Network Health

At Network Health, our success is rooted in our mission to create healthy, strong Wisconsin communities. That mission drives every decision we make—including who we invite to join our growing team.We are seeking a Health Insurance Product Coordinator to support our product development department. In

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. It drives the decisions we make, including the people we choose to join our growing team. Network Health is seeking an Appeals and Grievance Specialist I to join our team. This individual will revie

The Epic Analyst configures the Epic system in response to operational business needs. This position requires collaboration with operational business areas to identify requirements for system build and then validating the system meets the needs of the appropriate business area. The Epic Analyst will

The Web Developer will be a key contributor and subject matter expert on all internal and external Web activities, including customer facing internet-based products such as portals and mobile applications as well as internally developed business applications. The Web Developer II will create, test,

The Supervisor of Web Development provides hands-on technical leadership and day-to-day supervision for the team responsible for Network Health’s internal and external web applications, portals, APIs, and related web infrastructure. This working supervisor role balances employee coaching, work coord

The Epic Technical Manager serves as the technical lead for the Epic system. This position will manage Epic system upgrades and testing efforts. The Epic Technical Manager will need to collaborate with the leadership, Epic analysts and the operational business areas to ensure optimization of the Epi

Network Health’s success is deeply rooted in our mission to build healthy and strong Wisconsin communities. This mission guides every decision we make, including the selection of individuals who join our growing team. The Claims Quality Assurance Analyst – TPA plays a critical role in supporting ope

The Pharmacy Benefits Specialist I provide basic operational, planning, implementation and reporting support for the Pharmaceutical Benefits area of Network Health Plan. In addition to providing administrative support for the pharmaceutical area of Network Health, this role will build report queries

The Quality Care Coordinator develops, implements and provides ongoing monitoring of intervention plans and quality gap closure. The role goal is to reduce medical costs and improve quality ratings through member and/or provider engagement, internal quality process improvement work, and coordination

Network Health’s success is deeply rooted in its mission to build healthy and strong Wisconsin communities. This mission shapes every decision we make, including the selection of individuals who join our growing team.The Enrollment Quality Assurance Analyst is responsible for monitoring and evaluati

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. This mission drives the decisions we make, including the people we choose to join our growing team. We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this ent

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. Network Health is seeking a Director of Treasury. The Director of Treasury is responsible for leading the organization's treasury function, including cash management, banking relationships, liquidit

Network Health's success is rooted in its mission to create healthy and strong Wisconsin communities. It drives the decisions we make, including the people we choose to join our growing team. Network Health is seeking an Actuarial Intern to support our Actuarial team. The Actuarial Intern will have

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. Network Health is seeking an Encounter Data Analyst to support the critical encounter data functions for our Medicaid TPA line of business. This position is responsible for the identification and co

Network Health’s success is rooted in its mission to create healthy and strong Wisconsin communities. Network Health is seeking a Director of Communications to lead how we communicate internally, externally and at the executive level. This highly visible role will serve as a strategic communications

The Chief Information Security Officer (CISO) is a director level role responsible for establishing and maintaining the information security program to ensure that information assets and associated technology, applications, systems, infrastructure and processes are adequately protected in the digita

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization/payment. Location: Candi

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization/payment. Location: Candi

The Provider Integration Representative will support personnel for Credentialing and Provider Informatics. This role is responsible for aiding provider data management, provider credentialing needs, and maintenance of accurate provider information across all lines of business. This role supports pro

The Manager of IS Operations will focus on improving interactions between IS and the business teams. The Manager of IS Operations will guide IS to having a better understanding business needs and promote a collaborative culture between technology teams and business teams. Location: Candidates must r