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    4 jobs found for Healthcare in Wisconsin

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      • Madison, Wisconsin
      • Permanent
      • $29.00 - $33.00 per hour
      • 8:00 AM - 4:30 PM
      Spherion, in partnership with the State of Wisconsin Department of Health Services, is looking for an Oversight Analyst to join the Bureau of Quality Oversight team! This position is responsible for providing state oversight of programs that demonstrate consumer-responsive ways of reforming health and long-term care systems. As part of the Program Oversight Team, you will provide program and administrative support to Managed Care Organizations (MCOs), Health Management Organizations (HMOs), managed care contract agencies, Tribal agencies, and other providers of Department programs and services. The objective is to assure that individuals have access to all needed supports and services, and to assure coordination, communication, and collaboration among entities so that federal and state resources are used in the most cost-efficient and effective manner.The PTO policy for this position mirrors the State of Wisconsin policy! Benefits will be discussed during the interview process.Responsibilities:- Serve as the primary point of contact between assigned MCOs, HMOs, and the Bureau of Quality Oversight- Assure the MCOs and HMOs are meeting contracted Department program requirements and continually improving their performance in meeting the outcomes of their members- Take corrective action if MCOs or HMOs are not following contracts or staying in compliance- Take and write up complaints, implement and write policies, and assist with member enrollment- Provide administrative consultation in quality improvement activities and compliance with performance and outcome standards to assure that services are integrated, available, accessible, and efficiently delivered to all enrollees- Maintain knowledge regarding all facets of the MCOs or HMOs operations, including business systems developed to support the MCOs or HMOs core activity of care management and service provision- Be an expert in all areas of long term care and Medicaid managed care requirements including understanding the philosophy of person-centered care and personal outcomes, as well as working closely with assigned Member Care Quality Specialists/Contract Coordinator/Managed Care AnalystWorking hours: 8:00 AM - 4:30 PMSkills:- Excellent skill in Microsoft Excel and other Microsoft programs- Strong, professional written and oral communication skills- Ability to collaborate and work well in a team-oriented environmentEducation:BachelorsExperience:1-4 yearsQualifications:- Bachelors degree in a related field required- Previous experience with Medicaid and public program policy desired- Previous experience with healthcare and Health Management Organizations desired- Previous billing experience desired Apply Today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      Spherion, in partnership with the State of Wisconsin Department of Health Services, is looking for an Oversight Analyst to join the Bureau of Quality Oversight team! This position is responsible for providing state oversight of programs that demonstrate consumer-responsive ways of reforming health and long-term care systems. As part of the Program Oversight Team, you will provide program and administrative support to Managed Care Organizations (MCOs), Health Management Organizations (HMOs), managed care contract agencies, Tribal agencies, and other providers of Department programs and services. The objective is to assure that individuals have access to all needed supports and services, and to assure coordination, communication, and collaboration among entities so that federal and state resources are used in the most cost-efficient and effective manner.The PTO policy for this position mirrors the State of Wisconsin policy! Benefits will be discussed during the interview process.Responsibilities:- Serve as the primary point of contact between assigned MCOs, HMOs, and the Bureau of Quality Oversight- Assure the MCOs and HMOs are meeting contracted Department program requirements and continually improving their performance in meeting the outcomes of their members- Take corrective action if MCOs or HMOs are not following contracts or staying in compliance- Take and write up complaints, implement and write policies, and assist with member enrollment- Provide administrative consultation in quality improvement activities and compliance with performance and outcome standards to assure that services are integrated, available, accessible, and efficiently delivered to all enrollees- Maintain knowledge regarding all facets of the MCOs or HMOs operations, including business systems developed to support the MCOs or HMOs core activity of care management and service provision- Be an expert in all areas of long term care and Medicaid managed care requirements including understanding the philosophy of person-centered care and personal outcomes, as well as working closely with assigned Member Care Quality Specialists/Contract Coordinator/Managed Care AnalystWorking hours: 8:00 AM - 4:30 PMSkills:- Excellent skill in Microsoft Excel and other Microsoft programs- Strong, professional written and oral communication skills- Ability to collaborate and work well in a team-oriented environmentEducation:BachelorsExperience:1-4 yearsQualifications:- Bachelors degree in a related field required- Previous experience with Medicaid and public program policy desired- Previous experience with healthcare and Health Management Organizations desired- Previous billing experience desired Apply Today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      • Madison, Wisconsin
      • Permanent
      • $18.79 - $28.18 per hour
      • 8:00 AM - 4:30 PM
      Spherion is recruiting for a Pharmacy Access Specialist to join the team of one of the largest healthcare providers in southern Wisconsin! This position will be responsible for Increasing patient access and adherence to medically necessary pharmaceuticals by managing patients insurance benefits and utilizing established patient assistance programs. The Pharmacy Access Specialist will provide value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment.This is a Direct Hire position! Benefits will be discussed during the interview process.Responsibilities:- Serve as the liaison between medical staff, outpatient pharmacies, insurance providers, and patients to improve communication and continuity of care- Review patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention, and eligibility for prescription assistance- Improve patient service experience through the provision of benefits investigations and conducting prior authorization services- Develop a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties- Serve as the primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications, including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs- Coordinate services with appropriate departments and internal patient care team members regarding patients who have limited financial resources to pay for medications and facilitate medication access to support discharge preparations- Interact with hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third-party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff- Review complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information- Work safely and in a constant state of alertness- Perform other duties as assignedWorking hours: 8:00 AM - 4:30 PMSkills:- Excellent attention to detail and critical thinking skills- Strong, professional written and oral communication skills- Desire to improve the patient experience and provide excellent customer serviceEducation:BachelorsExperience:1-4 yearsQualifications:- Bachelors degree preferred. Equivalent years of pharmacy experience and education considered in lieu of a Bachelors degree- Willingness to learn new skills and concepts in order to perform duties in the most efficient and effective manner Apply via the apply button in the top right hand corner today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      Spherion is recruiting for a Pharmacy Access Specialist to join the team of one of the largest healthcare providers in southern Wisconsin! This position will be responsible for Increasing patient access and adherence to medically necessary pharmaceuticals by managing patients insurance benefits and utilizing established patient assistance programs. The Pharmacy Access Specialist will provide value-added services by developing client-based relationships with clinical staff and patients, presenting pharmacy service options through customized financial analysis, and facilitating information gathering for program enrollment.This is a Direct Hire position! Benefits will be discussed during the interview process.Responsibilities:- Serve as the liaison between medical staff, outpatient pharmacies, insurance providers, and patients to improve communication and continuity of care- Review patient demographics, medication history, and insurance status to identify socioeconomic barriers, opportunities for intervention, and eligibility for prescription assistance- Improve patient service experience through the provision of benefits investigations and conducting prior authorization services- Develop a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third parties- Serve as the primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications, including but not limited to; formulary/coverage issues, copay issues, patient assistance program eligibility, and other indigent programs- Coordinate services with appropriate departments and internal patient care team members regarding patients who have limited financial resources to pay for medications and facilitate medication access to support discharge preparations- Interact with hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff, and billing assistants. External contacts include but are not limited to third-party payers, manufacturers, prescription benefit management companies, external pharmacy personnel, and referring providers and their support staff- Review complex insurance situations in order to educate patients, providers, and clinic staff on how to follow appropriate next steps to get access to prescription and medical benefit information- Work safely and in a constant state of alertness- Perform other duties as assignedWorking hours: 8:00 AM - 4:30 PMSkills:- Excellent attention to detail and critical thinking skills- Strong, professional written and oral communication skills- Desire to improve the patient experience and provide excellent customer serviceEducation:BachelorsExperience:1-4 yearsQualifications:- Bachelors degree preferred. Equivalent years of pharmacy experience and education considered in lieu of a Bachelors degree- Willingness to learn new skills and concepts in order to perform duties in the most efficient and effective manner Apply via the apply button in the top right hand corner today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      • Madison, Wisconsin
      • Permanent
      • $17.06 - $25.60 per hour
      • Various Shifts Available
      We are looking for 2nd and 3rd shift Security Officers to be responsible for providing an environment of safety and ensuring our visitors receive the best service. This position has a range of duties such as conducts patrols, investigates security concerns, and provides exceptional customer assistance. The Security Officer acts to ensure compliance with corporate and hospital policies, operates video systems, manages crisis situations, and participates in emergency and disaster events, among other duties. This is a direct-hire position! Shift options discussed during the interview process.Responsibilities:- Conducts preliminary investigations of various problems and complaints. Completes incident and daily reports and follows up on investigations at the direction of the Manager of Security and Parking or a Security Supervisor.- Prioritizes duties and calls for service, while providing for the safety and security of all persons and property on assigned Meriter properties.- Pays special attention to and frequently monitors security-sensitive areas as identified in the Security Management Plan.- Conducts patrols, provide escorts, secures and unlocks doors, and is attentive to safety problems.- Provides general customer service to patients, visitors, employees, and others, and is sensitive to dealing with a wide range of people having special needs and individual differences.- Assists medical staff, patients, and pilots to and from heliport (Med Flight) in a safe and timely manner.- Assists with parking matters by looking for parking violations. Provides coverage for parking attendants when absent.- Responds to situations consistent with the training that may require the need to de-escalate difficult people, or in some cases to physically control individuals who are a danger to themselves or others.- Conducts emergency exercises and evaluations with staff.- Transport materials around the hospitalWorking hours: Various Shifts AvailableSkills:- Ability to work effectively with computer systems, including security technologies and applications- Must complete HAZMAT, FEMA, and other training, as identified, within 6 months of hire or as determined by supervisor- Valid WI Driver License in good standing and ability to obtain and maintain employer driving approval- Within 1 year of hire, obtain basic certification: International Association for Healthcare Security and Safety- Must complete training certifications in required training in Defense and Arrest Tactics (DAAT), Non-Violent Crisis Intervention (CPI), HAZMAT, and other required training within 6 months of hire or as determined by supervisorEducation:High SchoolExperience:1-4 yearsQualifications:- High school diploma or GED required- 6 months of experience in security, safety, community, or customer service- Experience in a related area or significant educational accomplishment may be considered in lieu of direct experience- Understanding of State of Wisconsin Statues pertaining to criminal law Apply via the apply button in the top right hand corner!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      We are looking for 2nd and 3rd shift Security Officers to be responsible for providing an environment of safety and ensuring our visitors receive the best service. This position has a range of duties such as conducts patrols, investigates security concerns, and provides exceptional customer assistance. The Security Officer acts to ensure compliance with corporate and hospital policies, operates video systems, manages crisis situations, and participates in emergency and disaster events, among other duties. This is a direct-hire position! Shift options discussed during the interview process.Responsibilities:- Conducts preliminary investigations of various problems and complaints. Completes incident and daily reports and follows up on investigations at the direction of the Manager of Security and Parking or a Security Supervisor.- Prioritizes duties and calls for service, while providing for the safety and security of all persons and property on assigned Meriter properties.- Pays special attention to and frequently monitors security-sensitive areas as identified in the Security Management Plan.- Conducts patrols, provide escorts, secures and unlocks doors, and is attentive to safety problems.- Provides general customer service to patients, visitors, employees, and others, and is sensitive to dealing with a wide range of people having special needs and individual differences.- Assists medical staff, patients, and pilots to and from heliport (Med Flight) in a safe and timely manner.- Assists with parking matters by looking for parking violations. Provides coverage for parking attendants when absent.- Responds to situations consistent with the training that may require the need to de-escalate difficult people, or in some cases to physically control individuals who are a danger to themselves or others.- Conducts emergency exercises and evaluations with staff.- Transport materials around the hospitalWorking hours: Various Shifts AvailableSkills:- Ability to work effectively with computer systems, including security technologies and applications- Must complete HAZMAT, FEMA, and other training, as identified, within 6 months of hire or as determined by supervisor- Valid WI Driver License in good standing and ability to obtain and maintain employer driving approval- Within 1 year of hire, obtain basic certification: International Association for Healthcare Security and Safety- Must complete training certifications in required training in Defense and Arrest Tactics (DAAT), Non-Violent Crisis Intervention (CPI), HAZMAT, and other required training within 6 months of hire or as determined by supervisorEducation:High SchoolExperience:1-4 yearsQualifications:- High school diploma or GED required- 6 months of experience in security, safety, community, or customer service- Experience in a related area or significant educational accomplishment may be considered in lieu of direct experience- Understanding of State of Wisconsin Statues pertaining to criminal law Apply via the apply button in the top right hand corner!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      • Madison, Wisconsin
      • Temp to Perm
      • $20.00 per hour
      • 7:30 AM - 5:15 PM (Various Shifts Available)
      Spherion is recruiting for a Subrogation Associate to join the team of one of the largest healthcare providers in southern Wisconsin! This position will provide direct support to the subrogation staff with research for accident, illness and responsible party information, and creation of subrogation files. The Subrogation Specialist will place telephone calls to attorneys, insureds, and insurance carriers to verify information related to pending cases. This position will be responsible for reviewing the claims system for processing of accident related claims and will provide customer service to internal and external customers regarding the subrogation process.Responsibilities:- Researches and creates paper and electronic subrogation files for the department.- Places and receives telephone calls to attorneys, insureds, and insurance carriers to obtain third party liability or case status information.- Files documents and retrievals, organizes and distributes incoming mail.- Reviews claims system for approval or denial of coverage for claims related to accident and illness.- Conducts projects and participates in department activities to identify problems and improve processes.- Performs other duties as assigned.Working hours: 7:30 AM - 5:15 PM (Various Shifts Available)Skills:PHYSICAL REQUIREMENTS- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.- Frequent keyboard use/data entry.- Occasional bending, stooping, kneeling, squatting, twisting and gripping.- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.- Rare climbing.Education:High SchoolExperience:0-1 yearsQualifications:- Exceptional attention to detail and critical thinking skills- Professional written and oral communication skills- Dedication to providing excellent customer service Apply today via the apply button in the top right hand corner!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
      Spherion is recruiting for a Subrogation Associate to join the team of one of the largest healthcare providers in southern Wisconsin! This position will provide direct support to the subrogation staff with research for accident, illness and responsible party information, and creation of subrogation files. The Subrogation Specialist will place telephone calls to attorneys, insureds, and insurance carriers to verify information related to pending cases. This position will be responsible for reviewing the claims system for processing of accident related claims and will provide customer service to internal and external customers regarding the subrogation process.Responsibilities:- Researches and creates paper and electronic subrogation files for the department.- Places and receives telephone calls to attorneys, insureds, and insurance carriers to obtain third party liability or case status information.- Files documents and retrievals, organizes and distributes incoming mail.- Reviews claims system for approval or denial of coverage for claims related to accident and illness.- Conducts projects and participates in department activities to identify problems and improve processes.- Performs other duties as assigned.Working hours: 7:30 AM - 5:15 PM (Various Shifts Available)Skills:PHYSICAL REQUIREMENTS- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.- Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.- Frequent keyboard use/data entry.- Occasional bending, stooping, kneeling, squatting, twisting and gripping.- Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.- Rare climbing.Education:High SchoolExperience:0-1 yearsQualifications:- Exceptional attention to detail and critical thinking skills- Professional written and oral communication skills- Dedication to providing excellent customer service Apply today via the apply button in the top right hand corner!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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