16 security researcher 3 jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physician request to make a determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. ESSENTIAL RESPONSIBILITIES Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims are properly routed and paid. Conduct research beyond medical policy review to make decisions on medication coverage requests. Other duties as assigned. EDUCATION...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position Title: Instructor Pool- Recreation Management & Recreational Therapy Job Category: Academic Staff Employment Type: Terminal (Fixed Term) Job Profile: Lecturer Job Duties: Each department at the University of Wisconsin - La Crosse maintains an ongoing search to serve as a pool of potential instructors for program needs. If hired from this pool, the instructor will be under the general supervision of the relevant department chair. The instructor is responsible for teaching undergraduate and/or graduate courses. In addition to preparing for and holding classes [face-to-face, hybrid, and/or online], teaching involves maintaining currency in the content area related to the teaching assignment, evaluating students' work, assessing student...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position Title: Instructor Pool- Recreation Management & Recreational Therapy Job Category: Academic Staff Employment Type: Terminal (Fixed Term) Job Profile: Lecturer Job Duties: Each department at the University of Wisconsin – La Crosse maintains an ongoing search to serve as a pool of pot ential instructors for program needs. If hired from this pool, the instructor will be under the general supervision of the relevant department chair . The i nstructor is responsible for teaching undergraduate and/or graduate courses. In addition to preparing for and holding classes [face-to-face, hybrid, and/or online], teaching involves maintaining currency in the content area related to the teaching assignment, evaluating students’ work, assessing student outcomes, providing regular and...

Current Employees and Students: If you are currently employed or enrolled as a student at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Position Title: Assistant Professor - Sports Management Job Category: Faculty Employment Type: Regular Job Profile: Assistant Professor Job Duties: The Department of Marketing and Management in the Austin E. Cofrin School of Business at the University of Wisconsin–Green Bay invites applications for a tenure-track Assistant Professor position in Management with a specialization in Sports Management. The Cofrin School of Business prioritizes teaching excellence, learner success, quality scholarship, engagement with the regional business community, and dedication to collaboration, institutional service, community engagement, and professional service. Professional experience in business or sports-related industries is viewed favorably. The successful...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff Employment Type: Regular Job Profile: Grad Medical Edu Prog Mgr Job Summary: The Department of Radiology, University of Wisconsin - Madison School of Medicine & Public Health is seeking a Graduate Medical Education Program Manager to join our Education team! This position will work closely with our Assistant Director of Education and Education faculty leadership in the administration of our ACGME-accredited training programs and will serve as the primary support for our Diagnostic Radiology Residency Program. The most important traits for the successful candidate will be an interest in supporting medical education and a close eye for details. If this is you, we hope you apply! This position requires at least one day to be...

Current employees: if you are currently employed at any of the universities of wisconsin, log in to workday to apply through the internal application process. Job category: Academic Staff Employment type: Regular Job profile: Clin Res Project Supv Job summary: The Department of Pediatrics is seeking a Clinical Research Project Supervisor to support clinical research activities within the department with a particular emphasis on neonatal-perinatal, neurological, and neurodevelopmental studies that may span single center, multidisciplinary, multidivisional, and/or multicenter research efforts that may utilize multiple UW facilities and programs to accomplish these studies. The Clinical Research Project Supervisor provides day-to-day supervision of clinical research staff and serves as a primary resource, and content expert, for investigators and study teams conducting complex clinical trials that incorporate neuroimaging, biomarkers, neurobehavioral assessments,...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities Responsible and accountable for all elements of the nursing process when providing and/or supervising patient care. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff Employment Type: Regular Job Profile: Outreach Program Manager Job Summary: This position will join the Center for Health Enhancement Systems Studies (CHESS) , a dynamic, mission-driven organization with over 40 team members. This multi-disciplinary research center focuses on technology, process improvement, and organizational change strategies to improve coping, quality of life, and access to care for individuals and families facing chronic or life-threatening health challenges. This position will work directly with the Michigan Department of Human Services to implement Screening, Brief Intervention, Referral to Treatment (SBIRT) in 30 clinics in Michigan. The primary duties of this Outreach Program Manager include, but are...

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our directorates related to Mission Support & Operations include Office of General Counsel, Business Services, Communications and External Engagement, Operational Systems, Communications and Information Technology, and Performance Management. At PNNL, our Computing and Information Technology organization is redefining how we work and innovate by reimagining the digital workplace. We empower research and streamline operations-making both faster, smarter, and more efficient-so our professionals can tackle some of the world's toughest challenges in science, energy, and national security. Our experts in AI, cybersecurity, design, and engineering work side by side, using real-time insights and human-centered design to break down...

Current employees: if you are currently employed at any of the universities of wisconsin, log in to workday to apply through the internal application process. Job category: Academic Staff Employment type: Regular Job profile: Outreach Program Manager Job summary: This position will join the Center for Health Enhancement Systems Studies (CHESS), a dynamic, mission-driven organization with over 40 team members. This multi-disciplinary research center focuses on technology, process improvement, and organizational change strategies to improve coping, quality of life, and access to care for individuals and families facing chronic or life-threatening health challenges. This position will work directly with the Michigan Department of Human Services to implement Screening, Brief Intervention, Referral to Treatment (SBIRT) in 30 clinics in Michigan. The primary duties of this Outreach Program Manager include, but are not limited to: Plan, develop and deliver...

Current employees: if you are currently employed at any of the universities of wisconsin, log in to workday to apply through the internal application process. Job category: Academic Staff Employment type: Regular Job profile: Food Service Assistant Manager Job summary: Job Summary: Are you a leader who thrives in a fast-paced, team-driven environment? Do you love great food, great people, and creating memorable guest experiences? The Wisconsin Union is looking for an Assistant Manager to join our Sett Pub and Memorial Union restaurant teams. During the Academic year this position is located at the Sett Pub in Union South. During the Summer months this position will transfer to the Memorial Union. At both locations this position supports the General Manager in overseeing daily operations, ensuring excellent customer service, and supervising staff -all while maintaining high standards of food quality, cleanliness, and safety. This person in this role plays a key...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff Employment Type: Regular Job Profile: Custodial Services Supervisor Job Summary: University Housing is looking for a Building Services Supervisor to join our University Housing Facilities team! This is a supervisory role that leads and oversees the work of Custodial Staff and Facilities Technicians, ensuring facilities are properly maintained for residence halls, apartments, and/or dining locations. Qualified candidates possess previous custodial experience and at least two years of experience as a direct supervisor of employees. University Housing Facilities is a people first employer that supports a work/life balance. This position includes a generous benefits package – including state employee insurances and retirement, paid vacation, personal holiday, and sick leave....

Current employees: if you are currently employed at any of the universities of wisconsin, log in to workday to apply through the internal application process. Job category: Limited Employment type: Regular Job profile: Administrative Director (B) Job summary: The Division of Extension is hiring an Area Extension Director to serve as an administrative leader across Area 4 (Florence, Forest, Vilas Counties, including Forest County Potawatomi and Lac du Flambeau). The Area Extension Director (AED) provides overarching leadership, direction and guidance within the geographic area, leading a team of county-based Extension educators and support staff to cultivate an inclusive, respectful, and collaborative work environment. Through ongoing engagement with local communities, the AED helps identify emerging needs and opportunities, aligning Extension resources and programming to address those priorities effectively. A successful AED will have the skills and...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff Employment Type: Regular Job Profile: Research Program Manager Job Summary: This position will serve as the Assistant Coordinator for the National Atmospheric Deposition Program (NADP) at the Wisconsin State Lab of Hygiene (WSLH)/University of Wisconsin Madison. The Assistant Coordinator will be responsible for managing the operational, administrative, and outreach activities that support NADP's mission to monitor and assess atmospheric deposition across North America. This position plays a critical role in ensuring smooth program operations, maintaining effective communication with monitoring sites and stakeholders, and facilitating scientific meetings and events. The Assistant Coordinator will work closely with the NADP Coordinator, Program Office (PO) staff, NADP...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff Employment Type: Regular Job Profile: Research Program Manager Job Summary: This position will serve as the Assistant Coordinator for the National Atmospheric Deposition Program (NADP) at the Wisconsin State Lab of Hygiene (WSLH)/University of Wisconsin Madison. The Assistant Coordinator will be responsible for managing the operational, administrative, and outreach activities that support NADP's mission to monitor and assess atmospheric deposition across North America. This position plays a critical role in ensuring smooth program operations, maintaining effective communication with monitoring sites and stakeholders, and facilitating scientific meetings and events. The Assistant Coordinator will work closely with the NADP Coordinator, Program Office (PO) staff,...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Supv, Operations - Remote Job Description The Supervisor Operations is responsible for ensuring their team delivers on daily production goals and support of key product offerings (Benefit/Network/FormularyDesign, e-Prescribe, Claims Processing, Integrated Product Solutions, Consumer Directed Health Plan, Medicaid and Medicare plans). This position is responsible for talent management efforts, maintenance of processes and procedures, and providing subject matter expertise for escalated issues or project support. Responsibilities Monitor and manage team workload and capacity, quality metrics, cost, and efficiency to ensure performance guarantees, turnaround times and other internal and external service levels are met...