49 member service specialist jobs found in Madison

Salary: $20 - 22 per hour + none Reference: S_171107 Public Sector | Full-Time | Contract Opportunity We are looking for reliable, detail-oriented individuals to support the administration of public employee benefit programs. Experience in benefits administration, insurance, or government/state work is highly preferred but not required. Candidates who succeed in this role tend to be comfortable learning complex programs, working accurately with sensitive data, and communicating clearly with a wide range of stakeholders. What You'll Do As a Benefit Specialist, you'll support operational staff and managers in member and employer services tied to employee benefit programs. This includes learning detailed program rules, maintaining accurate records, and helping ensure benefits are administered correctly and consistently. Initial assignments will focus on benefits administration technology modernization projects, including research and remediation of data issues...

The Retail Service Specialist will support the Store Manager and Assistant Managers in areas of sales, customer service, store appearance, and store operations. This position will also assume shift management responsibilities in the absence of Assistant or Store Manager. Bilingual candidates encouraged to apply. Essential Job Functions Lead store team members in providing excellent customer service to retail and professional customers. Supervise the customer service levels on the retail showroom to include team member execution on customer service programs (Related sales, Hi5, Rock the Call, Never Say No, Rock the Lot, etc…) Ensure telephone is answered according to company policy. Ensure all buy online/ship to store, hub and store to store transfers, and DC add orders are processed in a timely manner and customers are contacted upon shipment arrivals as needed. Ensure special orders and outside purchases are handled efficiently and according to procedure, utilizing...

Summary For more information on the Department of Justice and the United States Attorneys' Offices, visit http://www.justice.gov/usao/. As needed, additional positions may be filled using this announcement. This position is also being announced to applicants eligible to apply through Merit Staffing procedures under 26-WIW-12852121-MS. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency All U.S. Citizens Duties If selected for this position, you will serve as a Legal Administrative Specialist for the United States Attorney's Office for the Western District of Wisconsin. Typical work duties include the following: Litigation support, including preparing investigative process, letters,...

Become a part of our caring community and help us put health first Are you ready to make a difference in your career and your community? Humana is looking for a passionate Long Term Care Functional Screen Specialist to join the Inclusa team, supporting members in the Wisconsin Family Care Program. In this dynamic role, you’ll use the State Department of Health Services (DHS) screening tool to assess member needs and eligibility—directly impacting their quality of life and access to essential care. Jin us and help empower individuals to live their best lives! Key responsibilities: Schedule member appointments for annual or change-based functional eligibility re-determinations, optimizing time and travel resources. Use the DHS screening tool to assess members’ functional abilities, health, and required supports. Collaborate with staff to ensure assessment data aligns with internal records. Conduct in-home, face-to-face interviews and enter...

The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner. This position will also collect money on C.O.D. deliveries and pick up customer returns. Bilingual candidates encouraged to apply. Essential Job Functions Operate company vehicles to deliver parts and products to customers in a safe and efficient manner. Ability to use delivery fleet management hand-held devices to process deliveries, capture customer signatures, update vehicle mileage, complete daily vehicle inspections, etc. Responsible for keeping vehicles clean, maintained, and completing daily vehicle inspections prior to operating. Responsible for keeping delivery vehicles, keys, fuel/fleet credit cards, hand-held devices, and monies collected secure at all times. Pick up customer returns, i.e., new, warranty, cores, etc. and fill out driver return slip. Communicate any problems or special needs from customers to...

Job Description Oracle's Cloud Infrastructure team is building new IaaS and PaaS technologies that operate at high scale in a broadly distributed multi-tenant cloud environment. Our customers run their businesses on our cloud, and our mission is to provide them with best-in-class compute, storage, networking, database, security, and an ever-expanding set of foundational cloud-based service. The OCI Product Management and Customer Engineering team is leading the product vision, incubation, and initial development of products and cloud services with scope across the entire OCI platform. The OCI Market Intelligence Specialist is a strategic and analytical role responsible for gathering, analyzing, and synthesizing market data to inform and influence the strategic direction, product roadmap, sales execution, and go-to-market (GTM) strategy for Oracle Cloud Infrastructure. Responsibilities Key Responsibilities Competitive Analysis: Conduct in-depth...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Description Job Summary The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and level of care provided to members. Contributes to overarching strategy to provide quality 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: University Staff Employment Type: Regular Job Profile: Medical Program Assistant Job Summary: The Department of Radiology offers a unique opportunity for a Medical Program Assistant to support our Neuroradiology physicians featuring; a growing department with a track record for supporting professional growth, team-oriented culture with a focus on innovation, and a flexible work from home schedule. The mission of the University of Wisconsin Department of Radiology is to improve human health through innovation in clinical care, imaging research, and education. To achieve our mission, we; provide outstanding, respectful, and culturally sensitive patient care; improve the health of our patients by creating innovative technology and translating imaging research into clinical practice; recruit,...

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...

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 Client Audit Specialist - Remote Job Description As a member of the Client Audit Management (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or client-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the related deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, client, and/or functional audit expectations....

Company : Highmark Inc. Job Description : JOB SUMMARY This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding based off policy criteria falls within their scope. In addition to developing new policies, the incumbent ensures all existing medical policies, in their scope, are in accordance with NCQA and/or CMS requirements. The incumbent may be required to address escalated inquiries brought forward by internal/external partners. Conducts peer reviews as part of the quality review process. In addition to policy ownership, the...

About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Senior Technical Implementation Lead with deep expertise in Anti-Money Laundering (AML) and Fraud Transaction Monitoring Systems to design, implement, and optimize enterprise-scale monitoring solutions across our U.S. banking operations. This individual will play a key role in delivering technology solutions that strengthen our Client's financial crime detection...

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: Financial Specialist III Job summary: The Financial Specialist III position supports the Accounts Payable area within the Division of Business Services at UW-Madison. This position independently audits transactions requiring a high level of knowledge and expertise and works daily with a wide variety of funding sources. This position is responsible for entering the invoice payment data into ShopUW+, researching, resolving and responding to payment-related questions by providing advice, interpretation and information on rules and regulations to UW-Madison department staff, Accounting Services staff, Purchasing Services staff, and UWS Pre-Audit staff. This position reconciles transactions and recommends controls and process improvements and...

VIVO Infusion, LLC Regional Infusion Sales Specialist Madison and Sun Prairie, Wisconsin Vivo Infusion is searching for an experienced and dynamic sales professional with a background in Healthcare and/or Pharma to join our team in the Madison and Sun Prairie, Wisconsin areas! This is an incredible opportunity to make an impact in your community by helping us bring Vivo Infusion's exceptional level of patient care to the surrounding area. The Regional Infusion Sales Specialist in this position will travel within their region promoting provider relationships to support their clinics. The sales team enjoys uncapped commission, company-provided leads, the flexibility of creating their schedule and owning their success with the support of an incredible team and company behind them. The Regional Infusion Sales Specialist will work remotely 10% of the time and can expect to travel consistently within 30-60 miles of the supported location(s) up to 90% of the time Only...

Position Summary This position provides leadership and management of health-related applications, including the DOC’s Electronic Health Records (EHR). Specifically, provide application development and support services in line with the strategic business plans for the DOC divisions. This position also assists and advises the Apps Section Chief on priorities, hardware/software requests, business opportunities and customer service issues related to the Electronic Health Records applications. As a supervisor, this position works closely with all DOC Divisions including the Bureau of Health Services within the Division of Adult Institutions, as well as members of the BTM management team, to develop and deliver consistent and quality IT products and services to our business partners. Key responsibilities include defining multi-year application development roadmaps, evaluating commercial off-the-shelf solutions, and overseeing all phases of the systems development life cycle, including...

JOB REQUIREMENTS: SCOPE: The Sales and Leasing Specialist is responsible for all aspects of Sales and Marketing for the community. This position will be instrumental in driving asset performance through systematic and integrated marketing communications for each individual property as well as the portfolio as a whole. The employee is expected to develop an advanced knowledge of the industry and the ability to employ creative and analytical methods to drive occupancy. The position requires flexibility to understand property-specific idiosyncrasies as well as to facilitate and manage the marketing process by coordinating with field and sales personnel. RESPONSIBILITIES: - Working side by side with Community Managers and Sales and Marketing Team members to ensure all financial goals are met - Ensuring and strong and well-managed internet presence for designated community; monitor review and report on all marketing activity and results - Analyzing current market conditions...

JOB REQUIREMENTS: SCOPE: The Sales and Leasing Specialist is responsible for all aspects of Sales and Marketing for the community. This position will be instrumental in driving asset performance through systematic and integrated marketing communications for each individual property as well as the portfolio as a whole. The employee is expected to develop an advanced knowledge of the industry and the ability to employ creative and analytical methods to drive occupancy. The position requires flexibility to understand property-specific idiosyncrasies as well as to facilitate and manage the marketing process by coordinating with field and sales personnel. RESPONSIBILITIES: - Working side by side with Community Managers and Sales and Marketing Team members to ensure all financial goals are met - Ensuring and strong and well-managed internet presence for designated community; monitor review and report on all marketing activity and results - Analyzing current market conditions and...

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Summary: Our data centers are the foundation upon which our rapidly scaling infrastructure efficiently delivers Meta's services. Meta is seeking a Manager for the central operations team who will be a key leader in Meta's Data Center energy organization. In this role, you will manage a group of energy coordinators, analysts, and specialists. In close coordination with Meta's Global Energy leadership team, your team will be responsible for providing critical operational and analytical support across the energy team, working seamlessly with cross-functional partners and scaling new systems and processes. Key team functions include the evaluation and engagement in regulatory dockets and utility stakeholder processes at state public utilities commissions or regional transmission organizations; providing industry research; managing the contracting process (including budgeting, administration, and compliance) for utility interconnection agreements, energy supply contracts, and...

MSA is looking for a dynamic Team Leader – Environmental Services to guide a talented group of Wisconsin-based environmental scientists, geologists, engineers, and wetland specialists. This is an opportunity to lead a talented team with staff in WI, collaborate with our MN Environmental practitioners, shape strategic initiatives, grow the business, and build lasting client relationships all while driving meaningful environmental solutions. Immediate growth opportunities exist to lead both our WI and MN teams in the near future. Specific experience with Brownfield projects and EPA Brownfield funding is desired. This position can be based out of our Madison or Baraboo office locations. Project types within Environmental Services include, but are not limited to the following: Brownfields, Landfill Monitoring and Compliance, Property Assessment and Due Diligence, Environmental Monitoring and Compliance, Phase I & II Site Investigations and Remediation, and Wetlands/Natural...

Infrastructure Manager Req number: R6814 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global technology services firm with over 8,500 associates worldwide and a yearly revenue of $1 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As an Infrastructure Manager, you will work hands-on with a geographically diversified team to support one of our managed services clients. Job Description We are in need of an Infrastructure Manager to lead a remote team of up to 10 people on a managed service account. This position is full time, salaried and remote. All...

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 Specialist Job Summary: Within WiSOR, Dr. Schwarze is hiring a Research Specialist to coordinate both NIH, and non-NIH funded studies focused on clinician-patient communication and serious illness care. Her research group is comprised of a dynamic and lively group of individuals who encourage and respect different voices and are passionate about advocating for patients and their families in acute care settings. The ideal candidate is a skilled problem solver who will excel at project support and offer strong organizational and interpersonal skills. The ability to perform as liaison between study participants and the research focus while problem solving and taking initiative is essential. The Research Specialist will play a key...

Position Overview The Associate Clinical Specialist independently provides customer support of Fujifilm's ES equipment in the Endoscopy department and/or specified departments. This role manages all relevant equipment and uses its own judgement and decision-making skills to provide troubleshooting and training for the proper handling of our equipment. This position provides on-site, hands-on client support for Fujifilm Endoscopy's entire product catalog for assigned customers. It serves as the primary clinical resource for the Company and its sales team regionally and handles all related inquiries and issues. The ACS partners with and provides training to all members of the customer's staff, including physicians, reprocessing department, technicians, and nurses to independently manage and maintain customers' Fujifilm equipment. Furthermore, it provides service to additional customers within the zone as required. This position reports directly to the Zone Sales Director or...

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 Specialist Job Summary: The University of Wisconsin Population Health Institute (UWPHI), in collaboration with the Wisconsin Department of Health Services, Behavioral Health Section, seeks a candidate to join the Harm Reduction Response Team (HRRT). The HRRT provides mobile harm reduction outreach services in Wisconsin communities to prevent overdose and the spread of communicable diseases associated with substance use. This position will work with other members of the HRRT to conduct mobile outreach to provide health intervention services that include overdose prevention and education, point of care testing for communicable diseases, and screening for sexually transmitted infections (STIs). Mobile services are provided utilizing...