Jobs in Menasha, Wisconsin, United States

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

Sandwich Artist (All Shifts Available + Tips!) Ever wonder why Subway sandwiches taste so good? Join our team and learn how to make them yourself! Now hiring at: 1050 Midway Rd., Menasha, WI We're currently hiring day, evening, and weekend shifts-perfect for students, parents, or anyone looking for

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. 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

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

Are you ready to work for an employer that truly values your contributions and well-being? At Family Services, we believe in caring for our team as much as we care for the individuals, children, and families we serve. Join our mission-driven organization, where your work makes a meaningful impact on

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

Are you ready to work for an employer that truly values your contributions and well-being? At Family Services, we believe in caring for our team as much as we care for the individuals, children, and families we serve. Join our mission-driven organization, where your work makes a meaningful impact on

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

Network Health is seeking a Supervisor of Payment Integrity. This role provides leadership support to strengthen and sustain payment integrity efforts at Network Health by providing guidance, coordination and oversight of the team activities. The supervisor oversees the collection, reporting and ana

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

The Database Administrator will design, install, monitor, maintain, and optimize Network Health Plan databases while ensuring high levels of data availability. This position is responsible for developing, implementing, and overseeing policies and procedures that ensure the security, integrity and pe

Machine Vision Engineer Location: Onsite in Green Bay, WI or Menasha, WI Travel: Approximately 25% domestic travel Our client is expanding its technical capabilities and seeking a skilled professional to support the advancement of quality, automation, and process improvement initiatives across a gro

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 effe

In support of the CMO, the Associate Medical Director is responsible for the administration of procedures, protocols, and standards regarding the efficiency and quality of the health care delivered to Network Health (NH) members. This individual will be chair of at least 3 committees related to qual

About Regent Surgical Health Since 2001, Regent Surgical Health has been a leader in developing and managing successful surgery center partnerships between hospitals and physicians. We continually improve and evolve the ASC model based on changing market conditions to stay ahead of emerging trends.