comprehensive and continued training / Social media friendly / Weekly bonuses / Advancement opportunities / Fun company events www.CameronAlexanderInc.com Cameron Alexander, Inc. has an exciting new opportunity within our Marketing and Sales Promotions Team. This team is responsible for educating and building relationships with customers inside of a retail environment regarding DirecTV's promotions and services. This isn't your typical retail sales position. We're looking for someone that is confident, has great communication skills, enjoys working in a team environment and looking for a career verses a job. Cameron Alexander prides itself on its flexibility and its willingness to go the extra mile to help its customers and clients. We want you to be MORE than a crucial element to our client; we want you to be part of our team. Job Details Development of marketing campaigns and strategies Customer service and client acquisition Implementation of DirecTV product lunches Rigorous leadership training DirecTV in-store promotional sales

Entry Level Wine Consultant *IMMEDIATE HIRE*

Sat, 05/23/2015 - 11:00pm
Details: We are looking for fun, energetic, and charismatic wine enthusiasts to fill out our team of consultants to host wine tasting events throughout Milwaukee and surrounding areas. As a wine consultant, you will get to explore the fun and exciting world of top quality boutique wines, and build lasting relationships with an active portfolio of our loyal clients who have valued our product for years. Ideal candidates will have basic wine knowledge, sale experience (willing to train the right person), and most importantly a passionate and friendly demeanor. We offer flexible scheduling, a comfortable and fun work environment, and a range of attractive special offers like bonuses, vacations, car allowances, benefits, 401K, plus much more. Compensation: We offer a competitive commission rate, event gratuities, quarterly bonuses, and a monthly car allowance. If interested, please send resume and cover letter to Chanlon Kaufman at CK

Insurance Agency Owner

Sat, 05/23/2015 - 11:00pm
Details: BUILD MORE THAN A BUSINESS. BUILD A GOOD LIFE. Become an Allstate Insurance Agency Owner Allstate is looking for a special kind of person who wants to own equity in their own business and is ready to work hard for real financial success. Want to start earning what you’re really worth? With Allstate, there are no caps on what you can make, so the sky’s the limit! Why become an Allstate Insurance Agency Owner? Competitive compensation, rewards and incentives for your hard work Customizable marketing and advertising tools to help grow your business Brand-name recognition from a top marketer and a Fortune 100 Company No franchise fees required No insurance background necessary If you’re looking to build a good life for yourself and make a difference in the lives of others, talk with one of our agent recruiters today about a career with Allstate by calling 877-875-3514 and enter Option 1! Learn more from real Allstate Insurance Agents at AllstateAgent.com Subject to all terms and conditions as outlined in the Allstate R3001 Exclusive Agency Agreement s and Exclusive Agency program materials. Allstate agents are not franchisees; rather they are exclusive agent independent contractors and are not employed by Allstate. Allstate is an Equal Opportunity Company. Allstate Insurance Company, Northbrook, IL. In New Jersey, Allstate New Jersey Insurance Company, Bridgewater, NJ. © 2014 Allstate Insurance Co.

Group Benefit Sales Specialist

Sat, 05/23/2015 - 11:00pm
Details: GROUP BENEFIT SALES SPECIALIST JOB DESCRIPTION: Washington National Insurance Company's largest American marketing partner, PMA USA , is looking for the right individuals who have the desire to earn a good living, work a flexible schedule and help hundreds of our clients and their employees by educating, advising and servicing them to improve their quality of life. This is a business-to-business sales position helping employers find health care benefit solutions, and improve employee retention by creating or enhancing their employee benefits packages with our products. You will be working with our currently contracted school district, local government, and small business accounts, re-opening dormant accounts as well as developing new accounts. DESIRED SKILLS AND EXPERIENCE: Our field sales teams have been built with individuals from various backgrounds, including many that did not have previous sales or insurance experience. Experience is not a requirement, but a plus. Our comprehensive training program will assist those that are unlicensed in attaining necessary credentials, which is a short and easy process. We do find, however, that our top sales performers all have the following skills and abilities: Motivated and goal-oriented A professional presence and demeanor A dedication to customer service Ability to travel in state Experience prospecting, networking and/or new business development Passion for making a difference in the community Stable work history Excellent communication and time management skills Coachable and competitive spirit Ability to earn client trust along with excellent relationship management skills

Accounting Manager in the Baton Rouge Area

Sat, 05/23/2015 - 11:00pm
Details: Ref ID: 04640-117558 Classification: Accounting Supervisor/Mgr/Dir Compensation: $75,000.00 to $110,000.00 per year Robert Half Finance and Accounting is partnering with our client in the manufacturing industry for an Accounting Manager in the Baton Rouge area. This position will report directly to the president and will be responsible for general ledger, financial statement preparation, forecasting, maintaining fixed assets and oversight of accounts payable and accounts receivable. The ideal candidate will have a bachelors degree with 5+years of accounting experience preferably in the manufacturing industry. For extremely confidential consideration, please contact Rebecca Abadie Green at .

Director - Service Desk

Sat, 05/23/2015 - 11:00pm
Details: Ref ID: 04600-121067 Classification: IS/IT Director Compensation: DOE On behalf of client in downtown Milwaukee, Robert Half Technology is seeking candidates for a full-time, permanent Director - Service Desk position. Will be responsible for managing external client relationships, supervising internal staff, strategic planning, budgeting, and vendor management. Should have at least 10 years of related experience in a large, matrix organization. Will be directing large, complex multi-client Service Desk operations. Responsible for security provisioning, infrastructure monitoring organizations and providing excellence in continued operational improvement and SLA delivery. Creates value through reducing expense and generating revenue. Collaborates with peers, managers, and C-level executives. Displays leadership and managerial competencies. Demonstrates client service acumen and communication skills. Excellent oral and written communication skills. Must demonstrate good judgment in managing resources. Analytical independent problem-solver with a can-do attitude. To be considered for this opportunity, please submit your resume and any supporting documentation to: Mark Winters Marci Nuckolls Inna Grenader

Medical Insurance Claims Specialist

Sat, 05/23/2015 - 11:00pm
Details: Ref ID: 04640-117556 Classification: Accounting - Medical Compensation: $10.00 to $12.00 per hour Accountemps has an immediate opening for a Medical Claims Specialist in the New Orleans area. This is a Temporary opportunity and the ideal Medical Claims Specialist candidate will be responsible for verifying prior insurance authorization forms with either patients or doctors office. Other duties include, accounts receivables, cash postings, and soft collection calls. Excellent verbal and written skills needed. Interested candidates should apply online at www.accountemps.com

Data Analyst - Quality

Sat, 05/23/2015 - 11:00pm
Details: Title: Data Analyst - Quality Business Platform: Commercial and Residential Solutions Business Unit: InSinkErator Location : Racine, WI Job ID: ECRS-00000622 General Summary : Analyze field performance data to determine trends in product quality, reliability and costs. Assist with collection and reporting of internal quality metrics and quality system management. Provide accurate and timely reports to various levels of management. Influence the accuracy and effectiveness of decisions made in the business through analytical review and trend analysis. Work closely with Quality Assurance, Finance, Customer Service and other groups globally to ensure accurate data collection and timely reporting. Principal Duties and Responsibilities: 1. Establish and maintain software applications to collect external and internal quality data, such as; field failure rates, warranty provisions & accruals, scrap, rework and other quality related data effecting Cost of Quality and other metrics. 2. Use or assist with specialized software for warranty analysis, quality system management, etc. 3. Develop formula/macro based excel spreadsheets and/or databases to be used by others to collect and summarize data. 4. Update, monitor, analyze, and report quality metrics, and alert management of significant changes or trends. 5. Perform ad hoc analysis as requested by the senior leadership team. Support various teams by furnishing requested quality information reports and presentations. 6. Develop and maintain program documents, training material and archives for record retention. 7. Train other departmental personnel on how to utilize software. 8. Lead and participate in team oriented activities. 9. Other duties as assigned. Qualifications Basic Qualifications : • Bachelor’s degree in accounting, finance, mathematics, economics, business administration, or similar field required. • Proficient in Microsoft Outlook, Word, Excel and PowerPoint. • Good communication skills, teamwork spirit, ability to tackle tough projects independently, give direction, and identify and resolve problems. Preferred Qualifications : Work experience or additional education in operations, mathematics, finance, or accounting. • Prior work experience in operations or doing quantitative analysis. • Exposure to JDEdwards, Cognos or Oracle. • Ability to develop web-based, AS400, SQL, and other specialized software programs. Working Conditions : Primarily office areas. Occasional work in Manufacturing or test labs. Additional Company Information Emerson is a global leader in bringing technology and engineering together to provide innovative solutions for customers in industrial, commercial, and consumer markets around the world. Founded in 1890 in St. Louis, Missouri (USA), Emerson delivers solutions through five business segments: Process Management, Industrial Automation, Network Power, Climate Technologies, and Commercial & Residential Solutions. With sales of $24.7B and more than 130,000 employees in over 150 countries, we have a customer-focused, results-driven culture where employee performance is recognized and rewarded. Emerson Commercial & Residential Solutions offers a broad range of tools, storage products, and appliance solutions for professionals, contractors, and homeowners. Emerson applies world-class engineering, technology, and focus on quality to develop products that make projects easier, safer, and more efficient to do. Our product brands include RIDGID®, InSinkErator®, METRO®, ClosetMaid®, ProTeam, and WORKSHOP.® Headquartered in Racine, Wisconsin, InSinkErator® , a business unit of Emerson™ (NYSE: EMR) is the world's largest manufacturer of food waste disposers and instant hot water dispensers for home and commercial use. After inventing the “in sink” food waste disposer in 1927, Racine architect, John W. Hammes, founded InSinkErator in 1938. Today, the company utilizes the most advanced technology to offer customers new, innovative category-leading products. Serving the plumbing, wholesale, retail and foodservice channels, InSinkErator is the global leader in both product categories. Work Authorization: No calls or agencies please. Emerson will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas such as E, F-1, H-1, H-2, L, B, J, or TN or who need sponsorship for work authorization now or in the future, are not eligible for hire. Equal Opportunity Employer: Emerson is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, race, color, religion, national origin, age, marital status, political affiliation, sexual orientation, gender identity, genetic information, disability or protected veteran status. We are committed to providing a workplace free of any discrimination or harassment. If you have a disability and are having difficulty accessing or using this website to apply for a position, you can request help by calling 1-314-553-2544 (V/TTY/TDD) or by sending an email to

Occupational Therapist – Occupational Therapy (Home Healthcare) - Full Time

Sat, 05/23/2015 - 11:00pm
Details: The Occupational Therapist is responsible for the assessment and evaluation of patient care needs related to functional status, activities of daily living, fine motor coordination, home assessments and adaptive equipment, and other occupational therapy needs as defined by medical conditions. Based on this assessment and evaluation, the Occupational Therapist helps to determine a treatment plan, performs interventions aimed at improving and enhancing the patient''s well being, and evaluates the patient''s progress. Provides service within the scope of practice as defined by the state laws governing the practice of Occupational Therapy, in accordance with the plan of care, and in coordination with other members of the health care team. Follows the plan of care by leading the patient in the use of therapeutic, creative, and self-care activities to improve functioning and safety. Observes, records, and reports to the supervising nurse and the physician the patient''s response to treatment and changes to the patient''s condition. Instructs patient, family, caregiver, and participating members of the health care team in the areas of therapy in which they can participate to assist the patient. Visits patients according to Plan of Treatment, completes a progress note for each visit, and submits progress notes to the agency at least twice weekly. Completes all patient evaluations and develops the OT plan of care within state specific guidelines. Reports outcomes of evaluation, goals, and anticipated projected frequency of care to supervising nurse within 24 hours of the evaluation. Participates in staff conferences and committees as necessary. Provides supervision of the OTA as per LHC policy. Prepares a written discharge summary and/or a written summary report on the patient''s condition at least every 60 days. Conducts patient assessments evaluating the level of function by applying diagnostic and prognostic functional ability tests. Provides in-service education as requested by DON or Branch Manager. •CB *MON

Security System Installation Technicians

Sat, 05/23/2015 - 11:00pm
Details: As a Security Installation Technician with ASG, you will install security devices that include intrusion and fire alarms, access control devices, CCTV, nurse call systems, low voltage electronic products and life safety devices. You will test and troubleshoot the systems upon installation and ensure that each job stays within budget. Job Responsibilities: As a Security Installation Technician with ASG, you will provide excellent customer service to end users and give them a thorough education on how their products work. This prevents customer frustration, service calls and unnecessary police visits, and maintains good customer relationships as well as ASG’s reputation for great service. Additional responsibilities include: •Reporting installation job status to Installation Coordinator •Anticipating the questions customers may have about their newly purchased products •Noticing when a customer seems overwhelmed by or isn’t listening during an explanation and redirecting the interaction accordingly •Maintaining accurate timesheets, programming and inventory sheets Security Alarm, CCTV, Access Control, Fire Alarm, Telecom, Technician

Furniture Sales Associate - Draw Commission

Sat, 05/23/2015 - 11:00pm
Details: Do you have previous selling experience, great customer service skills, and an interest in mixing and matching furniture? If so, we want to talk to you! Furniture Sales Associates are known for their great knowledge in quality and style of all home merchandise. They enjoy taking the time to understand the needs of our customer, make suggestions to them, and assist in product selection. Our sales team is a dedicated, passionate group focused on achieving results! We’ll value your: Commissioned sales experience preferably with furniture or other large ticket merchandise Commitment to meeting and surpassing our customer’s needs Ability to effectively share product knowledge with our customers Great communication and listening skills Compensation is commission based with great income potential. Schedules vary, ability to work nights and weekends a must. At Bon-Ton, we want to give back to our associates. We offer competitive pay, great associate discount, 401k plan (once eligible) – including potential company match and great volunteer opportunities.

Fine Jewelry Sales Associate

Sat, 05/23/2015 - 11:00pm
Details: Do you have a flair for accessorizing? If you enjoy fine jewelry, then this is the job for you! In this role you will be responsible for presenting and selling fine jewelry to customers while providing outstanding service. Fine Jewelry Sales Associates are involved in daily sales goals and trunk show sales. We’ll value your: Passion for jewelry Exceptional selling skills Strong organizational and communication skills Past experience with jewelry preferred. Compensation will include a base hourly rate plus commission. Schedules vary, ability to work nights and weekends a must. At Bon-Ton, we want to give back to our associates. We offer competitive pay, great associate discount, 401k plan (once eligible) – including potential company match and great volunteer opportunities.

Leadworker

Sat, 05/23/2015 - 11:00pm
Details: Trinity Industries, Inc. , headquartered in Dallas, Texas, is a diversified industrial company that owns market-leading businesses which provide products and services to the energy, transportation, chemical, and construction sectors. Trinity reports its financial results in five principal business segments: the Rail Group, the Railcar Leasing and Management Services Group, the Inland Barge Group, the Construction Products Group and the Energy Equipment Group. Trinity’s businesses provide industrial products and services ranging from railcars, barges, storage containers, and aggregates to highway products, structural wind towers, railcar parts, and railcar leasing and management services. Trinity’s vision is to be a premier, diversified industrial company that owns market-leading businesses which provide superior products and services to customers while generating high-quality earnings and returns for shareholders. Trinity Marine is searching for a talented 1st class Fitter and/or Welder to fill the open position of Leadworker in our Port Allen, Louisiana plant! We welcome your ideas and your outstanding work ethic. Join our team today and be a part of Helping to Build America. ™ GENERAL FUNCTION: Trains and supervises FCAW Fitter/Welders. Fully competent to perform all duties of flux core arc welding (FCAW) Fitter/Welder 'A'. Monitors the fillet and/or groove welding processes to ensure schedule attainment. Complies with all company safety rules and procedures. Maintains and completes all required records. TYPICAL DUTIES: The following statements describe general duties and should not be construed as an exhaustive list of all responsibilities. Monitors/supervises work of fitters and welders to ensure schedule attainment. Trains employees on the use of fillet and groove welding equipment and operational techniques. Oversees fillet and groove welding operations. Reads blueprints and/or shop orders. Operates material handling equipment to move and align materials. Welds metal pieces together using fillet and/or groove welding processes. Performs general housekeeping/clean up in assigned work area. Performs other duties as assigned.

Tool and Die Repair - Machinist/Machine Operator

Sat, 05/23/2015 - 11:00pm
Details: Basic Description: Candidate should be a self-started and team player that will be responsible for setting up, operating, and maintaining equipment Essential Functions: Conduct regular maintenance and repairs on press tooling Conduct regular maintenance and repairs on inspection fixtures and weld fixtures Setup and run manual and progressive presses Order material Pay rate $15 - $32 per hour, based on experience

Senior Investigator - Baton Rouge, LA

Sat, 05/23/2015 - 11:00pm
Details: Position Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm) The SIUSenior Investigator, working under the general direction and oversight of theSIU Manager will: Conductcomplex investigations involving suspected civil or criminal fraud inconnection with the Louisiana Medicaid program. Primary Responsibilities: Provide oversight for the effective receipt, research and response to Requests for Information related to the Louisiana Medicaid program. Manage the effective receipt, investigation and referral of allegations of fraud, waste and abuse in connection to the provision of Louisiana Medicaid service. Together with the Louisiana Compliance Officer and other key Corporate Responsibility and Compliance staff, identify gaps and inefficiencies in existing policies and procedures and suggest effective and efficient solutions. Provide coordinating oversight of subcontractors, vendors and downstream entities in connection with auditing and monitoring activities related to Louisiana Medicaid fraud, waste and abuse. Act as primary liaison with Pharmacy Benefit Managers, MEDICs, ZPICs, PSCs, law enforcement, prosecutors, Administrative Law Judges, and other regulatory agencies in the area of Louisiana Medicaid fraud, waste and abuse detection, investigation and reporting. Obtain and analyze claims billing and payment data as necessary in the course of conducting complex investigations of allegations of criminal or civil Medicaid fraud.

MACHINIST PLASTICS 2ND SHIFT

Sat, 05/23/2015 - 11:00pm
Details: Pro Staff is currently seeking an experienced CNC Machinist (Plastics) for our client in Appleton! Upon successful completion of the contract period, our state of the art client offers excellent benefits and a collaborative working environment. You owe it to yourself to see how this opportunity can benefit your career goals. Job Description: The successful candidate will have job shop experience in addition to a positive can-do attitude; experience creating a machined part from a complex blueprint and a clear focus on creating a quality product. *Experienced in machining and programming complex parts from blueprint *Demonstrated problem solving skills *Good communication skills *Follow lean principles and all safety policies and procedures

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