Lead Building Mechanical Engineering Manager - Water / Wastewater Industry Brown and Caldwell IncLead Building Mechanical Engineering Manager - Water / Wastewater IndustryMilwaukee, WIRemote$117,000–$159,000 / yearIn the event a recruiter or agency submits a resume or candidate without a previously signed agreement and approved engagement request with Brown and Caldwell, Brown and Caldwell reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. We strive to be the company of choice-to our clients, who benefit from our passion for delivering exceptional quality, and to our employees, present and future, who share our commitment to client service, collaboration, and innovation.
Senior Building Mechanical Engineer (HVAC) - Water / Wastewater Brown and Caldwell IncSenior Building Mechanical Engineer (HVAC) - Water / WastewaterMilwaukee, WIRemote$95,000–$129,000 / yearIn the event a recruiter or agency submits a resume or candidate without a previously signed agreement and approved engagement request with Brown and Caldwell, Brown and Caldwell reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. We strive to be the company of choice-to our clients, who benefit from our passion for delivering exceptional quality, and to our employees, present and future, who share our commitment to client service, collaboration, and innovation.
OT Analyst/Consultant (Remote) Accenture PlcOT Analyst/Consultant (Remote)Milwaukee, WIRemoteIdeal candidates for this category have previous experience, one or more of the following: Intelligence analysis and reporting using various cyber intelligence models and frameworks is also desired OT security sensor/tool deployment, OT networks, systems, and devices and how convergence, integration, and digitalization impact the OT attack surface throughout multiple industries OT security program/governance development. We hire the very best security talent and arm them with the coolest tools and latest tech so they can help our clients build resilience as we create integrated, customized turnkey solutions.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementMilwaukee, WIRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Sr Info Security Engineer TriWest Healthcare AllianceSr Info Security EngineerMilwaukee, WIRemoteFull timePlans delivery of solutions; answers technical and procedural questions from less experienced team members; teaches improvement processes; mentors team members and provides security technical leadership to other Information Security and Information Technology team members. • Experience in a role that has lead security operations, security tools and solutions, secure applications and networking in the implementation of NIST and Security Best Practices to meet or exceed compliance with the FISMA Moderate/High requirements.
Data Engineer Sr. TriWest Healthcare AllianceData Engineer Sr.Milwaukee, WIRemoteFull timeTechnical Skills: Strong knowledge of data warehouse design; data modeling; proficiency with SQL; strong experience with data extraction, transformation, and loading (ETL); working knowledge of report and dashboard development; strong knowledge of SQL Server / Snowflake databases; working knowledge of Oracle databases. • Bachelor's Degree in Business Administration, Computer Science, Mathematics, Engineering, or related field with programming and database systems coursework or equivalent database development experience.
Senior Buyer TriWest Healthcare AllianceSenior BuyerMilwaukee, WIRemoteFull timeAssists departments in obtaining pricing and other information from vendors as well as reviews contracts and assists business units in the management of contractual obligations of the vendor to ensure that all terms and conditions are met. Act as SME in support of Procurement, Contract Management, DHA/ VA Contract Modification, Finance and business teams in support of pricing efforts including ROMs, RFIs/ RFPs, contracts, and licensing agreements.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystMilwaukee, WIRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerMilwaukee, WIRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
Dir, Bus Design & Prod Mgmt TriWest Healthcare AllianceDir, Bus Design & Prod MgmtMilwaukee, WIRemoteFull timeThis position requires in-depth knowledge and expertise in all aspects of TriWest's business contracts and provides cross-functional leadership and design as needed to adjust to a constantly changing environment. The Director of Business Design and Product Management oversees multiple operational support teams including Business Design and Integration (BDI) and Product Management.
Customer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only) TriWest Healthcare AllianceCustomer Service Rep (AZ, CO, ID, MT, NM, NV, OR, UT & WA only)Milwaukee, WIRemoteFull timeAccurately assesses caller requests, answers caller inquires and processes requests while focusing on first call resolution and/or appropriate call escalation protocols. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Salesforce Health Cloud Architect TriWest Healthcare AllianceSalesforce Health Cloud ArchitectMilwaukee, WIRemoteFull timeTechnical Skills: General knowledge of data communication architectures, design, and support; General knowledge of the technology impacts on business and how to integrate technical plans to support enterprise business function; Business problem-solving skills; Understanding of project management concepts and techniques, including metrics. Works directly with Salesforce Health Cloud development teams, administrators and 3rd party vendor partners to provide expert technical direction, instruction, and leadership around complex technical concepts.
Technical Services & Sustainability Operation (Tsso) Sales Executive JLLTechnical Services & Sustainability Operation (Tsso) Sales ExecutiveMilwaukee, WIRemoteThis role is responsible for driving fee revenue and contribution income growth for JLL's Technical Services & Sustainability Operations (TSSO) within assigned accounts and market segments, and reports to the Head of Functional Occupier Solutions. The TSSO Sales Executive works collaboratively with pursuits teams, account managers, and the Global TSSO operations team to deliver growth, enhance client relationships, and advance TSSO positioning in the market.
Engineering Director JLLEngineering DirectorMilwaukee, WIRemoteWhether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. The role involves overseeing engineering staff, supporting building operations, developing strategic plans, and ensuring consistent maintenance management practices across the portfolio.
Environmental Site Assessor JLLEnvironmental Site AssessorMilwaukee, WIRemote$45,000–$90,000 / yearWhat this job involves: As an Environmental Phase I Report Writer at JLL, you'll play a critical role in delivering comprehensive environmental site assessments that inform real estate transactions and support our clients' strategic objectives. Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward.
Supervisor, Contact Center TriWest Healthcare AllianceSupervisor, Contact CenterMilwaukee, WIRemoteFull timeEnsures accurate completion of VA-approved medical authorizations, appointment scheduling, thorough documentation of all Veteran and provider encounters in the TriWest medical management system and receipt of timely medical documentation from network providers. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Utilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerMilwaukee, WIRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Provider Credentialing Rep TriWest Healthcare AllianceProvider Credentialing RepMilwaukee, WIRemoteFull timeThis role facilitates meetings to discuss and resolve certification and credentialing issues and concerns, manages the Credentialing shared inbox to provide accurate and prompt responses to internal and external inquiries, and collaborates closely with Credentialing department leaders to evaluate and refine processes. • Assists in developing, compiling, and distributing routine and ad hoc reports on certification and credentialing metrics, KPIs, backlog trends, workflow timeliness, and quality indicators; contributes to presenting findings to leadership and recommending improvement strategies.
Provider Reimbursement Analyst TriWest Healthcare AllianceProvider Reimbursement AnalystMilwaukee, WIRemoteFull timeThis role requires knowledge of healthcare coding and reimbursements, strong analytical skills, ability to work with large multi-dimensional sets, an ability to identify negative and positive trends, and strong communication skills that enable clear communications to leadership regarding findings. • Works closely with Provider Services and Finance leadership and SMEs on process and quality improvement strategies and/or provider education efforts, resulting from claims data analyses and findings.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMMilwaukee, WIRemoteFull timeDevelops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.