Senior Business Strategist
1 week ago
At Gainwell Technologies, we are dedicated to unleashing the power of leading-edge technologies to improve the health and well-being of vulnerable communities. As an Experienced Business Analyst - Provider Relations Specialist, you will play a critical role in ensuring our clients' objectives are met in key areas. This position works under the general supervision of the Bureau of Children's Services (BCS) Internal Operations and Systems Support Section Manager, within the Division of Medicaid Services.
- This position is responsible for establishing protocol and procedures for receiving and reviewing County Waiver Agency (CWA) requests to authorize rates above the Children's Long-Term Support (CLTS) Waiver Program state service fee schedule, also known as service rate outlier requests, and work with state staff to disseminate information about the process.
- This position will monitor claims compliance in coordination with BCS policy and operation staff, claims processor - Gainwell Technology, and CWA's.
- This position is responsible for reviewing federal guidance and researching other service claims payment systems to implement, review and update the protocol and criteria as required.
- This position is responsible for managing the CLTS service fee schedule. This position is also responsible for researching and resolving discrepancies between written policy and the configuration of claims processing systems.
- This position will be responsible for provider compliance and provider integrity oversight of enrolled service providers in the CLTS program.
- This position will manage provider compliance and provider integrity through established protocol and procedures. Furthermore, the position will develop new processes and criteria, and will be responsible for receiving, analyzing and adjudicating provider integrity concerns and complaints.
- This position will be responsible for drafting partner and provider communications such as GovD, teleconferences, webinars, bulletins, and newsletter.
- This position is responsible for managing BCS' provider relations communication inbox and responding to partner and provider questions regarding current coverage, reimbursement, and benefit administration.
- This position is responsible for engaging and resolving concerns and questions from program partners and providers related to claims, provider compliance, and provider enrollment.
- This position will support provider enrollment system and directory projects. This includes serving as a subject matter expert for user acceptance testing in the CLTS provider registry and directory.
- This position will collaborate with policy and operational staff to establish standards for maintaining a directory of compliant providers.
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Senior Leadership Development Professional
1 week ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeAbout the OpportunityThe Senior Leadership Development Professional role is a highly sought-after position within our organization. As a member of our leadership team, you will have the opportunity to develop and hone your skills in executive-level training and development. This role is designed for proven leaders who are looking to take their careers to the...
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Energy Efficiency Strategist
4 days ago
Wisconsin Rapids, Wisconsin, United States CLEAResult Full timeJob DescriptionCLEAResult is a leader in the transition to a sustainable, equitable, and carbon-neutral energy-efficient future. We aim to create a people-first culture built on trust, accountability, and transparency. As an Energy Efficiency Strategist, you will be responsible for developing increased awareness and adoption of targeted energy efficient...
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Business Development Strategist
1 week ago
Wisconsin Rapids, Wisconsin, United States Thysse Full timeRole OverviewThis Business Development Manager role at Thysse is a key position responsible for expanding our portfolio of new clients while managing and growing relationships with existing ones. The primary focus of this role is to apply industry-specific expertise in retail signage to develop impactful, high-visibility signage solutions that enhance...
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Senior Business Solutions Consultant
1 week ago
Wisconsin Rapids, Wisconsin, United States FIS Full timeKey ResponsibilitiesThe successful candidate will have the following key responsibilities:Practice Development: Define, maintain, and enhance practice offerings to support business objectives, strategic development roadmaps, and client needs.Solution Design: Design, enhance, and implement practice offerings tailored to specific client requirements and market...
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Senior Business Systems Analyst
2 days ago
Wisconsin Rapids, Wisconsin, United States Badger Meter Full timeCompany OverviewBadger Meter is a leading global water technology company with a mission to preserve and protect the world's most precious resource. Our innovative solutions enhance operational efficiency, conserve water, and make it more affordable, clean, and resilient.Job DescriptionThe Senior HRIS Analyst plays a critical role in the administration,...
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Healthcare Sector Strategist
1 week ago
Wisconsin Rapids, Wisconsin, United States Wiltshire Farm Foods Full timeAbout This RoleThis role involves working with elderly and vulnerable customers, so it is exempt from The Rehabilitation of Offenders Act 1974 and requires an Standard DBS Disclosure. As a Senior Training and Operations Manager, you will be a key member of the healthcare senior leadership team, reporting to the General Manager of Healthcare.What We OfferWe...
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Chief of Medical Health Services
3 weeks ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeThe CEO-In-Training (CIT) role is intended to prepare proven leaders for an Executive Director position, overseeing and leading a Pennant affiliated company (owned by Pennant Group). The CIT Program is a full time, paid executive training program that runs approx. Upon demonstrating competency and core values, CITs are selected to lead a local company as an...
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Chief of Medical Health Services
2 weeks ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeThe CEO-In-Training (CIT) role is intended to prepare proven leaders for an Executive Director position, overseeing and leading a Pennant affiliated company (owned by Pennant Group). The CIT Program is a full time, paid executive training program that runs approx. Upon demonstrating competency and core values, CITs are selected to lead a local company as an...
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Pennant Group Leadership Development Program
4 days ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeAbout PennantPennant is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees, and assets.We believe...
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CEO In Training
1 week ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeAbout the Opportunity The CEO-In-Training (CIT) role is intended to prepare proven leaders for an Executive Director position, overseeing and leading a Pennant affiliated company (owned by Pennant Group). The CIT Program is a full time, paid executive training program that runs approx. 6-12 weeks, depending on level of experience and industry knowledge....
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Senior Account Manager, Business Development
1 week ago
Wisconsin Rapids, Wisconsin, United States Crisis Prevention Institute Full timeRole DescriptionThe Senior Manager of Customer Success will lead and manage a team of Customer Success Advocates (CSAs). Their primary responsibility is to devise client retention strategies and account plans that drive revenue growth, ensuring CSAs are engaged, proactive, and goal-oriented in driving account retention and growth.This role will develop...
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CEO In Training
3 weeks ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeAbout the Opportunity The CEO-In-Training (CIT) role is intended to prepare proven leaders for an Executive Director position, overseeing and leading a Pennant affiliated company (owned by Pennant Group). The CIT Program is a full time, paid executive training program that runs approx. 6-12 weeks, depending on level of experience and industry knowledge. Upon...
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CEO In Training
1 week ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeAbout the Opportunity The CEO-In-Training (CIT) role is intended to prepare proven leaders for an Executive Director position, overseeing and leading a Pennant affiliated company (owned by Pennant Group). The CIT Program is a full time, paid executive training program that runs approx. 6-12 weeks, depending on level of experience and industry knowledge....
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CEO In Training
3 weeks ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeAbout the OpportunityThe CEO-In-Training (CIT) role is intended to prepare proven leaders for an Executive Director position, overseeing and leading a Pennant affiliated company (owned by Pennant Group). The CIT Program is a full time, paid executive training program that runs approx. 6-12 weeks, depending on level of experience and industry knowledge. Upon...
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CEO In Training
3 weeks ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeAbout the OpportunityThe CEO-In-Training (CIT) role is intended to prepare proven leaders for an Executive Director position, overseeing and leading a Pennant affiliated company (owned by Pennant Group). The CIT Program is a full time, paid executive training program that runs approx. 6-12 weeks, depending on level of experience and industry knowledge. Upon...
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Senior Living Industry Leader-in-Training
4 days ago
Wisconsin Rapids, Wisconsin, United States Pinnacle Senior Living Full timeThe Executive Director Trainee will use our Competency Checklist to assess and learn all skills needed to successfully lead a Pennant-affiliated company. They will also meet with their preceptor weekly to review Competency Checklist progress and feedback, become acquainted with each member of the leadership team, and observe each position within the company...
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Senior Training and Operations Manager
1 week ago
Wisconsin Rapids, Wisconsin, United States Wiltshire Farm Foods Full timeOverview The Senior Training & Operations Manager will be responsible for both the ongoing retention of our healthcare business and mobilising all new sites. They will be expected to drive customer satisfaction by adding value with our unique Training and Operations proposition. The role will demonstrate exceptional leadership through directly managing a...
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Senior Business Development Manager
1 week ago
Wisconsin Rapids, Wisconsin, United States FIS Full timeWe are FIS, a technology company that powers the world's economy. Our teams bring innovation to life by delivering industry-leading solutions in debit and credit. As a Senior Sales Executive, you will be part of a team of self-motivated sales professionals helping large financial institutions improve their retail product offerings.Key Responsibilities:Sell...
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Business Development Strategist
1 week ago
Wisconsin Rapids, Wisconsin, United States Thysse Full timeCompany OverviewThysse is a third-generation, family-owned commercial printer and brand experience provider. We offer state-of-the-art facilities and over 100 team members who deliver exceptional service and project outcomes to top brands in the nation.We believe that a brand's story is as important as the materials it's printed on. Grounded in innovative...
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Client Retention Strategist
1 week ago
Wisconsin Rapids, Wisconsin, United States Crisis Prevention Institute Full timeCompany OverviewCrisis Prevention Institute Inc. (CPI) is a global leader in evidence-based de-escalation and crisis prevention training and dementia care services. Our mission is to empower professionals with the skills to recognize, prevent, and respond to crises in their workplaces.We've been helping train over 17 million people in service-oriented...