Demonstrate strong knowledge of insurance requirements including processing of all referrals requiring authorization based on plan & type of referral. Initiate contact w/ payers to complete insurance verification activities to prevent delays in care due to missing authorizations. Use critical thinking to troubleshoot & contact payers and patients as necessary to secure co

Lead the RFP Process Facilitate meetings and communication with Payers, PBMs, team members, and other Milliman practices Set and meet RFP timelines Advise, propose, and review RFP questions Review and assess RFP technical and financials Guide clients through each RFP round, BAFO, and vendor selection Oversee the contract stage, including recommending updates and working w

Lead the analytical portion of the RFP process Facilitate modeling meetings and communication with Payers, PBMs, team members, and other Milliman practices Advise and review RFP questions Review, model, and assess RFP technical and financials Guide clients through financial RFP models for each round of bidding, the BAFO, and vendor selection Assist during the contract sta

Our Story Crisis Prevention Institute Inc. is the worldwide leader in evidence based de escalation and crisis prevention training, and dementia care services. Since 1980, we’ve helped train more than 15 million people within service oriented industries including education, healthcare, behavioral health, long term care, human services, security, corrections, corporat

Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what's right for pets, people and our planet. We love all pets like o

Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what's right for pets, people and our planet. We love all pets like o

Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what's right for pets, people and our planet. We love all pets like o

Summary The Care Transition Specialist SUD develops a resource database, coordinates discharge resources per MHAR patient, arranges appointments and assists in facilitating treatment through communications to other disciplines and external agencies. The Care Transition Specialist SUD performs all duties as directed by the Manger of Social Services. Job Duties & Responsibil

The House Supervisor manages and coordinates the hospital activities of patient care and management for the assigned shift. She/He is responsible for recognizing and assisting in solving patient care, professional, administrative, and supervisory problems. She/he may be the first person called to respond to a rapidly declining medical condition for a patient when TB is sus

The House Supervisor manages and coordinates the hospital activities of patient care and management for the assigned shift. She/He is responsible for recognizing and assisting in solving patient care, professional, administrative, and supervisory problems. She/he may be the first person called to respond to a rapidly declining medical condition for a patient when TB is sus

Complete ongoing routine (e.g., monthly, quarterly) quality audits of the work completed by all UM team members, following frequency and volume audit metrics outlined under the UM department audit policy/plan. Use the findings/data collected to evaluate the overall team educational needs, share feedback with the team and UM leaders, and deliver team based education that e

Provides Helpdesk support for comprehensive end user systems. End user systems include but is not limited to hardware, software, networking, and telecommunications. Support includes research, troubleshooting, testing, analyzing, and communicating clearly and kindly to the end user Prioritize tickets based on urgency and/or priority with the information given Completes tho

Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what's right for pets, people and our planet. We love all pets like o

Position Description Title Nurse Practitioner or Physician Assistant Primary Care (Froedtert Specialty Clinics) Our amazing APPs work closely with our doctors to provide well coordinated team based care! Join a group of providers who provide profound and comprehensive care to patients in an outpatient setting we apply scientific knowledge and clinical expertise for the di

Job Location Next Door Capitol Milwaukee, WI Position Type Full Time Education Level 2 Year Degree   Job Shift Day Job Category Nonprofit Social Services Description Partnership Sites COA Burke, COA Riverwest, Children and Youth of Esteem, Neighborhood House, St. Joseph Academy, Elaine Schrieber, and YMCA Position Overview The Family Advocate Specialist (FAS) has a pr