10 jobs found in Altoona, WI

Position Purpose To assist with ensuring documentation compliance and excellence in the Electronic Health Record. Essential Position Functions Review various parts of the member Electronic Health Record focusing on items including, but not limited to, assessments, care plans, correspondence, acuity, and billing to ensure compliance. Review randomly selected member Electronic Health Records to assess critical thinking and proactive case management strategies. Collaborate with Manager of Case Management and Wellness and Health Management Team Leader on training needs identified from audits. Complete special projects as assigned by the Manager of Case Management Lead educational meetings with Case Management staff as directed. Support case management activities and member engagement as needed Assist with NCQA and Metastar audits/duties as assigned. Comply with all company policies and procedures. Minimum Requirements of the Position Active State of...

Position Purpose With minimal supervision; plans, directs, and evaluates total managed care options for members and functions as part of an interdisciplinary team in accordance with established philosophy. The population of membership includes those with chronic medical conditions as well as mental health and AODA issues. Relates effectively with others for continuity of care; maintains satisfactory relations with others, maintains accurate and complete records, and upgrades policies, procedures, and skills of others within the department. Essential Position Functions Initiate and implement a managed health care plan for health plan members. Work with members through difficult situations and provide support and tools to enable them to help themselves. Assess the social and emotional needs of members and work with them to develop strategies to foster their independence. Advocate on behalf of the member regarding accessibility of services; reduce resource consumption,...

Position Purpose To assist with ensuring documentation compliance and excellence in the Electronic Health Record. Essential Position Functions Review various parts of the member Electronic Health Record focusing on items including, but not limited to, assessments, care plans, correspondence, acuity, and billing to ensure compliance. Review randomly selected member Electronic Health Records to assess critical thinking and proactive case management strategies. Collaborate with Manager of Case Management and Wellness and Health Management Team Leader on training needs identified from audits. Complete special projects as assigned by the Manager of Case Management Lead educational meetings with Case Management staff as directed. Support case management activities and member engagement as needed Assist with NCQA and Metastar audits/duties as assigned. Comply with all company policies and procedures. Minimum Requirements of the Position Active State of...

Position Purpose The Welcome Call Specialist is responsible for providing exceptional customer service and welcoming all new Group Health members to the health plan. Essential Position Functions Make outbound welcome calls to our members in a pleasant, professional and efficient manner assuring exceptional customer service. Document all incoming and outgoing calls, changes and follow-up information in the Electronic Care Management system. Each call should cover the basic benefits of the product line and highlight the services we provide. Assist members with valid phone numbers for services covered under Forward Health and other helpful resources. Complete assessments with our members in a pleasant, professional, and efficient manner assuring exceptional customer service. Educate members on plan policies and procedures at every opportunity. Make members aware of transportation, telehealth or additional services provided through their health plan benefits....

Company: MenuMetric provides web applications designed to automate and improve Automotive, Marine, RV, and Powersports sales transactions. We are a fast-growing company with a fun and energizing culture. We value initiative, flexibility, accountability, and creativity. Job Description: We are seeking a DevOps Engineer to help design, build, secure, and scale the infrastructure that powers our SaaS platforms and API ecosystem. This role will play a critical part in improving deployment reliability, infrastructure automation, system observability, security, and engineering workflows as we continue to grow. You will work closely with engineering leadership and software developers to modernize infrastructure practices, improve CI/CD pipelines, strengthen security posture, and establish scalable operational standards. This is a highly hands-on role ideal for someone who enjoys building processes, solving complex infrastructure problems, and taking ownership across...

Company: MenuMetric provides web applications designed to automate and improve Automotive, Marine, RV and Powersports sales transactions. We are a fast-growing company with a fun and energizing culture. We value initiative, flexibility, and creativity. Job Description: We’re looking for a Full Stack Developer who will take a key role on our team. Candidates must demonstrate a strong grasp of LLM-assisted development practices, including prompt design, output validation, security considerations, and maintainability standards. Generated code is not accepted at face value; it must meet the same rigor, performance, and quality expectations as handwritten code. No vibe coders. Starting pay will be based on experience. Key Responsibilities: Develop and maintain high-quality applications that meet user requirements and business needs Work closely with other members of the engineering team to design, develop and implement new features Ensure code integrity,...

Meet Leaf Home. We turn complex home improvement projects and endless to-dos into achievements. With more than 50% of homeowners worried about the cost and effort of home maintenance, we deliver remarkable, end-to-end experiences. And get the job done right, at every step. Bringing innovative products, the best people, and the highest standards to every project. Trusted by more than 1 million homeowners across the US and Canada, we are America’s largest direct-to-consumer full-service provider of branded home services and products. Our products, including the patented LeafFilter gutter protection system, have earned numerous awards and recognition from Good Housekeeping, Qualified Remodeler, Angi, Consumer Reports, This Old House, and other consumer review platforms. We are powered by extraordinary people. Our innovative products and reliable services are delivered with convenience, excellence, and quality through 250+ regional sales and installation offices and comprehensive...

Position Purpose To assist with ensuring documentation compliance and excellence in the Electronic Health Record. Essential Position Functions Review various parts of the member Electronic Health Record focusing on items including, but not limited to, assessments, care plans, correspondence, acuity, and billing to ensure compliance. Review randomly selected member Electronic Health Records to assess critical thinking and proactive case management strategies. Collaborate with Manager of Case Management and Wellness and Health Management Team Leader on training needs identified from audits. Complete special projects as assigned by the Manager of Case Management Lead educational meetings with Case Management staff as directed. Support case management activities and member engagement as needed Assist with NCQA and Metastar audits/duties as assigned. Comply with all company policies and procedures. Minimum Requirements of the Position Active State of...

Position Purpose The Welcome Call Specialist is responsible for providing exceptional customer service and welcoming all new Group Health members to the health plan. Essential Position Functions Make outbound welcome calls to our members in a pleasant, professional and efficient manner assuring exceptional customer service. Document all incoming and outgoing calls, changes and follow-up information in the Electronic Care Management system. Each call should cover the basic benefits of the product line and highlight the services we provide. Assist members with valid phone numbers for services covered under Forward Health and other helpful resources. Complete assessments with our members in a pleasant, professional, and efficient manner assuring exceptional customer service. Educate members on plan policies and procedures at every opportunity. Make members aware of transportation, telehealth or additional services provided through their health plan benefits....