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The Provider Engagement Executive builds and nurtures strong relationships with healthcare providers to enhance financial and quality performance within health plans. Responsibilities include advising on clinical management, data sharing, and operational improvements, ensuring effective strategies are developed for provider and member experiences.
As a Power BI Developer, you'll transform raw data into actionable insights and compelling visualizations using Microsoft BI Stack, particularly Power BI. Responsibilities include managing data visualization projects, enhancing data architecture, collaborating with cross-functional teams, and providing ongoing training on Power BI tools.
The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, and gaining approval of premium rates. This role involves complex data analysis, developing pricing tools, and collaborating on product strategies. It also includes ensuring compliance with regulations and influencing departmental strategies.
The Actuarial Analyst 2 analyzes and forecasts financial and economic data to assist in strategic decision making. Responsibilities include optimizing financial models, evaluating program performance, collaborating on model results, and ensuring data integrity through effective processes and controls.
The Actuarial Analyst 2 analyzes and forecasts financial and economic data to support strategic decisions. Responsibilities include ensuring data integrity, collaborating on business intelligence, conducting member retention studies, and presenting results to stakeholders.
The Actuarial Analyst 2, Pricing is responsible for pricing and forecasting assumptions, developing pricing tools, and providing analysis and insights to enhance market profitability. Key duties include modifying models, collaborating with business partners, and analyzing supplemental benefits to meet organizational goals.
The Functional Screen Specialist is responsible for assessing the functional status and eligibility of Family Care members by conducting screenings, scheduling appointments, and maintaining accurate records. The role includes responding to urgent situations, referring members to appropriate resources, and ensuring compliance with documentation guidelines.
The Social Work Case Manager will provide comprehensive social service care management to members of the Wisconsin Family Care program, focusing on frail elders and adults with disabilities. Responsibilities include conducting assessments, coordinating care, participating in care plan development, and promoting wellness while documenting all activities. Travel is required for in-person visits.
As a Case Manager, you will support members in the Wisconsin Family Care program by conducting assessments, coordinating care, and collaborating with healthcare professionals. The role involves community integration and assisting members with daily living needs. This position requires flexibility to travel within designated counties and involves documentation of services provided.
As a Case Manager, you will provide comprehensive social service care management for frail elders and adults with disabilities. Your role includes assessing members' needs, coordinating care plans, and educating on wellness while ensuring effective documentation and ongoing member support.
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