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The Case Manager will provide comprehensive social service care management for members in the Wisconsin Family Care program, focusing on assisting frail elders and adults with disabilities. Responsibilities include performing assessments, coordinating care, collaborating with a Health and Wellness Coordinator, promoting wellness, and documenting activities while traveling within designated counties.
The Senior Manager, MarketPoint Sales leads a team of Medicare Sales Field Agents to achieve sales growth targets. Responsibilities include training agents, monitoring sales performance, managing budgets, and ensuring regulatory compliance in the marketing of individual health plans and related products.
The Grievances & Appeals Representative 3 reviews clinical documentation to manage client denials and concerns, delivering final determinations based on analysis and collaboration with clinical parties. They assist members by resolving issues and addressing quality goals, performing administrative tasks with independent judgment and discretion.
As a Community Resource Coordinator, you will manage care for members in the Wisconsin Family Care program, support them in their daily lives, perform assessments, and develop plans of care. This role requires collaboration with health coordinators and may involve travel for face-to-face visits and contact with members.
The Financial Planning & Analysis Lead is responsible for analyzing and forecasting financial data, providing insights for strategic decisions. This role involves evaluating market trends, advising executives on financial strategies, and leading complex projects while ensuring accurate financial reporting and modeling.
As a Case Manager, you will assist members of the Wisconsin Family Care program by conducting assessments, coordinating care, and supporting members in their daily lives. Collaborating with healthcare professionals, you will develop and review plans to address social and community needs, while ensuring documentation and travel to member locations as required.
As an Accounting Analyst, you'll manage general accounting tasks, prepare and analyze financial statements, assist in documentation of projects, reconcile member payments, and work on adhoc projects. Attention to detail and compliance with accounting policies is essential for success in this role.
Lead the product management and development for Omni-Channel Product to enhance customer experiences and drive business outcomes. Develop and execute platform vision, prioritize high-value customer experiences, and establish strategic partnerships. Utilize agile development and analytics to optimize customer engagement across various channels.
Initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for a health insurance organization. Analyzes financial impact of contracts, communicates contract terms, and advises executives on functional strategies.
The Sales Support Representative assists a team of sales professionals by providing administrative and operational support, including processing invoices, drafting documents, and maintaining customer records. This role requires strong time management skills to prioritize tasks and meet deadlines, while collaborating with other teams.
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