Healthcare Risk Manager Jobs in Wisconsin

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Green Bay Wisconsin Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..

... ongoing compliance with all FMS risk management initiatives. Provides opportunities for ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... Green Bay Wisconsin Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..

... Finance M&A Integration Senior Project Manager in Green Bay Wisconsin Description ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..

Job Information Humana Technical Product Manager - Remote in Green Bay ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

... stay Assesses patients at high risk for readmission. Identifies root cause ... and act as a case manager liaison with post acute providers ... Nursing (or higher) Certified Case..

... stay Assesses patients at high risk for readmission. Identifies root cause ... and act as a case manager liaison with post acute providers ... Nursing (or higher) Certified Case..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... Green Bay Wisconsin Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..

SUMMARY:  This position is responsible for providing regulatory direction, strategy, and support for our medical device clients in accordance with applicable regulatory requirements. They will be responsible for developing regulatory strategies ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Green Bay ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Green Bay Wisconsin Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Green Bay Wisconsin Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ..

... Humana Telephonic Behavioral Health Care Manager in Green Bay Wisconsin Description ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..

ESSENTIAL DUTIES AND RESPONSIBILITIES: rnrnrntDevelops and implements regulatory strategy and plans for projects, as assigned to ensure client and agency needs are met. Actively drives interactions with regulatory bodies, as assigned ..

Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..