Remote Healthcare Customer Service Representative EveriseRemote Healthcare Customer Service RepresentativeWIRemoteFull timep>While working from your home, as aHealthcare Customer Service Representative, you’ll be the Over-The-Counter Retail members' first point of contact. Join our team and be part of a mission-driven program that makes a real impact for Federal Employee Program members every day.
Enterprise Application Developer I - Research Office - 100% remote Medical College of WisconsinEnterprise Application Developer I - Research Office - 100% remoteWisconsinRemoteEmployees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic. Designs, analyzes, codes, tests, debugs, modifies and documents moderately complex applications in the context of Click Commerce Research Extranet application suite.
Workday Finance Product Manager - 100% remote Medical College of WisconsinWorkday Finance Product Manager - 100% remoteWisconsinRemoteMinimum Required Experience: 6+ years of progressive experience working with Workday platforms, including significant hands-on expertise in at least two of the following: FDM, Grants, Projects, Procurement. This role works in close collaboration with Finance leadership to understand priorities, challenges, and opportunities where Workday can drive value within the functional domain.
LTC Claims Pending Specialist - Remote USA. Northwestern MutualLTC Claims Pending Specialist - Remote USA.WisconsinRemoteDetermines the applicability of benefits claimed by interpreting contract provisions, state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term Care's claim philosophy. Communicate effectively verbally and in writing with Insureds and their representatives, Field Force, medical practitioners, and related service providers, attorneys, other insurance companies, and divisional resources, is involves negotiation and conflict resolution.
Site Inspector - Remote Wisconsin Gainwell Technologies LLCSite Inspector - Remote WisconsinWIRemote$54,300–$77,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. This role works closely with the Wisconsin Department of Health Services (DHS) Office of Inspector General (OIG) to verify provider operational readiness, validate compliance with CMS requirements, and support efforts to prevent fraud, waste, and abuse within the Medicaid program.
Remote General Diagnostic Radiologist - Medical X-ray Consultants MXCRemote General Diagnostic Radiologist - Medical X-ray ConsultantsWisconsinRemoteThe ideal candidate will be comfortable reading a full range of diagnostic radiology including General Radiology/X-Ray, Body Imaging, Cardiac/Cardiovascular, Computed Tomography, Computed Tomography Angiography (head, neck, chest, abdomen, pelvis, lower extremity), MRI, Musculoskeletal, Neuroradiology, Nuclear Medicine, Pediatrics, Ultrasound and Emergency Radiology. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Service Representative - Remote Wisconsin Gainwell Technologies LLCService Representative - Remote WisconsinWIRemote$54,300–$77,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $54,300.00 - $77,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Prior Authorization Specialist - Remote US Gainwell Technologies LLCPrior Authorization Specialist - Remote USWIRemote$30,500–$43,500 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. This role involves reviewing and processing PA requests submitted via fax, portal, phone, or mail, ensuring compliance with Medicaid policies, and collaborating with clinical teams and state employees to meet strict deadlines.
Prior Authorization Pharmacist - Wisconsin Medicaid (Remote) Gainwell Technologies LLCPrior Authorization Pharmacist - Wisconsin Medicaid (Remote)WIRemote$90,900–$129,900 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Collaborate internally with pharmacy team (Pharmacy Manager, Clinical Pharmacists) to identify trends or areas to explore with the intent of identifying new drugs and therapeutic classes needing utilization management.
NewCX Senior Business Manager - Remote Gainwell Technologies LLCCX Senior Business Manager - RemoteWIRemote$113,900–$162,700 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Knowledge of and experience managing diverse teams across business operational areas (Mailroom, Claims Processing, Financial Services, Authorized Services, Contact Center, etc.) and Industry DDI (design, develop, and implementation) acumen of Healthcare/Medicaid modules are also preferred.
New(Remote) Software Developer Harris(Remote) Software DeveloperWisconsinRemoteAs a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency.
(Remote) Senior Manager, Operations Harris(Remote) Senior Manager, OperationsWisconsinRemoteBeyond this technical and architectural scope, the role also carries direct commercial accountability - managing the function's vendor and tooling contracts, partnering with the VP on contract negotiations, and serving as the primary cost authority that Sales relies on to price work accurately. Direct experience modernizing or remediating legacy infrastructure while it remained in live production use, ideally including security/compliance hardening, observability improvements, and automation of previously manual processes.
(Remote, Milwaukee) Data Engineer Harris(Remote, Milwaukee) Data EngineerWisconsinRemoteAs a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. ConnectureDRX, a leader in Medicare enrollment and drug transparency technology for over 25 years, offers innovative solutions that simplify the complexities of Medicare for health plans, agents, and consumers.
Fully Licensed Therapist- Remote (Wisconsin) Equip HealthFully Licensed Therapist- Remote (Wisconsin)WisconsinRemoteEFA at Equip aims to be a space driven by mutual respect, and thoughtful, effective communication strategy - enabling full participation of members who identify as marginalized or under-represented and allies, amplifying diverse voices, creating opportunities for advocacy and contributing to the advancement of diversity, equity, inclusion, and belonging at Equip. Implement family-based treatment (FBT), enhanced cognitive behavioral therapy (CBT-E), cognitive behavioral therapy for ARFID, and other evidence-based treatments for patients across the lifespan with eating disorders and their loved ones.