Group Health Cooperative Of Eau Claire jobs - 26 jobs

To proactively identify and engage potential clients and brokers. This is a dual role, specializing in highlighting the advantages of our commercial health plans, with opportunities to promote our Medicare Advantage offerings. The main goal of our Sales Representative is to close deals as well as increase our Medicare membership and expand our Medicare broker network. Essential Position Functions Conduct all phases of the sales cycle: identify, qualify, and meet with prospective clients. Generate leads through cold calling, referrals, and community outreach. Build and maintain strong relationships with referral sources such as community organizations, senior housing developments, small and large employer groups in our footprint, agencies and brokers, and financial planners. Promote Medicare Advantage plans to eligible beneficiaries and certified brokers. Qualify and enroll Medicare beneficiaries in compliance with CMS regulations. Complete and submit enrollment forms for closed sales. Build and maintain a robust network of Commercial and Medicare brokers. Represent the company at tradeshows, networking events, and promotional activities. Monitor market trends, conditions, and competitor activity. Collaborate with the Director of Sales to develop and execute tactical sales plans. Work cross-functionally to ensure smooth coordination of member group activities. Manage sales and marketing collateral. Process and maintain member eligibility information. Act as a liaison for assigned members, resolving complex eligibility issues and reconciling enrollment discrepancies. Respond to inquiries from internal departments and external stakeholders (e.g., CMS, DHS). Minimum Requirements of the Position Requires a bachelor's degree. 2+ years of marketing, sales, or community relations experience. Hold a current State of Wisconsin Accident & Health Insurance License. Current AHIP/Medicare Certified or obtain it within 30 days of starting the position. Satisfactory completion of Cooperative Advantage agent product training annually. Must maintain a valid driver's license and own a vehicle (mileage reimbursement provided). Excellent presentation, written, and oral communication skills, including public speaking. Must be independent, confident, and highly motivated with a high energy to meet set deadlines and goals. Must be willing to travel within our service area. Strong presentation, written, and verbal communication skills. Independent, confident, and highly motivated with sensitivity to Medicaid & Medicare-eligible populations. Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes). The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: ************************. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

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, and achieve positive member outcomes. Identify problems and provide the best possible solution. Accurately and promptly implement solutions that assist with member education and care management programs. Collaborate with co-workers and outside resources regarding continuity of care options. Participate in planning changes and improvements. Maintain a professional approach with the highest standard of confidentiality. Cooperate and maintain good rapport with staff, other departments, members, providers, and agencies involved in providing quality care to the member. Maintain the standards of accurate and complete documentation and reporting. Remain calm when accepting urgent requests or phone calls from others. Establish referral network/linkages with outside agencies for members. Attend professional workshops, seminars and in-service training. Maintain up to date knowledge of all changes in relevant discipline. Create a working climate that provides growth and job satisfaction to others within the department. Act as liaison between GHC and homeless assistance coalitions. The listing of essential and periodic functions is not to be considered an exhaustive list of all duties that may be performed. Minimum Requirements of the Position Associate degree in social work, human services, registered nurse or equivalent degree required. Bachelor's degree preferred. D-SNP Case Managers will require active Wisconsin nursing license Prefer candidates with three to five years of related social work, human services, case management or related experience. Must demonstrate high degree of customer service skills, including excellent verbal and written communication skills. Must be able to work under pressure with strong attention to detail. Ability to learn and adapt in a changing environment. Ability to work with and influence a diverse population. Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes). The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: ************************. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

The Welcome Call Specialist is responsible for providing exceptional customer service and welcoming all new Group Health members to the health plan. 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. Keep up to date on the various plans and benefit structure under the product lines. Comply with all company policies and procedures. Minimum Requirements of the Position High school graduate or equivalent. Minimum one year of customer service experience, call center experience preferred. Excellent communication and customer service skills. Proficient in the use of Microsoft Word and Excel. Knowledge of Medicare, Medicaid, CPT / ICD 10 medical billing codes, and medical terminology are beneficial. Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes). The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: ************************. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

**Details** _Kemper is one of the nation's leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper's products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises._ Kemper is looking for a skilled and motivated Actuarial Manager to work with the Pricing Team in Alpharetta, GA. The Actuarial Manager performs highly complex pricing analyses and will manage and supervise actuarial analysts. This position works closely with the Actuarial leadership team, business partners, and senior leaders to develop appropriate pricing and product strategies to support organizational goals. This is a hybrid position reporting to the Alpharetta, GA office with the possibility of working remote. Please note, you must work Eastern or Central Standard Time hours. **Position Responsibilities** : + Robust understanding of actuarial ratemaking methodology. + Oversee the production of sound rate level indications. + Support state filing process with actuarial certification (regulatory sign-off), actuarial memorandum and support, and correspondence with regulators, and documentation of assumptions and/or analysis. Ability to perform complex pricing analyses, such as rate calculations, base rate offsets, territorial pricing, limit and deductible pricing, segmentation analysis, coverage analysis, and ad-hoc analysis. + Assist with and enforce best practices in quantifying, validating, and preparing proposed rates. + Prepare actuarial proposals for management and business partners. + Prepares and analyzes complex internal management information. + Perform complex trend analysis (e.g. frequency and severity trends). + Automate and enhance processes to improve efficiencies. + Support and/or lead the development and design of new plans, programs, processes, products up to moderate complexity. + Complete pricing projects and ad-hoc requests. + Develop management information to inform business partners on the health of the business. + Communicate effectively with management and business partners. + Adhere to internal and external compliance requirements/standards. + Manage actuarial analysts including assigning work, providing technical guidance and other responsibilities to include performance management, training, and mentoring. **Position Qualifications** : + Bachelor's degree in actuarial science, mathematics, statistics, economics or related field. + 5-7 years of experience as an actuarial analyst, preferably Property & Casualty experience. + Associate (ACAS) or Fellow (FCAS) of the Casualty Actuarial Society or the equivalent from other organizations or demonstrates equivalent knowledge. + Proficiency in Microsoft Excel/VBA and SAS, SQL or Python required. + Experience managing actuarial analysts. + Strong understanding of actuarial ratemaking methodologies and practices + Perform actuarial pricing analysis independently and makes reasonable assumptions/judgments. + Understand and make observations on market implications of business strategies. + Creative problem-solver with strong quantitative skills that can spot patterns, trends, and opportunities in data. + Propose and implement improvements in actuarial methodologies and analyses. + Strong written and verbal communication skills to convey complex topics in an understandable, concise manner to both technical and non-technical audiences. + Organizational skills including time management and the ability to handle multiple priorities. + Take initiative to lead projects of both a technical and non-technical nature. The range for this position is $111,900 to $186,700. When determining candidate offers, we consider experience, skills, education, certifications, and geographic location among other factors. This job is eligible for an annual discretionary bonus and Kemper benefits (Medical, Dental, Vision, PTO, 401k, etc.) _Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination._ _Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee._ _Kemper will never request personal information, such as your social security number or banking information, via text or email. Additionally, Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates. If you receive such a message, delete it._ \#LI-WH-1 \#LI-Remote **Kemper at a Glance** The Kemper family of companies is one of the nation's leading specialized insurers. With approximately $12 billion in assets, Kemper is improving the world of insurance by providing affordable and easy-to-use personalized solutions to individuals, families and businesses through its Kemper Auto and Kemper Life brands. Kemper serves over 4.6 million policies, is represented by approximately 24,200 agents and brokers, and has approximately 7,500 associates dedicated to meeting the ever-changing needs of its customers. *Alliance United Insurance Company is not rated. _We value diversity and strive to be an employer of choice. An Equal Opportunity Employer, M/F/D/V_ **Our employees enjoy great benefits:** - Qualify for your choice of health and dental plans within your first month. - Save for your future with robust 401(k) match, Health Spending Accounts and various retirement plans. - Learn and Grow with our Tuition Assistance Program, paid certifications and continuing education programs. - Contribute to your community through United Way and volunteer programs. - Balance your life with generous paid time off and business casual dress. - Get employee discounts for shopping, dining and travel through Kemper Perks.

With minimal supervision, assists to coordinate resources and educate the members that are enrolled in a disease management program. Relates effectively with others for continuity of care; maintains satisfactory relations with others, maintains accurate and complete records. Essential Position Functions Makes outbound calls to members in a disease management program to provide support, education and assistance as the member moves within the health care system Plans, implements, monitors, and evaluates health education programs Ensures member is receiving appropriate follow up and treatment, making lifestyle changes, and using self-management resources to avoid serious complications Collects and analyze data to learn about the effectiveness of the disease management program Advocate on behalf of the member regarding accessibility of services, assessing and interpreting member needs Relates effectively with co-workers regarding continuity of care and Care Management of members Maintains a professional approach with the highest standard of confidentiality Displays concern and initiative; Cooperates and maintains good rapport with staff, other departments, members, providers, and agencies involved in providing quality care to the member Work collaboratively with the Quality Department and CMO to provide feedback and improve outcomes related to HEDIS, Performance Improvement Projects (PIPs) and NCQA projects. Minimum Requirements of the Position Associate degree required in relevant field 2-4 years of experience in Nursing, Disease Management, or Health Coaching. A Bachelor's degree is preferred, but not required. Advanced ability to plan, implement, monitor, and evaluate health education programs. Exceptional ability to achieve sustainable health education program results. Excellent communication and customer service skills. Proficient in the use of Microsoft Office Suite. Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes). The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: ************************. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

Full-time- 40 hours Hybrid role - In-office training followed by a mix of work-from-home days and office days. Candidate must live in the Madison, WI area and be able to work on-site as needed. The Provider Credentialing & Contracting Coordinator is responsible for supporting provider contracting, credentialing, and administrative functions at Group Health Cooperative of South Central Wisconsin. The primary focus of this role is assisting in negotiating and maintaining provider contracts, serving as the main contact for provider inquiries, overseeing contract setup and auditing, analyzing contracts for potential renegotiation and training providers in the use of self-service tools for insurance administration activities. In addition to contracting responsibilities, the specialist assists with the credentialing and recredentialing processes and ensures compliance with NCQA standards for Delegated Credentialing Agreements. The Provider Contracting and Credentialing Specialist will work under the guidance of the Chief Strategy and Business Development Officer. JOB SPECIFIC MINIMUM QUALIFICATIONS Associate's or Bachelor's degree in business, healthcare administration or a related field or an applicable combination of education and work experience required. Bachelor's Degree preferred. Must be able to understand contract language and provider payment methodologies. Credentialing certificate preferred but not required. As a condition of employment, incumbent may be required to obtain certification within a reasonable time period. Knowledge of or ability to learn National Committee for Quality Assurance (NCQA) and/or Joint Commission on Health Care Organizations (JCHCO) standards required. Knowledge of and familiarity with medical terminology preferred. Strong interpersonal and communications skills and the ability to work effectively with a wide range of constituencies in a diverse community required. Ability to be culturally sensitive and to work with diverse populations. Strong customer service skills and the ability to maintain an excellent rapport with providers and their staff Time management skills and flexibility to work on multiple projects/assignments simultaneously, with ability to change focus as business needs dictate. Willingness to assume diverse duties and challenges Knowledge of and proven proficiency in the use of Microsoft Office applications including Word, Outlook, Excel and PowerPoint is required. Knowledge of and/or ability to learn and use computer based applications/software such as electronic time and attendance systems. Ability to use the Internet to obtain information and conduct research. Ability to build and maintain relationships with internal and external partners. Excellent written and verbal communication and interpersonal skills. Ability to speak and listen in person and in virtual meetings. Ability to maintain patient, employee and proprietary confidentiality required. Knowledge of or ability to learn HIPAA requirements. Ability to pay attention to detail required. Ability to work comfortably and routinely as part of a team and to cooperate across organizational boundaries. Professional manner necessary to deal courteously and effectively with customers and external partners. Possession of a valid Wisconsin Driver license with a good driving record. Access to transportation and ability to travel. Ability to maintain patient confidentiality required. Knowledge of medical records and appropriate documentation requirements. Knowledge of HIPAA requirements. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values: We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

is eligible for a $12,500 INCENTIVE for joining GHC! The position offers a hybrid arrangement, including onsite clinical duties as well as the option to work remotely. The Developmental Psychologist in the Behavioral Health Services department provides a variety of services including: Psychological evaluation for autism spectrum disorders and related diagnoses. Feedback and counseling to families about diagnosis and treatment. Care pathway development for children with autism and their families. Assessment for the presence of other comorbid diagnoses in addition to ASD along with recommendations for pathways of care for these conditions, where present. Provision of individual, family, and group mental health treatment to assist in the amelioration of the child's/family's behavioral difficulties and to promote adaptive functioning. Consultation to families, schools, primary care providers and others regarding children with mental health problems and behavior challenges. Assessment and psychotherapy with children, adults and families across a wide range of presenting mental health concerns. Clinical supervision of behavioral health students and providers in training as needed. The ideal candidate will possess strong assessment skills, skills in working with and assessing children and adolescents with Autism Spectrum Diagnoses/Developmental Delays and their families, and skills in assessing and treating a wide variety of mental health disorders in children, adults and families. They will be part of one of our outpatient behavioral health clinics and provide both virtual and in office assessment and treatment per department protocols. They will complete documentation in the electronic medical record in a timely manner per department protocols, and chart in a manner that is patient-oriented and professional. The Developmental Psychologist will actively participate in case consultations with their local and broader behavioral health teams and be an active participate in Behavioral Health team and department meetings. The Developmental Psychologist will receive day to day guidance, administrative supervision, and as needed clinical consultation from the Autism Spectrum Disorder Program Manager. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands GHC-SCW's Mission, Vision and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values: We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together. JOB SPECIFIC QUALIFICATIONS Ph.D. or Psy.D. in Clinical, Counseling, or School Psychology from an APA accredited graduate program and a minimum of one (1) year of post-doctoral experience in clinical psychology; or an equivalent combination of education and experience. Valid, State of Wisconsin license as a Psychologist (or eligibility) and certification/eligibility by the State of Wisconsin Medicaid/ForwardHealth program as a Psychologist/Mental Health Provider is required. Possession of a National Provider Identifier (NPI Number) for health care providers is required. Possession of a valid driver license with a good driving record and ability to provide own transportation to various work locations, as required. Professional knowledge of and demonstrated clinical experience with recognized and standardized measures and procedures for autism spectrum disorders and treatment planning for children and their caregivers required. Professional knowledge of and experience with evidence-based treatments for autism spectrum disorders. A minimum of three (3) years of mental health practitioner experience in direct clinical services required. Previous experience in an HMO or managed care setting preferred. Strong clinical skills in working with children and adolescents with Autism Spectrum Disorders/Developmental Delays are required. Knowledge of and experience with short term therapy models preferred. Knowledge, ability and skills in the provision of professional, evidence-based mental health therapy services including assessment, diagnosis and treatment of individuals, couples, families, and groups is required. Knowledge, ability and skills in the provision of psychological evaluation including administration of tests and measures which require advanced formal education, to assess areas such as cognitive functioning, development, personality and emotional development, behavior, mental status, academic skills, and other areas of mental health functioning. Knowledge, skill and ability in writing psychological reports and interpreting test results. Ability to provide consultation, psychological testing and report interpretation, and advice concerning psychological reports across the organization and to GHC-SCW members. Knowledge of and ability to effectively use human relations, interpersonal, and communication skills, and excellent verbal communication skills, including active listening skills, required. Ability to provide culturally competent services and to work effectively with persons of diverse cultural backgrounds required. Knowledge of and ability to use personal computers and ability learn and use electronic medical record systems such as EPIC is required. Access to and ability to use a personal computer with stable access to the internet and video conferencing capacity. Ability to work with clinic and administrative staff, to be a team player in a team-oriented environment, and to interact with staff at all levels is required. Ability to speak and listen in person and on the phone required. Excellent customer service skills and professional manner necessary to deal courteously and effectively with patients and the public, required. Ability to maintain patient confidentiality required. Knowledge of medical records and appropriate documentation requirements, and knowledge of HIPAA requirements, required. Ability to work some evening hours and after hour on-call is required. Ability to provide guidance, direction, and clinical supervision to new staff, trainees, or other staff as assigned. Ability to remain seated and attentive to patient verbalizations for extended periods of time required. Ability to maintain currency in area of expertise in primary care and/or behavioral health field. Ability to learn and maintain currency with GHC-SCW and UWHC policies and procedures

Are you a detail-oriented leader with a passion for accuracy and process improvement? Join our team as a Medical Coding Supervisor, where you'll play a key role in ensuring high-quality coding practices, supporting provider education, and leading a dedicated team that drives the success of our revenue cycle operations. The Medical Coding Supervisor oversees the operations and personnel within the Medical Coding department. Key responsibilities include reviewing provider-assigned codes for accuracy and compliance, auditing insurance claims, and addressing coding-related denials. This role provides coding education to providers, supports documentation standards, and may assist with related research initiatives. The supervisor manages team functions such as hiring, onboarding, training, performance evaluation, and ensuring adequate staffing. Additional duties include developing departmental policies, leading staff meetings, addressing inquiries or complaints, and representing the department in organizational meetings. This position reports to the Revenue Cycle Manager and operates under general supervision. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. In dedication to the health and well-being of our employees, we offer a comprehensive benefits package that includes health and dental insurance, along with paid short-term disability, long-term disability, and life insurance. Additional benefits include a paid parental leave, flexible spending account, employee assistance programs, tuition reimbursement, pet insurance, eyewear discounts, and more. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW. Job Specific Minimum Qualifications High school graduation or equivalent is required. Graduation from an accredited Medical Coding Specialist Program or equivalent combination of education and/or relevant work experience is required. Minimum of two (2) to three (3) years of medical coding experience is required. Knowledge of insurance processing is preferred. Current CPC credential through AAPC or equivalent is required. Knowledge of CPT/HCPCS (supplies and pharmaceuticals), ICD-10-CM, E/M (evaluation and management), medical records and documentation is required. At least (2) years of supervisory or team lead experience in a healthcare environment. Knowledge of the principles and practices of accounting/fiscal management, business operations and human resource management. Demonstrated leadership experience in an insurance or healthcare environment is highly desirable. Ability to lead and participate in the training and supervision of other staff is required. Knowledge of medical terminology, basic anatomy, physiology, and disease process is required. Knowledge of Medicare and Medicaid and other payer-specific rules and regulations is required. Minimum of one (1) year of experience interacting with practitioners regarding coding requirements is preferred. Knowledge of or ability to learn various computer programs such as MS Office Suite, word processing, database, calendar and email is required. Knowledge of or ability to learn and effectively use systems including electronic medical record and electronic coding systems is required. Experience with EPIC is highly desirable. Excellent oral and written communication skills are required. Excellent customer service skills and the ability to work with a diverse patient population is required. Ability to work harmoniously and cooperatively with all staff and the public is required. Ability to ensure that the daily work of the department is completed. Ability to identify coding needs and code accurately is required. Ability to concentrate and maintain accuracy in spite of frequent interruptions is required. Excellent organizational, analytical and problem-solving skills are required. Ability to recognize, identify, and report problems is required. Ability to maintain personnel related and patient confidentiality is required. Knowledge of or ability to learn HIPAA requirements. Ability to negotiate with individuals, including practitioners, is required. Ability to be flexible and be a team player is required. Ability to adhere to OSHA standards and other patient care protocols is required. Ability to see at near and mid- range is required. Ability to use a keyboard regularly is required. Ability to travel among GHC sites on short notice is required. Manual dexterity, including the ability to perform fingering and handling with both hands is required. Ability to intermittently sit, stand, bend, stoop and stretch is required. The incumbent knows and abides by all GHC-SCW organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values: We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

.9 FTE/ 36 hours per week Provider Positions - Group Health Cooperative of South Central Wisconsin (ghcscw.com) The Physician - Internist is responsible for providing high quality health care services to Group Health Cooperative of South Central Wisconsin (GHC-SCW) members. The Physician is specialized in Internal Medicine. The Physician provides a wide range of evaluation, management, and procedural services to GHC-SCW members and fee-for-service patients requesting care. The Physician serves under the general supervision and direction of the Chief of Staff MD with additional accountabilities to the Site Chief for the assigned clinic. The Physician is expected to use his/her professional judgment in making recommendations to patients for their personal medical care. Our clinicians play a vital role in delivering accessible, high quality and person-centered care to our members. We're looking for individuals who embody the cooperative spirit and are committed to excellence, teamwork, integrity and outstanding service. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW. JOB SPECIFIC QUALIFICATIONS Current, unrestricted Wisconsin State Licensure as a Physician in a primary care specialty required. Board certification is highly desirable. Ability to become Board Certified within six (6) months of employment. Knowledge and/or experience in managed health care delivery required. Ability to maintain currency in area of expertise in primary care field. Current valid Federal Controlled Substance registration (DEA) Certificate. Possession of or eligibility for a valid Healthcare Provider CPR/AED certificate is required. Employee must obtain certification within four (4) months of employment. Medical management skills such as team building, HR management including conflict management, performance appraisal, coaching, and utilization management techniques required or the willingness to acquire through job training required. Ability to work within a team capacity required. Excellent written, verbal and non-verbal communication and interpersonal skills required in order to project a professional image to interact courteously and effectively with patients, the public, staff and others required. Ability to be culturally sensitive and to work with a diverse patient population. Ability to provide leadership and to delegate required. Ability to read and interpret various medical reports and/or results required. Ability to use and/or learn electronic medical record systems such as EPIC. Ability to learn and maintain currency with GHC-SCW and University of Wisconsin Hospitals & Clinics (UWHC) policies and procedures. Ability to maintain strict patient, proprietary and employee confidentiality required. Knowledge of HIPAA requirements. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission , Vision and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values: We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

**Details** _Kemper is one of the nation's leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper's products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises._ Kemper is seeking a Senior Guidewire PolicyCenter Developer. This role provides leadership for multiple areas within PolicyCenter and the associated integrations. **Position Responsibilities:** + Provides technical support for multiple PolicyCenter functions and integrations. + Develops, documents and executes unit test cases. + Delivers quality and timely results. + Owns and resolves complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test coverage. + Complies with and supports all corporate, department and team policies and procedures. + Keeps manager, project teams/managers and business customers informed of activities and problems within assigned areas of responsibility; refers matters beyond limits of authority to manager for direction. + Recommends improvements to existing processes or proposes new ones, to improve the quality of project deliverables. + Ensure reviews for quality (accurate and complete) of application software designs are scheduled and conducted to ensure optimal use of software systems. + Consults with internal and external customers on the utilization of applications computing technologies, within areas of expertise, to ensure that customers optimize the value of those technologies. + Leads projects across technical disciplines; plans for the appropriate resources needed. + Develop technical knowledge and performance skills of IT projects teams for multiple scopes. + Researches, evaluates and recommends new technologies independently or with the architect's implementation. + Implement and support proof-of-concept activities for new technologies. + Develops and obtains sign offs on technical specs, design documents, functional designs and requirements. + Guide teams on long term solutions for resolving frequently occurring production problems and reducing defect leakage. + Ensure code is being developed per standards with focus on maintainability and ensure unit test cases are being developed, documented and executed with the test results recorded. Ensure that the technical design presented by the architects is followed by the software development staff. + Ensure batch cycles are being executed according to plan and that defects are resolved in an accurate and timely fashion. + Lead team in successful completion of phase gates for projects. **Position Qualifications:** + Minimum of 10 years of developer experience + Bachelor's degree, equivalent work experience or appropriate technical certification. + 5 years extensive experience with Guidewire Insurance Suite + 5 recent years of ongoing PolicyCenter experience. + P&C Non-Standard Auto Insurance experience preferred. + Experience in technical disciplines such as Java/Spring, JavaScript, HTML/CSS, Angular, Hibernate, SQL, JSON/XML, REST Web Services, Git/SVN, Jenkins, Oracle & SQL + Experience with cloud development practices. + Advanced certifications for coding/development. Current Guidewire Certified Ace preferred. + Demonstrates advanced technical skills. Advanced knowledge of Gosu and a good knowledge of related languages. + The ability to provide technical leadership on large/complex application installation, development and support projects; Advanced knowledge of program design methods and techniques and standard development tools. + Use knowledge of new frameworks, tools and languages and make recommendations in applications as appropriate. + Ability to understand and identify improvement areas in architecture and integration designs + Ability to teach and provide instruction to co-workers and provide feedback on progress toward goals. + Demonstrates excellent leadership qualities in managing the work of a team of professional employees. + Able to follow and create best practice development standards. + Worked with various project methodologies (agile and waterfall). + Able to translate business to technical requirements. + Requires minimal managerial direction. + Understands technical controls, security concepts and SOX requirements. + This job can work remote from a US based location. The range for this position is $111,900 to $186,700. When determining candidate offers, we consider experience, skills, education, certifications, and geographic location among other factors. This job is eligible for an annual discretionary bonus and Kemper benefits (Medical, Dental, Vision, PTO, 401k, etc.) _Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination._ _Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee._ Kemper will never request personal information, such as your social security number or banking information, via text or email. Additionally, Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates. If you receive such a message, delete it. \#LI-AK-1 \#LI-Remote **Kemper at a Glance** The Kemper family of companies is one of the nation's leading specialized insurers. With approximately $12 billion in assets, Kemper is improving the world of insurance by providing affordable and easy-to-use personalized solutions to individuals, families and businesses through its Kemper Auto and Kemper Life brands. Kemper serves over 4.6 million policies, is represented by approximately 24,200 agents and brokers, and has approximately 7,500 associates dedicated to meeting the ever-changing needs of its customers. *Alliance United Insurance Company is not rated. _We value diversity and strive to be an employer of choice. An Equal Opportunity Employer, M/F/D/V_ **Our employees enjoy great benefits:** - Qualify for your choice of health and dental plans within your first month. - Save for your future with robust 401(k) match, Health Spending Accounts and various retirement plans. - Learn and Grow with our Tuition Assistance Program, paid certifications and continuing education programs. - Contribute to your community through United Way and volunteer programs. - Balance your life with generous paid time off and business casual dress. - Get employee discounts for shopping, dining and travel through Kemper Perks.

This position is hybrid and will be required to work onsite at our administrative offices and clinics around Madison, WI as needed. The Director of Clinical Operations-RN (RN Director) is responsible for effective leadership and direction in the delivery of support services by the Clinical Operations Division staff who provide nursing and other health-related patient care. This position is essential for facilitating and sustaining process improvement that assures operational effectiveness, clinical standardization, fiscal responsibility, customer satisfaction and ongoing clinical excellence. The RN Director provides direction, guidance and supervision to the Clinic Managers-RN and must have excellent communication and organizational skills. This position supports a collaborative working relationship between patient care services staff and practitioners, fostering staff satisfaction and resulting in a high level of care and service provided to GHC-SCW members. Collaboration across the enterprise - including Patient Care Services, Clinical Learning, Infection Control, Project Management and other departments - is required to lead major projects and process improvement initiatives, and the RN Director remains ultimately accountable for outcomes, even when responsibilities are delegated. The incumbent receives direction and general supervision from the Chief Nursing Officer in support of GHC-SCW strategic goals. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. In dedication to the health and well-being of our employees, we offer a comprehensive benefits package that includes health and dental insurance, along with paid short-term disability, long-term disability, and life insurance. Additional benefits include a flexible spending account, employee assistance programs, tuition reimbursement, pet insurance, eyewear discounts, and more. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW. Job Specific Minimum Qualifications Bachelor's degree from an accredited college or university in Nursing, Health Care Administration, Business or related field required. BSN preferred. Master's degree in Nursing or a relevant field is desired. Five (5) to seven (7) years progressive leadership experience in clinical practice setting required. Experience in similar size/type of organization (managed care) preferred. Experience in nursing and healthcare related Shared Governance preferred. Possession of a valid Wisconsin's driver's license. Ability to provide own transportation to various work locations, as required. Certification or training in Continuous Improvement and/or Lean strategies. Leadership and Ethics: Demonstrate GHC-SCW's Leadership AIMs - Accountability, Innovation, and Mentorship-by taking ownership of actions and outcomes, fostering a culture of creativity and continuous improvement, and guiding empowering, and developing others to support individual and organizational success. Support and promote the mission and strategic vision of GHC-SCW. Ability to maintain patient confidentiality. Adhere to corporate compliance initiatives. Lead by example. Effectively communicate verbally, non-verbally and in written form. Ability to provide individual and small group problem-solving and guidance. Treat everyone with dignity and respect. Ability to be resourceful and flexible in emergent situations. Demonstrate good assessment skills. Resource utilization and Financial Accountability Excellent analytical skills. Ability to read and interpret financial statements. Prepare and monitor department budgets and clinic productivity. Consider financial impacts (cost/benefit) in decision making. Ensure efficient use of staff resources. Quality Initiatives Accountability for monitoring and sustaining the professionalism, skill, and teamwork of the assigned Clinical Operations staff in partnership with Senior Medical Director and Patient Care Services Director. Promote, support, and facilitate change initiatives. Actively participating in quality projects by initiating projects and supporting departmental leaders. Make decisions that continuously improve service to members (accessible, safe, efficient, and personalized). Participate and lead organizational improvement initiatives. Professional Growth Participation in pertinent continuing education course for self-development. Willingness to review new trends and techniques/update knowledge base. Demonstrates increasing decision-making and performance development. Collegiality Interact with colleagues at all levels of the organization and in the community in a professional manner including co-workers, staff, providers, senior leadership, and members. Contribute to a supportive and healthy work environment that is conducive to learning. Work closely with and communicate with other clinic staff to ensure timely and accurate clinic information is disseminated. Resolve interdepartmental concerns, questions, and issues as they arise, working in conjunction with appropriate parties. Ensure that assigned staff work collaboratively with all employees, providers, and other customers. Exhibit a positive, supportive demeanor while working on projects and collaborative initiatives. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude.

0.40 FTE / 16 hours per week. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. The Radiologic Technologist is responsible for applying ionizing radiation to demonstrate portions of the human body on a radiographic, fluoroscopic screen, or other imaging modality to assist the physician in the diagnosis of disease or injury. Certain Radiologic Technologist positions may be designated to perform standard mammography images. The incumbent works under the general guidance, supervision and direction of the Medical Imaging Manager. Additionally, the incumbent works under the daily operational oversight of the Radiologic Technologist Team Leader. Job Specific Minimum Qualifications Graduation from an accredited Radiology technology program is required. Valid Wisconsin Radiographer license is required. Registered or registry eligible radiologic technologist by the American Registry of Radiologic Technologists (ARRT) is required. Possession of or eligibility for a valid Healthcare Provider CPR/AED certificate is required. Employee must obtain certification within four (4) months of employment. One (1) year of radiologic experience is preferred. Ability to travel to various work sites. Employee is expected to provide personal transportation. Possession of a valid, Wisconsin driver license if the employee is operating a motor vehicle. As assigned, float to other work sites/clinics to serve as backup and provide coverage during staff absences, position vacancies or when patient needs exceed staffing resources. Maintenance of current continuing medical education credits is required. Knowledge of general anatomy is required. Knowledge of the physical and operational characteristics of radiographic equipment is required. Knowledge of the principles and practices utilized in radiographic examination, and knowledge of radiation exposure techniques is required. Ability to recognize normal and abnormal structures in order to tailor the exam to answer the clinical question is required. Knowledge of and ability to use/learn PACS archiving systems is required. Knowledge of and ability to adhere to OSHA standards and other patient care protocols is required. Knowledge of and/or ability to learn and use computer-based applications such as MS Office, electronic medical record systems and scheduling applications is required. Good communication and interpersonal skills are required. Ability to be culturally sensitive and to work with a diverse patient population and excellent customer service skills are required. Knowledge of interviewing practices and techniques used in order to gather information is required. Ability to recognize, identify and report problems to appropriate personnel is required. Knowledge of medical records and appropriate documentation is required. Ability to maintain patient confidentiality required. Knowledge of or ability to learn HIPAA requirements. Ability to stand for up to 90% of a workday is required. Ability to lift from waist level and carry loads ranging from 15-50 lbs. is required. Ability to push and pull radiographic equipment is required. Ability to handle, finger, control left or right hand and reach (above shoulder, over 18" and to the floor) is required. Near and midrange vision is required. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

The Member and Provider Service Representative provides exceptional customer service and accurate information to Cooperative members and providers. Functions Answer telephone calls in a pleasant, professional, and efficient manner assuring exceptional customer service. Answer member and provider questions in an accurate and efficient manner incorporating the “Probing Questions” method. Representatives will also educate our members to the telehealth services the Cooperative has to offer. Document all incoming calls and outbound calls in Trucare in a complete and accurate manner utilizing the “Probing Questions” format. Follow up on issues resulting from phone calls or reminders as efficiently and accurately as possible. Research member and provider questions as needed using all the appropriate resources available. Conduct outgoing telephone calls for the timely resolution of member and provider inquiries. Assist members who come to the Administrative Office in person with questions or inquiries regarding their policy and benefits. Educate members on plan policies and procedures at every opportunity. Keep up to date on the various plans and benefit structure under each plan. Comply with all company policies and procedures. Minimum Requirements of the Position High school graduate or equivalent. Technical college degree in a related field is preferred. One to three years of customer service experience, call center background preferred. Excellent communication and customer service skills. Proficient in the use of Microsoft Word and Excel. Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes). The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: ************************. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.

This role will be hybrid with requirements to work in clinic, but will also have the opportunity to work remotely. 1.0 FTE/40 Hours per Week Come join us at Group Health Cooperative of South Central Wisconsin (GHC-SCW) and be a part of an organization committed to the highest level of healthcare! At GHC-SCW every member of the organization can contribute meaningfully to improving patient experience and eliminating barriers to care. The Behavioral Health department is an exciting place to be right now as it deploys strategic changes to improve access for patients, enhance employee satisfaction, and expand services beyond traditional outpatient treatment. The Behavioral Health Triage and Crisis team at Group Health Cooperative of South Central Wisconsin continues to expand, and we are looking for a providers to join our current team of 6 behavioral health providers and a team specialist. This team will rank among the most supportive and fun you will experience over the course of your career. Collaboration with colleagues on best care for our members and patients, will be a daily occurrence and contribute to your clinical growth and joy of practice. You will be providing in clinic, virtual and phone care to our members and patients experiencing behavioral health crises, seeking care following an ER or hospital stay, and in need of short-term behavioral health treatment. If you are looking to grow as a professional, develop your leadership qualities, and be embraced by an organization that encourages creativity and ingenuity, then GHC-SCW is the place for you! Position Summary: The Behavioral Health Triage and Crisis Specialist assists with the provision of equitable and quality care for GHC members and patients across the lifespan (children, adolescents, and adults). They serve GHC members and patients and support GHC's Mission to maximize health and well-being. The customer for this team includes the organization, GHC members, GHC's behavioral health department, and our partner departments within GHC, including primary care. They are responsible for initial telephone screening, triage, and risk assessments, including safety planning, and determining acuity and appropriate level of care for GHC-SCW members and patients seeking mental health and related behavioral health services. This role also provides crisis mental health services to individuals and families over the telephone and through virtual and in clinic appointment options. They further provide hospital and ER (Emergency Room) follow-up appointments. To support members obtaining behavioral health care within GHC-SCW staff model and/or members seen in primary care with short-term behavioral health treatment needs, they may provide short term, solution focused therapy and/or consults, intakes, bridging therapy appointments and follow ups to higher risk depression screens. The care provided by this role includes counseling and crisis intervention, short-term case management, consultations, and information and referrals to in-house and community resources. In addition, the BH Triage and Crisis Specialist assists other GHC-SCW providers by acting as a consultant for individuals with complex psychosocial needs. As a part of the BH Triage and Crisis team they will participate in team projects to maintain and, as appropriate, improve efficiency, training, and relationships with departments throughout GHC-SCW. The Triage and Crisis Specialist receives day-to-day guidance, consultation, and administrative supervision, from the Behavioral Health Coordinator for Triage and Crisis. The Behavioral Health Triage and Crisis Specialist will be part of our Olin BH Triage and Crisis team and provide both virtual and in office treatment per department protocols. They will complete documentation in the electronic medical record in a timely manner per department protocols, and chart in a manner that is patient-oriented and professional. The BH Triage and Crisis Specialist will actively participate in case consultations with their local and broader behavioral health teams and be an active participant in Behavioral Health team and department meetings. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values: We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved Five Strategic Pillars: Exceptional Quality and Service - We seek excellence by working towards the elements of the quadruple aim we strive to be the best we do in all that we do. Meaningful Employee Engagement - We create a culture where employees are involved, enthusiastic and committed to delivering on the GHC-SCW Mission, Vision and Values. Continuous Improvement - We actively identify opportunities and initiate change that creates value for the Cooperative and those we serve. Financial Strength - We ensure the Cooperative's long-term viability by reinvesting earnings generated by controlling health care costs and consistently growing revenue. Impact - We advance health and well-being by nurturing connections with our member-owners and the communities we serve. GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together. JOB SPECIFIC MINIMUM QUALIFICATIONS Master's degree or Ph.D. from an accredited college or university in a Behavioral Health related field required. Possession of an appropriate Wisconsin clinical license (e.g., LCSW, LPC, LMFT, Psychologist), and Certification by the State of Wisconsin Medicaid/Health Forward program as a Mental Health Provider required. Possession of a National Provider Identifier (NPI Number) for health care providers. Possession of a valid Wisconsin driver license with a good driving record. Ability to prioritize and organize a diverse workload required. Ability to learn and maintain currency with GHC-SCW policies and procedures. Ability to maintain patient, organizational and employee confidentiality required. Knowledge of HIPAA requirements. A minimum of two (2) years of experience in the provision of mental health services to ages across the lifespan (children, adolescents, and adults) is required. Previous experience in an HMO, managed care setting or health care clinic preferred. Knowledge of and experience with behavioral health triage, crisis assessment and intervention, safety planning and de-escalation skills, and short-term therapy models required. Proven ability to work in a fast-paced environment without direct supervision is required. Excellent knowledge, ability, and skills in the provision of professional, evidence-based mental health therapy services including assessment, diagnosis, and treatment (individual, couples, family, and group) across the lifespan. Knowledge of and ability to apply current mental health theory and practices. Knowledge of group dynamics and leadership. Excellent interpersonal skills required. Excellent verbal and written communication skills, including active and reflective listening skills required. Professional manners are necessary to deal courteously and effectively with patients and the public required. Excellent customer service skills are required. Excellent problem solving and analytical abilities are required. Ability to work independently and as an active team member, successfully manage multiple priorities, remain organized, pay attention to details, meet deadlines, and provide timely responses to communications. Ability to be flexible and adaptable in emergent situations and to changing priorities and assignments is required. Ability to remain seated and attentive to patient verbalizations for extended periods of time required. Commitment and proven ability to provide inclusive, equitable, respectful, and competent care to persons of diverse cultural backgrounds and identities. Ability to learn and use electronic medical record systems such as EPIC. Ability to chart electronic medical records in a timely, patient-oriented, and professional manner per department and organization protocols. Access to and ability to use a personal computer with stable access to high-speed internet and video conferencing capacity. Benefit Summary for FTE of .5 or higher: Our rich benefits package which includes: • Health, Vision and Dental Insurance • 403(b) employer match up to 6%! • Nine paid holidays • Generous MTO (Managed Time Off) • Tuition reimbursement • Eligibility for any general increases on their work anniversary date • Free parking at all our locations • Wellness programs • Work life balance • Commitment to diversity • The great culture we have here at GHC-SCW!

is hybrid and will be required to work onsite in Madison, WI as needed. GHC-SCW is looking for an IT Enterprise Applications Manager to lead our Epic application strategy, and drive innovation that enhances the member and patient experience. In this role, you'll oversee everything from project planning and system upgrades to workflow optimization, all while guiding a talented team toward success. If you're a tech-savvy leader with a passion for healthcare, a demonstrated ability to build relationships with teams and different areas of the business, and a knack for turning complex systems into seamless solutions, this is your chance to make a real impact. Collaboration, curiosity and coaching should be among your top skill sets. Join us and help shape the technology that powers exceptional care! Under the general guidance, direction, and supervision of the IT Enterprise Applications Director, the IT Enterprise Applications Manager will set strategy for and manage the activities of the GHC-SCW IT Enterprise Applications department. The incumbent will be responsible for managing all enterprise applications including but not limited to all Epic applications. The incumbent is responsible for oversight of project planning, deployment of appropriate staff resources, performing required maintenance, system builds and upgrades of software as well as ongoing assessment and analysis of workflows in which the software is used. Additionally, the incumbent will provide leadership, guidance and supervision to departmental staff. The incumbent is also responsible for overseeing the projects and tasks assigned to each Enterprise Applications team. To carry out these responsibilities, the incumbent will be required to have a working knowledge of the applications and systems the department supports as well as an extensive familiarity with the daily operational and business needs of the clinic and administration teams dependent upon those applications and systems. The IT Enterprise Applications Manager serves as the main point of contact for all applications and systems under the incumbent's area of responsibility. The IT Enterprise Applications Manager will supervise and conduct complex clinical/business process analyses, needs assessments and related analyses. The incumbent strives to ensure that clinical information technology solutions meet the clinical/business initiatives of GHC-SCW. The IT Enterprise Applications Manager has a strong emphasis on ensuring that applications are implemented and maintained in a manner that enhances GHC-SCW's members' experience. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude. JOB SPECIFIC MINIMUM QUALIFICATIONS Bachelor's degree from accredited college or university required; or equivalent combination of education and experience. Three (3) of relevant information technology, direct healthcare or related experience required. An additional two (2) years of experience in systems analysis, or direct healthcare delivery or operations is also required. Experience with HMO, practice management or an electronic medical record system is desirable. Demonstrated leadership experience in an insurance or healthcare environment is highly desirable. Experience with clinical systems analysis and/or implementation is required. Familiarity with Clinical Information Systems applications including electronic medical records, scheduling or insurance-based systems. Experience with Epic Applications is required. Experience in project planning and project management required. Knowledge of and ability to use Microsoft Office Suite including word processing, presentation, database, spreadsheet, and email programs required. Ability to maintain organizational and PHI confidentiality. Knowledge of HIPAA requirements. Ability to be culturally sensitive and work with diverse populations. Ability to work in a consultative approach with users in assessing needs and requirements. Experience giving presentations to management, staff and external audiences required. Ability to act as a meeting facilitator required. Excellent problem solving and analytical abilities required. Effective planning, organizational and communication skills required. Provide positive influence in potentially high stress situations required. Ability to work effectively with all levels of an organization while providing excellent customer service required. Ability to work independently and be results oriented required. Ability to manage multiple priorities required. Commitment to meeting deadlines required Possession of a valid Wisconsin driver license with a good driving record and/or ability to provide own transportation in order to travel to clinic sites is required. Ability to use a keyboard for the majority of the workday. Ability to see at near and far range. Ability to work occasional off hours, nights and weekends as required Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

1.0 FTE / 40 hours per week. GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. Join our team and receive training, resources, competitive pay and exceptional benefits including free parking at all our locations! Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW. The Autism Spectrum Program Speech/Language Pathologist position includes the implementation of speech and language therapy for the Autism Spectrum Disorder Services at GHC-SCW. The Autism Spectrum Program Speech/Language Pathologist will work under the supervision of the Autism Spectrum Manager. Within this position, the Speech/Language Pathologist will design and implement communication programs for children with Autism Spectrum Disorder. Speech/Language Pathologist will be required to integrate parent training into all treatment plans and will provide strategies needed for optimal communication. Additionally, the Speech/Language Pathologist will be responsible for recommending specialized equipment, environmental adaptations and access to assistive technology as needed. This position will require flexibility in availability to service a growing clientele and caseload. The Speech/Language Pathologist will be part of the Autism Services Program and provide clinic-based treatment per department protocols. They will complete documentation in the electronic medical record in a timely manner per department and organization protocols, and chart in a manner that is patient-oriented and professional. Speech/Language Pathologist will be an active participant in department meetings. Job Specific Minimum Qualifications Master's degree in Communication Disorders or Speech and Language Pathology Licensed by the State of Wisconsin to practice speech/language pathology or demonstrate eligibility pending application. Valid ASHA Certificate of Clinical Competency. A vast knowledge of behavioral and communicative principles and techniques for individuals on the autism spectrum is strongly preferred. Knowledge and experience with feeding, assistive technology and parent support preferred. Experience working with a variety of age groups from birth-adulthood and extensive knowledge of typical communication development. Experience working collaboratively with related professionals and providers (OTs, psychologists, BCBAs) Adherence to a high level of professional and ethical standards (in accordance with ASHA standards). Excellent oral and written communication skills and the ability to communicate effectively with colleagues, parents, community members, and staff members. Commitment and proven ability to provide inclusive, equitable, respectful, and competent care to persons of diverse cultural backgrounds and identities. Knowledge of and ability to use personal computers required. Familiarity with Microsoft Office programs, and ability to learn and use electronic medical record systems such as EPIC. Access to and ability to use a personal computer with stable access to high-speed internet and video conferencing capacity. Ability to work with minimal supervision required. Ability to work in an office and remote environment. Ability to maintain a professional demeanor at all times. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

This is a full-time role (40 hours per week). Following an initial onboarding and training period, the position will be fully remote. Candidates must be residents of Wisconsin. Using a collaborative process, the Care Management (CM) Utilization Management Nurse (RN) will review, plan, implement, monitor, and evaluate the options and services required to meet an individual's health needs, using communication and available resources to promote quality, and cost-effective outcomes. They help identify appropriate providers and facilities throughout the continuum of services while ensuring that available resources are being used in a timely and cost-effective manner while maintaining quality of care. The CM Utilization Management Nurse is responsible for evaluating the medical appropriateness, quality, and cost effectiveness of proposed services in accordance with established criteria. This review activity may be conducted prospectively, concurrently, or retrospectively and in collaboration with patients, practitioners, and other professionals. They play an integral role in working with the RN and Social Work Case Managers on an ongoing basis and providing support. They provide support and is a resource for the Care Management Associates and other staff. Work is performed under the general direction, guidance, and supervision of the Care Management Department Manager. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. In dedication to the health and well-being of our employees, we offer a comprehensive benefits package that includes health and dental insurance, along with paid parental leave, short-term disability, long-term disability, and life insurance. Additional benefits include a flexible spending account, employee assistance programs, tuition reimbursement, pet insurance, eyewear discounts, and more. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW. Job Specific Minimum Qualifications Graduation from an NLN accredited school of Nursing. Bachelor's degree is preferred. Valid current license to practice in the State of Wisconsin as a Registered Nurse is required. Minimum of one (1) year experience in: Utilization Review, Insurance/Managed Care, Home Health and/or diversified clinical experience, two (2) years preferred. Knowledge of utilization principles, methods, and techniques with experience in primary and/or acute care management. Ability to follow established criteria, policies, and procedures utilized in medical reviews. Ability to keep abreast of legal and regulatory changes affecting the delivery of care. Excellent oral and written communication skills required. Ability to communicate effectively in person, in groups, and on the telephone. Ability to be culturally sensitive and to work with a diverse patient population. Knowledge of and ability to use computer-based applications such as MS Office, (word processing, email, calendar). Knowledge of and/or ability to learn and effectively use electronic medical and insurance record systems. Experience with EPIC systems is desirable but not required. Ability to maintain patient and organizational confidentiality required. Knowledge of or ability to learn HIPAA requirements. Knowledge of medical records and appropriate documentation requirements. Ability to apply clinical criteria to analyze requests. Self-motivation and self-direction required; capable of working independently with limited direct supervision. Excellent customer service skills. Ability to work effectively with all levels of staff, practitioners, internal departments, external parties and members. Strong organizational skills. Ability to pay attention to details. Ability to function as a team player. Possession of a valid Wisconsin Driver License with good driving record. Employee must be able to provide own transportation to various worksites. Ability to sit, stand, walk, and drive on a regular basis required. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

0.70 FTE / 28 hours per week. is eligible for a $3000 INCENTIVE for joining GHC!(Amount prorated based on FTE) If you're passionate about helping patients and making a positive difference every day, we'd love to hear from you-particularly if you communicate clearly, stay highly organized, and thrive in a fast-paced, team-oriented environment. We're looking for a Care Team Specialist (CTS) to join our collaborative, patient-centered clinic team. In this role, you'll play a key part in supporting both clinical and administrative workflows to ensure high-quality care and a smooth patient experience. Daily responsibilities include rooming patients, taking vital signs, collecting medical histories, preparing for visits, and assisting with exams and procedures. You'll also manage test results based on protocols, support Epic in-basket and MyChart workflows, return patient calls, and help coordinate ongoing care. This position works closely with nurses and medical providers to support the overall management of patient care. Qualified candidates must have completed training as a Medical Assistant, Licensed Practical Nurse (LPN), Paramedic, or EMT from an accredited program. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. In dedication to the health and well-being of our employees, we offer a comprehensive benefits package that includes health and dental insurance, along with paid short-term disability, long-term disability, and life insurance. Additional benefits include a flexible spending account, employee assistance programs, tuition reimbursement, pet insurance, eyewear discounts, and more. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW. Job Specific Minimum Qualifications Must meet the requirements for a Medical Assistant (MA), a Licensed Practical Nurse (LPN), or an EMT as described below: Medical Assistants must have successfully completed an MA training program from an accredited school or program and must be eligible for and receive national certification within six (6) months of employment or must have three years of MA experience and have current national certification. Medical Assistants must obtain national certification from one of the following certifying organizations and must maintain certification by meeting CME requirements: National Healthcareer Association (CCMA); or American Association of Medical Assistants (AAMA); or American Registry of Medical Assistants (ARMA); or National Center for Competency Testing (NCCT); or By an approved and accredited certifying organization with CME requirements. Licensed Practical Nurses must have successfully completed an LPN training program from an accredited school or program. In addition, LPNs must have current licensure as a practical nurse in the State of Wisconsin or must obtain licensure as a practical nurse in the State of Wisconsin within six (6) months of employment. Emergency Medical Technicians (EMTs) must have successfully completed an approved training program and have a valid State of Wisconsin license of one of the following: Emergency Medical Technician (EMT); or Advanced Emergency Medical Technician (AEMT); or Paramedic (EMT-P). Possession of or eligibility for a valid Healthcare Provider CPR/AED certificate is required. Employee must obtain certification within four (4) months of employment. Ability to travel to various work sites. Employee is expected to provide personal transportation. Possession of a valid, Wisconsin driver license if the employee is operating a motor vehicle. One year of relevant experience working in a clinic or outpatient setting is desirable. Knowledge of and ability to perform or learn standard clinical procedures according to established protocols and policies are required. Knowledge of and/or ability to learn how to properly use and maintain equipment, materials and supplies used during the course of treatment is required. Knowledge of and/or ability to learn and use computer-based applications such as MS Office, electronic medical record systems and scheduling applications is required. Experience with EPIC is desirable. Must type a minimum of 30 WPM with minimal errors. Knowledge of or ability to learn outpatient clinical administrative procedures are required. Knowledge of medical terminology and knowledge of basic pharmacology is required. Ability to maintain quality, safety and/or infection control standards is required. Ability to recognize, identify and report problems to appropriate personnel is required. Basic understanding or ability to learn about reimbursement/insurance practices for medical care is required. Knowledge of inventory management practices is required. Ability to instruct patients and/or families as to the basic nature of disease and to provide instruction on proper care, treatments and follow-up is required. Knowledge of medical records and appropriate documentation is required. Knowledge of interviewing practices and techniques used in order to gather information is required. Excellent written and verbal communication skills are required. Ability to communicate with patients, family members, visitors, and members of the healthcare team in a respectful manner. Strong interpersonal skills and the ability to be culturally sensitive and to work with a diverse patient population is required. Ability to maintain good working relationships with patients and staff is required. Ability to maintain patient confidentiality is required. Knowledge of or ability to learn HIPAA requirements. Ability to climb, stoop, kneel and crouch is required. Ability to bend, reach, lift, pull, push and/or carry up to 10 pounds regularly and up to 50 pounds occasionally is required. Ability to stand and sit for prolonged periods of time is required. The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.

1.0 FTE/40 hours per week The Pharmacy Technician assists pharmacists in the provision of professional pharmacy services in GHC-SCW pharmacies. The Pharmacy Technician works under the general guidance and daily supervision of the Pharmacist and the Pharmacist - in - Charge. JOB SPECIFIC MINIMUM QUALIFICATIONS High School diploma or equivalent required. Graduation from an accredited Pharmacy Technician training program is desirable. Pharmacy experience is preferred. Knowledge of or ability to learn email, calendar, word processing and database software programs. Previous experience with computers preferred. Ability to use or learn to use computers for order entry, inventory control, billing and record keeping. Knowledge of basic math and algebra. Ability to perform accurate mathematical calculations. Ability to communicate effectively verbally and in writing with patients and clinical staff is required. Ability to work with a diverse patient population. Excellent customer service skills. Ability to pay close attention to detail and problem solve. Ability to successfully interact with other pharmacy staff is required. Ability to maintain confidentiality is required. Knowledge of or ability to learn HIPAA requirements. Ability to provide own transportation to various locations, as required. Ability to stand for long periods of time is required. Ability to reach, bend, lift, pull, push and /or carry up to 25 pounds regularly is required. Ability to see near, mid and far range is required. Good hand dexterity in order to handle small items such as medication packets is required. Ability to use keyboard is required. Ability to write legibly is required. Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being. Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve. Our Values: We are a not-for-profit Cooperative We are member-centered We are equitable and inclusive We are quality-driven We are innovative We are community involved GHC-SCW is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees, members, and patients feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard. We believe: Healthcare is a human right. In treating all people with dignity and respect. There is strength in diversity. Equity celebrates our humanity. We are better together.