197 file manager jobs found in Madison

Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

JOB REQUIREMENTS: The Department of Natural Resources, DNR IT Custom Application Development Section seeks to hire two Microsoft .NET Web Developer III\'s to design, develop, test, implement and maintain solutions and features for applications in Microsoft .NET environment along with designing and implementing Oracle database in support of the application. The developer needs to provide reliable, responsive support for these projects and systems as developed along with existing system support as assigned. This work requires \@40 hrs./week) work for a candidate with advanced developer skillsets and experience. The position will be working on new development, enhancements and/or providing support for existing applications as determined by agency priorities. There are multiple initiatives to develop new applications and to redesign legacy applications to meet current business needs with supported technologies. The candidate must have proven work experience with application...

Become a part of our caring community and help us put health first The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Where You Come In The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings 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. Position Title: Program Manager, Nursing & Health Professions Job Category: Academic Staff Employment Type: Regular Job Profile: Academic Program Manager Job Duties: The Universities of Wisconsin Office of Online & Professional Learning Resources (OPLR) seeks a Program Manager, Nursing to provide leadership and administrative coordination for the BSN@Home program—a collaborative, online baccalaureate completion program for registered nurses. BSN@Home is delivered jointly by multiple UW campuses, offering flexibility and academic excellence to practicing nurses across Wisconsin. This position plays a critical role in supporting program operations, facilitating cross-campus collaboration, maintaining core systems and communication structures, and contributing to the strategic...

Become a part of our caring community and help us put health first The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate members' needs and requirements to achieve or maintain optimal wellness by providing care coordination and facilitating member or family interaction with resources appropriate for the care and wellbeing of the member. Job Description Humana Care Support is a division of Humana dedicated to helping adults remain independent in their homes. Our nurses are called Care Managers, because our case management services are centered on the person rather than the condition. The Care Manager uses a range of strategies and techniques to manage a member's physical, environmental, and psycho-social health issues. They identify and resolve barriers to effective care and continuously monitor progress through assessments and evaluations to ensure members achieve their desired health outcomes. Role...

Summary: Meta's security team is the central engine driving data and system security. We work across all parts of the company, from corporate infrastructure to production to external services, interfacing with nearly every team in the company.We are looking for a Security Engineering Manager with experience supporting teams of engineers who focus on threat modeling, TTP identification, and detection engineering securing Meta's surfaces. You'll support a team of security engineers who work alongside Software Engineers and Offensive Security Engineers to identify critical assets, assess the top risks, and evaluate potential attacks against Meta systems. You will be working across engineering teams supporting Meta's Corporate, Cloud, and Production systems, serving over 3.2 billion daily active users, by supporting teams developing detection and response automation leveraging both industry-standard and custom detection and response platforms. Engineers on the Surface Coverage...

Become a part of our caring community and help us put health first The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. As a Senior Product Manager, you will plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology solutions. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and enterprise architecture. The Senior Product Manager will...

Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication of medical services and/or benefit administration. The work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Associate will be expected to participate in weekend rotation a minimum of one hour each on Saturday and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent critical thinking skills to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their...

Become a part of our caring community and help us put health first Enjoy a rewarding career with a true work/life balance-no nights or weekends, giving you more time for what matters most. Humana is currently seeking RN Case Managers to join our teams in the La Crosse and Sparta offices, serving members in the Wisconsin Family Care (FC) program. In this vital role, you will collaborate with dedicated colleagues to ensure exceptional care coordination for our members, providing crucial support and education to help them thrive in their daily lives. Take the next step in your nursing career and make a meaningful difference with Humana. Key responsiblities: Partner with a Care Coach (also referred to as a Case Manager), taking the lead on health-related needs, to collaborate on an ongoing basis regarding the member and their care plan. Conduct regular health assessments for members and implement appropriate strategies and services to develop individualized care...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Manager, Clinical Records Management. The Manager, Clinical Records Management will work in Clinical Operations under the leadership of Clinical Records Lead or similar, playing a pivotal role in supporting all aspects of central records for clinical studies across Phase 1-4. The Manager,...

Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries...

Become a part of our caring community and help us put health first The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing including development, implementation, and maintenance. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy claims and purchasing data to identify future contracting opportunities. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications Bachelor's...

Become a part of our caring community and help us put health first The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of moderate complexity. The Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented...

Become a part of our caring community and help us put health first Humana is evolving its marketing operations to enable smarter planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/Product Manager - Marketing Resource Management (MRM) Capabilities, you'll own the roadmap for tools and workflows that support campaign intake, planning, approvals, and performance tracking. This role is central to enabling scalable, compliant, and insight-driven marketing operations. You'll help guide the transition to a modern resource management platform and evaluate opportunities to integrate with enterprise workflow systems to support intelligent orchestration. This role supports the day-to-day configuration and optimization of marketing resource management tools and workflows. You'll work closely with cross-functional teams-including Marketing, Creative, Legal, and IT-to ensure campaign planning and...

Job Description Data Center Manager - ACTIVE SECURITY CLEARANCE REQUIRED (Ft. Worth, TX) Are you interested in supporting large-scale distributed infrastructure for the cloud? Oracle is aggressively investing in the Oracle Cloud to provide the broadest, most comprehensive service offerings in the industry and transforming how Enterprises view the cloud. Only Oracle offers a complete suite of integrated services that include applications as a service, platform as a service and infrastructure as a service - eliminating the data and business process fragmentation that come with cloud silos. If this is the challenge you are looking for and you meet the following requirements, we want to talk to you! Department Description: Oracle's Cloud Data Center Operations team is building and supporting new Infrastructure-as-a-Service technologies that operate at high scale in a broadly distributed multi-tenant cloud environment. Our customers run their businesses on our cloud,...

Primary Function/Position Summary As an Indeavor Senior Product Manager, you will be responsible for managing/owning your product layer throughout the product lifecycle and ensuring our efforts support the company’s overall strategy and goals. You will gather feedback, write requirements, prioritize requirements, and work closely with design and engineering to deliver winning products. You will also work alongside sales, marketing, and customer success to ensure revenue and customer satisfaction goals are met. Responsibilities The Senior Product Manager is expected to: Assist and collaborate in the research of customer or prospect needs, market trends, and the competitive landscape Assist and collaborate on our product strategy Define the product plan for your products Deliver PRDs with prioritized features and corresponding justification Write detailed requirements and ensure user stories are completed, accepted, & prioritized in the backlog ready for each...

Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The Product Owner 2 is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Product Owner 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Product Owner 2 maximizes the value of product created by Agile team. Is the liaison...

Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

JOB REQUIREMENTS: Responsible for all private fund development including corporate sponsorships (prospects and existing), grant writing, direct mail campaign, major donor campaign and fundraiser beneficiary opportunities. Establish fundraising, planning, promotion and sponsorship recognition opportunities for Hammer with a Heart and other major donor projects. Research, contact and meet with area business owners and leaders about prospective partnership opportunities with Project Home\'s privately funded events and programs. Manage, update and utilize donor database (Donor Perfect) for fundraising efforts. Conduct Project Home\'s direct mail and major donor fundraising campaign. Orchestrate all Project Home activities and fundraising for The Big Share annual fundraiser, hosted by Community Shares of Wisconsin (on GiveGab an online giving platform). Serve as the Project Home representative for Community Shares of Wisconsin, including board meetings, work hour requirement...

Become a part of our caring community and help us put health first This team would support mass moves, provider departures, center consolidations / relocations, mergers and acquisitions and health plan terminations. Their goal would be to reduce membership loss / enable us to retain the highest amount of membership across these experiences. We want a team to be able to help navigate the members we gain from these efforts through changes, questions or concerns and generally provide churn reducing, customer service. We envision this role would not involve any sales, would be the most entry level role in my org and would help to potentially develop a career path into our other existing roles. W * * ork schedule: M-F, 8:30am-5:00pm EST Role Responsibilities: Conduct outbound and answer inbound calls related to any attrition mitigation marketing communications PCP Terminations - Help ensure engaged members get their questions answered, understand the...

Become a part of our caring community and help us put health first Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country. CenterWell Medical Group is the newest line of business under the CenterWell umbrella, providing virtual wraparound services to a broad population of members who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep patients healthier. Our team is mission-driven, collaborative, and unafraid to challenge the status quo in healthcare. About the Role We're seeking a Clinical Operations Lead for CenterWell Medical Group who brings energy, creativity, and a bias toward action in transforming healthcare. This is a hands-on role for someone who loves to take big ideas and turn them into tangible results. Reporting directly to the Chief Medical...

Become a part of our caring community and help us put health first We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into actionable workflows for clinical practices. The Lead Product & Strategy Manager will work across clinical initiatives focused on reducing 30-day Plan All-Cause Readmissions (PCR). They will partner closely with high-performing and low-performing provider groups to identify clinical best practices, understand operational gaps, and design and...

Reporting to the Core Litigation Director, this Senior Manager will provide leadership for staff whose primary tasks are the adjudication and settlement of claims involving the most technically challenging claims. You will possess extensive claims and litigation experience across all lines of our business. You will provide direction to staff on all aspects of claims handling and authority requests including those related to coverage and escalated through the team in working with Staff Council. Position Compensation Range: $111,000.00 - $190,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities You will manage the authority, guidance, and direction to Staff Council. You will create a collaborative, performance-driven work environment by facilitating and promoting trust, transparency, and inclusion. Work with team members...