Network Health WI jobs - 1,187 jobs

The Desktop Engineer will design, develop, implement and maintain all PC, desktop, laptop, and software related services. An emphasis will be placed on supporting Windows Desktop Deployment strategies via SCCM, along with a best practice for lifecycle management of firmware, operating system, applications and related hardware. Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work in-person at our office in Menasha. Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday, on-call, after hours SME support required Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team. Job Responsibilities: * Develop structured and stable PC/mobile device deployment and management solutions * Phone support skills a must for management of remote workforce * Provide solutions for security enhancements and management of the environment * Provide weekly, monthly, and on demand KPI reporting * Develop, review, and maintain all documentation SOP's and user documentation * Adhere to all corporate policies and SOP's * May be involved in desktop engineering and support for root cause analysis or oversight of key issues * Additional responsibilities as assigned Job Requirements: * BS Degree in Computer Science, or equivalent work experience in desktop support required * 5+ years in PC support including tablet, laptop, desktop, and mobile support * 5+ years in centralized MDM management of mobile device management * 5+ years in Security Management of desktop environment. * 5+ years Active Directory administration experience * 3+ years working with ITIL Practices or similar enterprise experience Network Health is an Equal Opportunity Employer

A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S. #J-18808-Ljbffr

Important things YOU should know: Schedule: Monday - Friday, 8:00am - 4:30pm CST Please know hours of operation are 8:00am - 6:00pm CST so shift could flex based on business need. Fully Remote What will YOU be doing for us? Increase member, provider and client use of our web based solutions for claims submission, payments, and authorizations. What will YOU be working on? Provide education to callers on the benefits of utilizing the member and provider insurance portals. Service dental, medical, vision and physical therapy members and providers using the member and provider portals offered by SKYGEN USA. Provide feedback to multiple internal departments regarding issues found on the member and provider portals. Ensure all calls are answered according to company and client guidelines. Accurately document call information and resolution in internal systems while engaging with members and providers. Properly identify potential issues that are not easily resolved and escalate appropriately to Manager. Perform outbound calling projects as directed. Additional Responsibilities: Utilize multiple modules in the Enterprise System to research portal questions. Work with internal departments to produce, maintain, and deliver portal training references and materials. Work with call center to resolve outstanding follow ups generated from incoming calls. Using automated systems, maintain updated data on portals by verifying accuracy and handling any exceptions or issues. Act as a liaison between portal users and clients to resolve escalated issues. Provide recommendations on system enhancements and process improvements to management. Assist department with administrative tasks and additional duties as needed. What qualifications do YOU need to have to be GOOD candidate? Required Level of Education, Licenses, and/or Certificates High school diploma/GED required Required Level of Experience 1 year of customer service experience (Call Center, Provider Relations). Required Knowledge, Skills, and Abilities Intermediate knowledge of Microsoft programs (Word, Excel, and email) Excellent attention to detail Excellent oral and written communication skills Ability to successfully meet timelines for project plans Strong navigation skills and the ability to multi-task What qualifications do YOU need to have to be a GREAT candidate? Preferred Level of Education, License, and/or Certificates Associates degree/2 year degree in related field Preferred Level of Experience 1-3 years of customer service experience (Call Center, Provider Relations). Preferred Knowledge, Skills, and Abilities Knowledge of contract terminology Understanding of reimbursement methods Knowledge of dental, medical, physical therapy and vision products and terminology

This position is responsible for quoting and selling insurance policy premiums to incoming sales prospects from advertising ad purchased leads while providing excellent customer service to new and existing customers. We are looking for someone to join our team as a Licensed Inside Sales Representative. Starting base pay is $25/hour with uncapped bonus plan available to you in addition to your base pay! Average variable compensation is roughly $2,000 per month but can vary and could be up to $5,000. Variable compensation will grow as we expand business in multiple states. You will assist clients with warm leads to educate, provide quotes and sell any, or all insurance products. This is done by demonstrating advantages of our products, services and benefits while also overcoming objections to purchase. You must CURRENTLY have an active Property and Casualty Producers License or a Personal Lines License to be considered for this role. By utilizing your bilingual skills, you will get a 7% shift premium. Position Compensation Range: $25.00 - $31.88 Pay Rate Type: Hourly Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities •Quotes and sells insurance products to new and current customer. •Advises prospects on appropriate insurance coverage and options relative to prospect circumstances and meeting the needs of the customer. •Runs reports from various systems to verify accuracy of information provided by potential insured regarding insurance and driving history. •Explains coverage and payment options to the customer. •Responsible for outbound follow up on unsold internet leads which may have a likelihood of purchasing. •Services existing customer policies as required including policy changes when customer service is not available. •Follows up on underwriting department requests to ensure policy underwriting adherence and improve retention. •Attends sales meetings, seminars or educational activities to stay current with market trends, regulations and maintain state licensing. Specialized Knowledge & Skills Requirements •Possesses a thorough understanding of company guidelines with the ability to communicate those guidelines to customers and other employees. •Familiar with Microsoft Office applications. •Excellent written and verbal communication skills. •Able to multi-task with speed and accuracy. •Organizational and problem solving skills. Licenses You must hold an active Property and Casualty Insurance Producer's License or Personal Lines (Not Adjusters). American Family Insurance will pay to maintain your licenses after hire along with all CE requirements. By utilizing your bilingual skills (English/Spanish), you will get a 7% shift premium. Travel Requirements •Up to 25%. Physical Requirements •Work that primarily involves sitting/standing. Working Location While this position is primarily work from home, you would need to live near one of our talent areas listed to be able to travel to the office for in person meetings and events. These areas are located in: Madison, WI 53783; Boston, MA 02110; Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Atlanta, GA 30328; Green Bay, WI; Akron, OH; Las Vegas, NV Additional Information Offer to selected candidate will be made contingent on the results of applicable background checks Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions Sponsorship will not be considered for this position unless specified in the posting We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits. We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email ...@AmFam.com to request a reasonable accommodation. #LI-PT1

What are important things that YOU need to know about this role? Fully and permanently remote - work from anywhere within the U.S. Strong communication skills required - ability to translate technical language into clear, understandable terms for all audiences. Client-focused approach - capable of educating and inspiring confidence in clients through expertise and professionalism. Industry experience required - background in dental, vision, or medical fields is essential. What will YOU be doing for us? Collaborate with external partners using Enterprise System expertise and business process knowledge to identify, analyze and translate business requirements to implement client programs, including configuration, introduction of new efficiencies and automation, and identifying risks and issues related to missing functionality and program delivery. What will YOU be working on every day? Identify, analyze and translate business requirements through written documentation and interview processes to implement and configure new efficiencies and automation in the Enterprise system Collaborate with stakeholders to ensure solution meets business needs and requirements Identify risks and issues related missing functionality or feature sets, and seek core system support on complex matters Introduce best practices when training users and configuring the Enterprise System Conduct training sessions with end users, including new release upgrades Support training team with documenting and delivering quality training material for business users Lead analysis of business requirements and develop and socialize optimization strategies Recommend solutions to streamline and scale existing workflows Lead meetings with the stakeholders and communicate appropriate status, risks, and issues Host client meetings and presentations to share findings with solutions Lead efforts to prioritize initiatives based on business needs and requirements Contribute to the development of project plans Support client(s) with user acceptance testing and reviewing documented results Assist with documentation, mapping and validation efforts to migrate legacy data Assist with workflow planning, documentation, mapping, and user testing of integration points What qualifications do YOU need to have to be GOOD candidate? Required Level of Education, Licenses, and/or Certificates Bachelor's degree in Computer Science or related field Required Level of Experience 3-5 years of related experience in a technical analysis role within a healthcare operations environment: IT analyst, system implementation analyst, system integration analyst, etc. Required Knowledge, Skills, and Abilities Experience with SQL Ability to plan for contingencies and anticipate problems Ability to effectively listen and respond to customers' needs Ability to effectively convey and receive ideas, information, and directions Ability to build and maintain work relationships and contacts needed to effectively address issues and obstacles Ability to display strong written and verbal communication skills Ability to remain organized despite multiple interruptions Ability to ask critical questions to assess needs and requirements Ability to explain complex concepts easily Ability to successfully meet timelines for project plans and manage time effectively Ability to translate business goals and requirements into documented requirements Ability to travel to client sites Build strong relationships with business partners Successfully manage competing priorities and navigate within ambiguity What qualifications do YOU need to have to be a GREAT candidate? Preferred Level of Education, License, and/or Certificates Certified Business Analysis Professional Certified Quality Technician Certified Quality Engineer Certified Quality Auditor Preferred Level of Experience Experience in healthcare claims administration, and/or SaaS experience Preferred Knowledge, Skills, and Abilities Knowledge of industry standards Knowledge of Enterprise System Demonstrates competencies in a variety of quality philosophies, systems, and tools The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Compensation Range: $92,472-$138,708 Compensation Midpoint: $115,590

Our client has been experiencing tremendous growth within their Excess Casualty Underwriting Division and is seeking to add a Senior/Executive Excess Casualty Underwriting Specialist. This person would be responsible for marketing/production of new and renewal business while providing a customer-first mindset, putting our client's customers at the center of everything you do. This includes being a technical expert in a designated coverage, product or product line, mentoring and training less experienced staff. Responsible for developing and managing a book of Non-Admitted Excess business. Select, review, model, analyze and underwrite the most complex submissions within the context of applying the division's underwriting guidelines and standards. Develop and maintain strong relationships with wholesale brokers in order to successfully produce, manage and grow the client's business. Work with local, regional, and home office management to renew accounts annually. Respond to brokers when particular risks do not meet underwriting guidelines and offer alternative options and cross sell other products. May serve as the department liaison with the Regulatory Compliance and Actuarial departments. Requirements 5 - 10+ plus years of Excess Underwriting experience, preferably handling Non-Admitted business 5+ years of experience working with wholesale brokers in the region Proven track record of building strong Broker Relations Understanding of current market conditions, trends in competition and new product development Strong communication, analytical skills, and business acumen Excellent problem solving & decision-making skills Bachelor's Degree is strongly desired. Salary & Benefits $150,000 to $200,000+ annual base salary plus 10 - 30% Target Bonus Flex schedule and ability to work remotely Extremely competitive Medical, Dental, Vision and Life plans Employer matching 401(k) plan Generous PTO plan Employee Stock Purchase Plan with employer matching #J-18808-Ljbffr

Titus Talent Strategies has partnered with Western Wisconsin Health as they seek to hire a full-time Family Practice Physician + OB to join their team of well-rounded board-certified providers. WWH is looking for a provider who shares their vision of creating healthier tomorrows for their patients and is passionate about supporting its community members along their wellness journeys. The ideal candidate will have experience providing continuing and comprehensive care for families and individuals of all ages. Responsibilities will include helping with everyday healthcare issues while developing an established patient relationship that allows for seamless continuity of care. This provider will need to help educate patients about their care plans and be interested in participating in community-related educational seminars or workshops. WWH offers a competitive salary and benefits package, paid malpractice coverage, relocation reimbursement, tuition reimbursement, a signing bonus, and a rewarding practice with a supportive team of colleagues.

What are important things that YOU need to know about this role? Remote - Enjoy the flexibility of working from home. Experience - Minimum 3-5 years managing teams, and 6+ years of project management experience are required Impactful Projects - Oversee both government and commercial programs, where Medicare and Medicaid experience is required. Healthcare Expertise Required - Bring your experience in healthcare, preferably in dental or vision industries. TPA Business Oversight - Lead critical projects supporting Third-Party Administration operations. Smartsheet Experience Preferred - Utilize modern tools for efficient project tracking and collaboration. What will YOU be doing for us? The Project Management Manager will be responsible for managing the project management team in the delivery of value propositions associated with programs, products and projects including UAT testing and release management. What will YOU be working on every day? Collaborates with department leaders to define, prioritize and develop projects. Provides feedback and participates, as required, in internal discussions surrounding projects. Advises all departments on resource assignment priorities to manage projects to strategy and plan. Supports both SDLC and PDLC methodology deployments to accelerate the speed of delivery and quality of products, programs and projects implemented. Implements and provides guidance related to PPD processes and policies. Assures oversight and quality of project deliverables. Guides the development of tools needed to ensure successful project management and communication with departments and clients. Serves as an internal escalation point for project management issues and escalates to project sponsors and/or project executives, as necessary. Drives appropriate training methods to ensure staff is provided with appropriate tools to meet client requirements and objectives. Oversees staff to ensure effective identification and implementation of process improvements. Recognizes and suggests potential system and process enhancements that could be made to increase effectiveness or efficiency. Manages subordinate staff in the day-to-day performance of their jobs with full authority for personnel actions. Works in conjunction with Human Resources to evaluate viable candidates under consideration for hire by identifying necessary skills and core competencies for various roles, developing relevant interview questions to assess candidate knowledge, skill, and position fit with future growth and business objectives, and utilizing appropriate selection techniques. Develops and motivates staff. Initiate and communicate a variety of personnel actions including employment, termination, performance reviews, salary reviews, disciplinary actions, and development plans. Provide regular and behaviorally specific feedback to increase performance levels. Fosters an environment that focuses on ensuring integrity, respect, accountability, and superior service. Works effectively and collaboratively with peers and other internal resources in diagnosing and resolving issues. What qualifications do YOU need to have to be GOOD candidate? Bachelor's degree in business administration, project management, information technology, or other related field or equivalent years of internal experience. 3-5 years of prior experience in managing and/or leading others 6+ years of experience in project management. Knowledge of commonly used project management tools. Ability to plan for contingencies and anticipate problems. Ability to effectively listen and respond to customers' needs. Ability to effectively convey and receive ideas, information, and directions. Ability to build and maintain work relationships and contacts needed to effectively address issues and obstacles. Ability to display strong written and verbal communication skills. Ability to remain organized despite multiple interruptions What qualifications do YOU need to have to be GREAT candidate? PMI Certification Experience in healthcare or software industry The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Compensation Range: $110,089 - $165,133 Compensation Midpoint: $137,611

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. Defining problems, conducting and narrowing research, analyzing criteria, finding, analyzing and applying solutions. Performs other duties as assigned. Key Accountabilities Work with Lead Developers on implementation of changes related to our ecosystem surrounding Health Share product by Intersystems Develop and maintain interfaces using Health Share IRIS and ObjectScript Interpretation and implementation of data transformations and mappings using HL7, CDA/CCD, FHIR, JSON. XML. Resolve integration issues, configuration and other changes through Health Share toolset High level understanding of Interoperability standards Document technical specifications, workflows and test plans Support continuous improvement through automation and best practices. Required Qualifications Bachelor's degree or equivalent experience in related field 5 years of work experience beyond degree Role requirements: 3+ years of experience with InterSystems HealthShare, or IRIS. Strong ObjectScript programming skills. Proficiency in healthcare data standards (HL7, FHIR, CDA, C-CDA). Experience with integration protocols (MLLP, REST, SOAP, SFTP). Solid understanding of SQL and relational databases. Familiarity with healthcare compliance (HIPAA) and interoperability concepts. Preferred Qualifications Experience with EMR/EHR systems (Epic, Cerner, etc.). Knowledge of cloud platforms (AWS, Azure, GCP). InterSystems certification (HL7 Interface Specialist or similar). This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $102,100 - $175,100. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $102,100 - $138,605. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The Creative Project Manager is responsible for all aspects of the development and implementation of assigned projects and or initiatives and provides a single point of contact for those projects. Provides subject matter expertise based on established project management techniques. Performs other duties as assigned. Key Accountabilities Project Management: Manage workflow and deliverables Daily management of tasks in the workflow tool Facilitate weekly status meetings and review status reports Report project status to stakeholders and team; help eliminate roadblocks and identify solutions for projects that are off track Ensure Robohead accountability with partners Facilitate forward-planning meetings with business partners to identify upcoming work, prioritize current work, and address bottlenecks Coordinate weekly creative reviews and traffic circulation/review process Support coordination of assets Coordinate retrospectives for significant projects or to address issues Assess current processes and provide recommendations for improvement Workflow Management: Manage intake, resource assignments, and schedule work reviews Ensure Robohead adherence and provide training to maintain complete and up-to-date project documentation Review all requests to confirm necessary information is complete Coordinate and assign work to designers and writers Schedule necessary meetings and reviews Review the level of work required for projects (tier projects) Provide reporting on team capacity, efficiency, and success in meeting deadlines Ensure standardized project timing and processes across design and copy teams Key Initiatives Support: Ensure seamless execution and provide reporting for key creative deliverables Provide summaries of accomplishments, risks, and progress for creative deliverables for OEP/AEP and 1/1 readiness Coordinate and manage creative deliverables for key brand touchpoints such as the Medica Magazine and Annual Report Establish and govern consistent job naming conventions and file/folder hierarchy Partner with the MDAC librarian on process, training, tools, and governance to ensure efficient and consistent access to creative assets and deliverables in the Digital Asset Library Required Qualifications Bachelor's degree or equivalent combination of education and work experience 3+ years of related experience, including demonstrated project management experience Skills and Abilities Experience driving deliverables across all media types, including print, video, digital, and OOH Experience managing projects using workflow software (Robohead, Workfront) Demonstrated success driving execution and managing complex efforts to meet time and budget targets Expert communicator, capable and confident working with all levels of stakeholders Detail-oriented and able to quickly pivot to address changing timelines or requirements Comfortable with ambiguity This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI. The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

A reputable insurance staffing company is looking for a Senior/Executive Excess Casualty Underwriting Specialist in Atlanta, Georgia. The role involves managing a book of Non-Admitted Excess business, underwriting complex submissions, and fostering strong relationships with brokers. Candidates should have 5-10+ years of Excess Underwriting experience and a strong track record in this field. This position also includes an attractive salary range of $150,000 to $200,000 annually, along with bonuses and excellent benefits, including a flexible work schedule. #J-18808-Ljbffr

What are important things that YOU need to know about this role? offers permanent remote work. Required Expertise: Strong Medicare and Medicaid encounter experience, plus proficiency in SQL. What will YOU be doing for us? Act as a main point of contact and subject matter expert for EDI file exchanges and setting up new EDI processes on behalf of clients, (including support for various assigned tasks and initiatives as directed by department leadership) OR act as main point of contact and subject matter expert for EDI encounter files exchanges, analysis and error corrections. Provide appropriate proactive communication to internal and external team members to reduce escalations overall and ensure efficient and compliant operations. Process, troubleshoot, and deliver EDI files. What will YOU be working on every day? Process, troubleshoot, and deliver daily EDI files and reports to clients within required timeframes. Process inbound and outbound client files including analyzing data for accuracy and preparing a summary of data for clients. Work collaboratively with external vendors to gather necessary information for new set up. Set up new EDI processes on behalf of new vendors by assessing current system capabilities, providing proper solutions, testing outcomes, and providing general communication and support as needed. Work collaboratively with complex and/or larger clients throughout implementations by gathering requirements, validating files, inputting edits, testing files, and ensure compliance and accuracy. Track inbound and outbound file stats and provide an accounting of data received/sent. Troubleshoot escalated file processing errors. Act as primary resource for department projects. Participate in client and state audits. Regularly attend and participate in client and internal meetings as a representative of the EDI Department. Deliver ad hoc data to internal and external customers as appropriate surrounding problems affecting client eligibility and claim processing. Work collaboratively with internal departments to secure and maintain effective relationships. Act as a subject matter expert for high priority items sent to the EDI team; answering questions to internal and external contacts and resolving matters that may fall outside of the established workflows. Respond timely and accurately to client inquiries regarding reported data, incoming client eligibility and outgoing client claims, encounter, provider and other information. Prepare ad hoc data extracts, reports, and analysis. Perform routine and ad hoc data maintenance. Properly communicate technical information to internal and external clients to ensure shared understanding. Provide training to new and current department staff to ensure understanding. Work collaboratively with internal teams to keep them informed of potential issues and/or concerns. What qualifications do YOU need to have to be GOOD candidate? Required Level of Education, Licenses, and/or Certificates Bachelor's degree in Information Technology, Computer Science, or related field or equivalent years of internal experience. Required Level of Experience Minimum of 5 years of related experience or equivalent advanced education Experience in demonstrating informal leadership skills Required Knowledge, Skills, and Abilities Strong knowledge of database application and data query protocol (MS SQL Server, Transact-SQL). Strong problem diagnosis and resolution skills. Strong verbal and written communication skills Ability to resolve complex problems. Ability to work autonomously Good problem solving and decision making abilities Conflict management skills. Ability to successfully have conversations with others regarding challenging/sensitive topics. Ability to adapt to changing priorities quickly Ability to demonstrate professional behavior Ability to work overtime as needed. What qualifications do YOU need to have to be a GREAT candidate? Preferred Level of Education, License, and/or Certificates Master's degree in Information Technology or equivalent field of study. Preferred Level of Experience Previous EDI experience. Preferred Knowledge, Skills, and Abilities Knowledge of HIPAA requirements The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range. Salary Range: $90,334 - $135,501 Salary Midpoint: $112,917

Employee Benefits Corporation is hiring for a Client Account Representative II. The Client Account Representative II is the primary point of contact for a specific set of Employee Benefits Corporation's clients across all products and services and various brokers. This position utilizes internal resources to resolve various client inquiries, including moderately complex issues, via telephone and email. The Client Account Representative II is responsible for managing all customer contact to ensure timely resolution to inquiries and issues. This person may work in our Middleton, WI office, fully remote (Wisconsin locations only), or a combination of the two depending on availability. Must be available for one day of onsite training and onboarding in person at our Middleton, WI office. Responsibilities: Serve as primary point of contact and organization resource for assigned clients and various brokers Establish rapport and trust with all clients, ensuring a high quality and meaningful experience is delivered with every interaction Obtain information from multiple systems and relay to clients and brokers in a seamless manner Facilitate resolution of service issues of specific clients in a professional manner utilizing interpersonal skills including diplomacy, tact and a concern for the client's needs De-escalate situations involving dissatisfied clients and brokers, offering patient assistance and support Obtain and maintain current and ongoing product and regulation related knowledge at a level of proficiency to resolve complex client requests and inquiries Collaborate and engage with organizational resources to ensure accurate and effective client data exchange, issue resolution and service Respond to incoming inquiries and tasks from other departments in a timely, customer centric and professional manner Required Qualifications: Associate degree in Business or related field; may be substituted by two years directly related experience Three years' experience in a customer-centric role Experience providing customer service for a variety of products in the health care industry Demonstrated subject matter expertise in Employee Benefits Corporation's product offerings or equivalent experience in the health care industry Demonstrated effective listening, verbal and written communication skills, utilizing proper grammar, syntax and excellent business acumen Ability to articulate relevant information in an organized and concise manner Ability to remain calm when dealing with challenging clients Demonstrated experience de-escalating client issues Strong attention to detail and critical thinking skills to help manage difficult situations Demonstrated ability to develop, maintain and foster relationships at all levels of the organization Demonstrated ability to maintain a positive, empathetic and professional attitude internally and externally Successful experience coordinating activities and tasks of a variety of resources towards a specific business goal Strong organizational and time management skills with proven ability to multitask in a high paced environment Self-motivated and able to resolve issues independently Demonstrated ability to guide clients through troubleshooting and navigating various company systems and the mobile application Computer proficiency in Windows-based applications along with a demonstrated ability to learn new software programs Intermediate proficiency with Microsoft Outlook, Word and Excel Previous experience working with a Customer Relationship Management system (CRM) Preferred Qualifications: Bachelor degree We offer: A friendly, collaborative team environment A competitive compensation and benefits package that includes employee-ownership Opportunities for personal and professional growth Flexible scheduling to encourage and support a healthy work-life balance More About Us: Employee Benefits Corporation administers a variety of employee benefits, from IRS-approved, tax-advantaged plans to COBRA and state-regulated continuation administration through informative education materials, dedicated reporting, creative plan design and expert customer support. We work with benefit brokers and consultants, employers and HR administrators, and benefit plan participants to offer top-notch workplace benefits and customer service. As a 100% employee-owned company, we are committed to using our experience, knowledge, creativity and technology to ensure our customers' satisfaction with their plans and with our services. ? Employee Benefits Corporation is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Our affirmative action program is available to any applicant or employee upon request. If you need an accommodation as part of the employment process, please contact Human Resources via email at or via phone at .

This position is responsible for quoting and selling insurance policy premiums to incoming sales prospects from advertising ad purchased leads while providing excellent customer service to new and existing customers. We are looking for someone to join our team as a Licensed Inside Sales Representative. Starting base pay is $25/hour with uncapped bonus plan available to you in addition to your base pay! Average variable compensation is roughly $2,000 per month but can vary and could be up to $5,000. Variable compensation will grow as we expand business in multiple states. You will assist clients with warm leads to educate, provide quotes and sell any, or all insurance products. This is done by demonstrating advantages of our products, services and benefits while also overcoming objections to purchase. You must CURRENTLY have an active Property and Casualty Producers License or a Personal Lines License to be considered for this role. By utilizing your bilingual skills, you will get a 7% shift premium. Position Compensation Range: $25.00 - $31.88 Pay Rate Type: Hourly Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities •Quotes and sells insurance products to new and current customer. •Advises prospects on appropriate insurance coverage and options relative to prospect circumstances and meeting the needs of the customer. •Runs reports from various systems to verify accuracy of information provided by potential insured regarding insurance and driving history. •Explains coverage and payment options to the customer. •Responsible for outbound follow up on unsold internet leads which may have a likelihood of purchasing. •Services existing customer policies as required including policy changes when customer service is not available. •Follows up on underwriting department requests to ensure policy underwriting adherence and improve retention. •Attends sales meetings, seminars or educational activities to stay current with market trends, regulations and maintain state licensing. Specialized Knowledge & Skills Requirements •Possesses a thorough understanding of company guidelines with the ability to communicate those guidelines to customers and other employees. •Familiar with Microsoft Office applications. •Excellent written and verbal communication skills. •Able to multi-task with speed and accuracy. •Organizational and problem solving skills. Licenses You must hold an active Property and Casualty Insurance Producer's License or Personal Lines (Not Adjusters). American Family Insurance will pay to maintain your licenses after hire along with all CE requirements. By utilizing your bilingual skills (English/Spanish), you will get a 7% shift premium. Travel Requirements •Up to 25%. Physical Requirements •Work that primarily involves sitting/standing. Working Location While this position is primarily work from home, you would need to live near one of our talent areas listed to be able to travel to the office for in person meetings and events. These areas are located in: Madison, WI 53783; Boston, MA 02110; Denver, CO 80112; Eden Prairie, MN 55343; Keene, NH 03431; St. Joseph, MO 64507; Phoenix, AZ 85034; Atlanta, GA 30328; Green Bay, WI; Akron, OH; Las Vegas, NV Additional Information Offer to selected candidate will be made contingent on the results of applicable background checks Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions Sponsorship will not be considered for this position unless specified in the posting We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits. We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email ...@AmFam.com to request a reasonable accommodation. #LI-PT1

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The Manager of Provider Reimbursement leads the management of the fee schedule development, contract modeling, and implementation processes in provider finance. The Manager documents processes, dependencies, and tools to maintain Medica's provider fee schedules and works with stakeholders on identifying refinement opportunities. Additionally, the Manager supports contract model data inputs, stewardship of provider finance data, and works with stakeholders to identify opportunities to improve model functionality, efficiency, and accuracy. The Manager coordinates projects that involve/impact multiple teams and departments. The Manager monitors unit progress toward goals, assists in department planning, and prioritization. The manager assists in the successful operation of the provider finance department. The incumbent ensures that processes and policies are followed to produce high quality results. The Manager proactively engages in identified opportunities and facilitates solutions with various stakeholders. Performs other duties as assigned. Key Accountabilities Fee Management Schedule Provides fee schedule development and implementation including uploading new fee schedules, tracking fee schedule activity, and facilitating fee schedule provider renewal impacts and coding updates Documents processes, dependencies, and tools to maintain fee schedules in Medica's provider reimbursement payment platforms Works with stakeholders to refine methods and processes in the development and implementation of provider fee schedules management Contract Model & Data Management Supports provider contract modeling solutions and contract modeling inputs including but not limited to Data Pac inputs Works together with key stakeholders to optimize Medica's provider negotiation model process through the promotion of refinements to improve model functionality, efficiency, and accuracy Promotes and leads efforts focused on data stewardship and best practices Leadership Activities Interacts heavily with other departments in a leadership role. Builds strong relationships with groups across the organization: including: Network Management, Provider Network Operations, and IT Training and mentoring of team members Additional Projects Provides support to network management strategic initiatives Assists with other provider finance activities such as supporting Medical Expense Committee, Reimbursement Committee, & commercial RFPs Required Qualifications Bachelor's degree or equivalent experience in related field 5 years of experience beyond degree Strongly Preferred Qualifications Minimum 4 years of Healthcare Reimbursement experience Minimum 4 years of experience working with health care claims data Preferred 4 years of Oracle, SAS, and/ or SQL experience Skills and Abilities Professional experience in data and process management Knowledge of claims systems and related claims payment methodologies Excellent interpersonal skills; ability to work with all levels of management on a variety of financial issues Ability to analyze, coordinate, and document numerous projects Excellent communication and leadership skills This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO. The full salary grade for this position is $100,300 - $172,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $100,300 - $150,465. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to base compensation, this position may be eligible for incentive plan compensation in addition to base salary. Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees. The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law. Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States. We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Employee Benefits Corporation is hiring for a Microsoft Business Productivity Solutions Specialist. This role blends hands-on solution development with business enablement. This position supports our organization's Microsoft 365 E5 investment, helping unlock the value of emerging tools-particularly Copilot, Teams, SharePoint, and Power Platform. The ideal candidate is passionate about productivity, AI, and staying at the forefront of Microsoft's rapidly evolving modern workplace ecosystem. This role sits at the intersection of digital enablement and business collaboration-working directly with departments to streamline work through automation and championing the adoption of Microsoft's AI features. The individual in this role must be self-driven, business-aware, and highly adaptable to change. This person may work in our Middleton, WI office, or be fully remote (WI, AZ, FL, IN, MA, MN, NC, or TX locations only) depending on availability. Must be available for occasional travel to our Middleton, WI office, not anticipated to exceed once a quarter. Responsibilities Include: Design and implement productivity solutions using Power Automate, Power Apps, SharePoint Online, and Teams to streamline business workflows. Support and manage SharePoint environments, including site creation, list management, and permission structures, especially as Teams increasingly relies on underlying SharePoint components. Partner with business departments to identify automation opportunities, document needs, and deliver scalable Microsoft 365-based solutions. Develop and lead end-user enablement campaigns for Microsoft 365 and AI tools, with a strong focus on Copilot and modern collaboration features. Track and report on usage, engagement, and adoption metrics using Microsoft 365 analytics dashboards and insights tools to inform and adjust strategies. Collaborate cross-functionally with IT, Security, Compliance, and business leaders to align solutions with governance, scalability, and security policies. Create and maintain training guides, quick start toolkits, and internal documentation to ensure consistent and scalable knowledge across the organization. Stay current with Microsoft's roadmap and product updates, particularly those involving Copilot, multi-agent orchestration, Teams extensibility, and AI integration, and make recommendations for possible enhancements. Contribute to Copilot governance planning, supporting policy development for access, permissions, and data compliance. Facilitate "Office Hours" or internal community of practice sessions to foster grassroots engagement with M365 tools. Qualifications: Bachelor's degree in IT, Business, Organizational Development, or related field. 2-4 years of professional experience working in Microsoft 365 environments. Demonstrated proficiency with Power Automate, Power Apps, SharePoint Online, and Microsoft Teams. Experience with Microsoft Copilot, Viva, Loop, or Copilot Studio. Ability and desire to research and learn about AI integration and practical applications of Copilot in day-to-day work. Strong interpersonal skills, with the ability to engage both technical and non-technical audiences. Preferred Qualifications: Microsoft certifications (e.g., PL-100, PL-200, MS-900). Familiarity with AI governance, data compliance, or digital transformation initiatives. Exposure to change management methodologies or organizational adoption frameworks. We offer: A friendly, collaborative team environment A competitive compensation and benefits package that includes employee-ownership Opportunities for personal and professional growth Flexible scheduling to encourage and support a healthy work-life balance More About Us: Employee Benefits Corporation administers a variety of employee benefits, from IRS-approved, tax-advantaged plans to COBRA and state-regulated continuation administration through informative education materials, dedicated reporting, creative plan design and expert customer support. We work with benefit brokers and consultants, employers and HR administrators, and benefit plan participants to offer top-notch workplace benefits and customer service. As a 100% employee-owned company, we are committed to using our experience, knowledge, creativity and technology to ensure our customers' satisfaction with their plans and with our services. ? Employee Benefits Corporation is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Our affirmative action program is available to any applicant or employee upon request. If you need an accommodation as part of the employment process, please contact Human Resources via email at or via phone at .

The Pharmacist is responsible for providing clinical support for NHP's pharmacy, quality, compliance and health management efforts. This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. The incumbent in this role assists in the development and evaluation of the plan formulary and benefit designs, and reports and presents such information as part of the NHP P&T Committee. The Pharmacist collaborates with other NHP departments to optimize regulatory compliance and Quality Measures such as NCQA HEDIS. In addition, the Pharmacist assists in outreach efforts for provider education and provider detailing. Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model. Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team. Job Responsibilities: * Assist with Commercial compliance workplan oversite * PBM follow up regarding claim audits (benefit change forms, member, reimbursement/ recoupments, follow up audits to monitor effectuation of changes) * Participate in case management, disease management and poly-pharmacy for NHP patients with extraordinary high drug costs, including related services * Assist in providing physician education in areas of potential improvement i.e., create articles for pharmacy newsletter for NHP providers, speak to medical departments regarding drug issues, speak to individual NHP providers regarding drug issues including those for individual NHP members, participate in appropriate quality improvement projects, etc. * Assist with Concurrent DUR,Retrospective DUR, and MTM programs * Assist with formulary management and identifying UM criteria * Performs other duties and responsibilities as assigned Job Requirements: * Bachelor of Science in Pharmacy required * Current licensure without restriction by the State of Wisconsin Pharmacy Examining Board required * A minimum of 3 years clinical experience required * Residency/fellowship preferred * Managed care experience desirable * Prefer experience in at least one of the following areas: * Medication Therapy Management Programs * Long Term Care Pharmacy consulting * Decentralized hospital pharmacy services * Drivers license required Network Health is an Equal Opportunity Employer

Vizance is looking for Client Service Advisors for our Commercial Lines/Risk Management Team in Hartland. WHY JOIN VIZANCE? Vizance has nearly 200 associates in 9 locations throughout Wisconsin, and is among the top 1% of all insurance agencies in the United States, based on agency revenue. We are different from other insurance agencies - on purpose! The combination of our Culture, Independence, and Performance/ System-Based Mindset clearly differentiate us as a company built to last. Vizance has earned a number of awards, including Top Workplaces, Best Places to Work, Future 50, and Fastest Growing Firms, and is proud to be a Minority-Owned Business Enterprise (MBE). WHAT YOU WILL DO AT VIZANCE As a Client Service Advisor, you will be responsible for developing a strong working relationship with Risk Management Advisors and your clients. You will work with the Advisor and our carrier partners to ensure the timely and successful delivery of our client service standards. This includes: Policy Administration: Manage policy documentation, endorsements, and renewals Risk Assessment: Collaborate with underwriters to assess and understand clients' unique risks Communication: Work with dedicated sales and service teams to plan and execute client service plans WHAT YOU WILL BRING TO VIZANCE At least 2 years of Commercial Property & Casualty experience, preferably in an insurance agency setting Wisconsin Property and Casualty Insurance License Ability to work in a fast-paced environment with attention to detail Desire to be part of a growing and collaborative team Enthusiasm, exceptional communication skills, and a strong work ethic WHAT YOU WILL LIKE ABOUT BEING AN ASSOCIATE AT VIZANCE Comprehensive employee benefits package including medical, dental, vision, life, and disability insurance 401(k) match Paid Time Off (including your birthday) Sponsored education opportunities A supportive team environment that celebrates success Opportunities for growth If you are looking for a promising career in a growing organization, then we want to hear from you!

Employee Benefits Corporation is hiring for an Enrollment Specialist I. The Enrollment Specialist I is responsible for the system set-up of specified client products and the ongoing administration, maintenance, and termination of participant accounts. This position is also responsible for managing administrative activities related to the Benefits Card on the participant level. Individuals in this role interact and collaborate across several areas of the organization on a regular basis. This person may work in our Middleton, WI office, be fully remote (WI locations only), or a combination of the two, depending on availability. Responsibilities Include: Manage and maintain updates to participant accounts including enrollment, renewal, termination, leave of absence and permitted election changes as well as Benefits Card account maintenance Process Health Savings Account customer identification program (CIP) documentation, account closures, account transfers and other associated updates Update participant accounts from data received through eligibility files and manage any account variances. Coordinate contact to clients as needed to obtain information to resolve any discrepancies. Process manual client renewals for all product offerings Save fee amendment documents in the appropriate drive Update client demographic information Complete system data entry for new POP, COBRA, and Compliance Services clients Manage, triage, and assign enrollment related workflow (to include but not limited to data file feeds, help desk inquiries and tasks) in accordance with departmental expectations and standards Respond to incoming inquiries and tasks from other departments in a timely, customer centric and professional manner Maintain and proactively manage CRM database, documenting each interaction and action item in a timely, compliant manner and in adherence with departmental standards Qualifications: Associate degree in Business or related field; may be substituted with two years of relevant work experience Minimum one year experience in an enrollment or administrative position supporting internal and external customers in a professional office environment Demonstrated effective verbal and written communication skills, utilizing proper grammar, syntax and excellent business acumen Strong attention to detail Strong organizational and time management skills with proven ability to multi-task in a high paced environment Self-motivated and able to resolve issues independently Demonstrated ability to work both independently and collaboratively Computer proficiency in Windows-based applications along with a demonstrated ability to learn new software programs Basic proficiency with Microsoft Excel, Word and Outlook Preferred Qualifications: Intermediate proficiency with Microsoft Excel Previous experience in Benefits Administration, working with insurance brokers and/or carriers, or in the health insurance industry Knowledge of COBRA and tax advantaged benefit programs We offer: A friendly, collaborative team environment A competitive compensation and benefits package that includes employee-ownership Opportunities for personal and professional growth Flexible scheduling to encourage and support a healthy work-life balance More About Us: Employee Benefits Corporation administers a variety of employee benefits, from IRS-approved, tax-advantaged plans to COBRA and state-regulated continuation administration through informative education materials, dedicated reporting, creative plan design and expert customer support. We work with benefit brokers and consultants, employers and HR administrators, and benefit plan participants to offer top-notch workplace benefits and customer service. As a 100% employee-owned company, we are committed to using our experience, knowledge, creativity and technology to ensure our customers' satisfaction with their plans and with our services. ? Employee Benefits Corporation is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Our affirmative action program is available to any applicant or employee upon request. If you need an accommodation as part of the employment process, please contact Human Resources via email at or via phone at .