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Job Locations US-WI-Madison | US-WI-Sauk City | US-WI-Onalaska
- Evaluate, test, activate CES edits based upon lines of business and appropriate coding, billing, and regulatory guidelines - Complete ROI analysis that includes financial savings and resource needs - Assist with developing associated policy and procedures, tracking outcomes, and preparing summary reports for leadership - Participate in quarterly CES documentation analysis - Prepare appropriate documentation to activate edits in the production environment and monitor daily trending to validate edits are functioning as intended - Provide additional coverage and back-up coverage support within department; research and resolve claim pends, CRMS and coding inquiries to ensure a current status of work queue
ID
2020-1318
Category
Claims
Type
Regular Full-Time
Job Locations US-WI-Madison
- Manage the activities of the Marketing Operations staff which includes but is not limited to: - Select, develop, motivate, train and retain competent, engaged staff.  Provide opportunities for professional development.  Reward and recognize accomplishments and successes. Manage performance improvement, discipline processes and terminations, as appropriate. - Communicate organization’s mission, strategy & tactical plans to staff. Establish and review individual and company goals to ensure alignment with the corporate mission and strategic and tactical plans. - Manage marketing material library for Quartz by creating and implementing new processes and workflows to enable Marketing ownership of all customer facing materials. - Responsible for regulatory marketing audits and other reporting requirements, as necessary. Monitor industry trends and standards; make recommendations to senior leadership for automation and process efficiencies. 
ID
2020-1316
Category
Marketing
Type
Regular Full-Time
Job Locations US-WI-Madison
- Utilize proper risk evaluations to support consistently profitable and sustainable growth in alignment with organizational objectives. Provide approval and recommendation for new business and renewal rates within commercial business lines, based upon authority level. Manage process and tasks associated with the sale of new policies and renewal of existing business. - Manage the activities of staff including but not limited to: - Select, develop, motivate, train and retain competent, engage staff - Ensure an appropriate distribution of the workload amongst staff - Develop and execute tactical plans to support department strategies to achieve business plan objectives - Prepare and present client presentations and reports
ID
2020-1308
Category
Actuarial & Underwriting
Type
Regular Full-Time
Job Locations US-WI-Madison
- Lead the brand and advertising marketing and digital vision for Quartz - Work with various agencies to ensure strategy aligns with tactical execution campaign that drives sales through customer acquisition and support customer retention efforts in all geographies - Provide strategic direction to implement best practices for web, social, interactive and print design to create compelling experiences for customers and prospects - Develop media budgets and manage campaign(s) from execution to measurement - Continuously optimize the performance of all advertising, digital and social campaigns through business intelligence tools to improve capture from call to action, funnel attribution, ROI, segmentation and market reach - Direct the activities, performance and effectiveness of creative and digital marketing staff - Remain informed of best practices and changes to brand, advertising, social and digital media strategies – study and research competitors, new media strategies and measurement tools
ID
2020-1307
Category
Marketing
Type
Regular Full-Time
Job Locations US-WI-Madison
- Analysis, research, testing, and proactively recommending solutions for company-wide reported computer system issues, as well as identifying opportunities for system company-wide improvements: - Services as the Subject Matter Expert (SME) and take a proactive and consultative approach in making recommendations - Assist in team initiatives and projects - Primary escalation point for complex workstation and end-user related issues from other services and support team members - Create/deliver company-wide communications regarding technology issues or changes - Collaborate with other IT teams to resolve complex issues - Assist in desktop/laptop hardware/software evaluation, selection, acquisition, installation, maintenance and supply - Create complex instruction/training handouts on workstation, peripheral and software application use and conduct training classes
ID
2020-1306
Category
Information Technology
Type
Regular Full-Time
Job Locations US-WI-Madison
- Oversee the performance and activities of behavioral health utilization review staff, assuring overall successful execution of Quartz behavioral health initiatives - Lead continuous process improvement to identify and enhance ongoing behavioral health processes, execution and customer experience - Develop and implement behavioral health components of the Quartz population health management strategy and programs, in collaboration with other senior leaders, executives and stakeholders - Develop and maintain strong relationships with behavioral health care delivery systems to achieve population health objectives and goals - Ensure department initiatives are in alignment with needs and expectations for behavioral health delivery systems. - Share the success of initiatives and develop / report upon metrics to continually improve results - Ensure department is compliant with contractual or regulatory standards and requirements for behavioral health services - Develop and achieve short-term and long-term goals for department in accordance with organizational and strategic plan
ID
2020-1305
Category
Clinical Services
Type
Regular Full-Time
Job Locations US-WI-Madison | US-WI-Sauk City
We are seeking friendly, service-oriented individuals to provide assistance to our customers via telephone, chat, web, written correspondence, and in-person. On a daily basis, these roles will be responsible for: - Maintains good customer relations through, tactful, courteous and accurate handling of all inquiries from providers, members and potential members. - Answers telephone, written, fax, and e-mail inquiries concerning eligibility, coverage, benefits, claims adjudication questions or billing problems. - Meets performance metrics related to productivity and quality in a fast pace call center environment.      
ID
2020-1299
Category
Customer Service/Support
Type
Regular Full-Time
Job Locations US-WI-Madison | US-WI-Sauk City
- Understand the business design and troubleshoot issues for EpicCare Ambulatory applications related to areas supported - Recognize when information does not look correct or take initiative to correct; dig deep to find explanations to test result inconsistencies - Gather requirements and documentation on application issues in such a manner that is easily understood by the Information Technology Team through an online service request system - Work with users to understand the process of defining system needs and problems - Assist other Business Analysts with design, test, and implement reports that are needed to support the business unit
ID
2020-1295
Category
Technical Services/Business Analysis
Type
Regular Full-Time
Job Locations US-WI-Madison | US-WI-Onalaska | US-WI-Sauk City
- Serve as primary point of contact and liaison with billing, customer service, enrollment and sales teams in investigating and reconciling escalated member issues identified by internal staff, Centers for Medicare and Medicaid Services (CMS), state regulators or members. - Collaborate with internal departments in the development and implementation of process changes to ensure continued compliance with federal and state requirements of the Medicare product lines. - Stay informed of updates to regulations and guidance to disseminate information across internal departments; Maintain and update documentation for product support and recommend training and communication to staff accordingly. - Gather data and produce regular reports for leadership to monitor product enrollment, financial performance, member satisfaction and healthcare quality across the Medicare product lines. - Assist in the preparation and facilitation of meetings with internal and external stakeholders, including Member Advisory Councils and provider sponsors. - Serve as the primary lead in annual member coverage material updates, including but not limited to: public webpages, enrollment materials and member letters. Assemble and lead cross-functional teams to develop content and complete edits to ensure accuracy and timely communications with appropriate audiences.
ID
2020-1292
Category
Product Management
Type
Regular Full-Time
Job Locations US-WI-Madison
- Update & resolve request tickets in a timely manner as outlined by organizational Service Level Agreements (SLA); Requests may include creation, deletion and modification of access within business roles and internal user groups - Process new hire onboarding, employee separation, department transfers, access remediation and privileged access requests in compliance with established policies, procedures and SLAs - Assist with troubleshooting and problem analysis by working with other teams, vendors or users in diagnosing and resolving access issues - Assist with internal and external audit needs
ID
2020-1290
Category
Information Technology
Type
Regular Full-Time
Job Locations US-IL-Rockford
- Prospect for new sales opportunities via new or assigned distribution channels (i.e. agencies, brokers, consultants, small businesses, etc.) - Proactively engage with new accounts and brokers to initiate new business conversations and partnerships - Schedule and facilitate annual agent training sessions; Provide on-going education and value-driving communications related to benefit plans, provider networks, contract provisions, renewal process coordination, etc. - Serve as the liaison between the clients and internal sales / service teams to ensure that client implementation needs are being met - Travel throughout the work week within assigned territory in Northern IL, no overnight travel.
ID
2020-1288
Category
Sales
Type
Regular Full-Time
Job Locations US-WI-Madison
- Perform collections activity for outstanding balances for groups, Health Insurance Marketplace, and Individuals. - Send out late payment notices to members and groups who do not pay by their due date. - Initiate termination requests with Enrollment for those members and groups that do not pay by the end of their grace period. - Reconcile self-billed groups on a monthly basis and work with groups to clear outstanding items. - Follow written collection procedures for all terminated members and groups, including escalation to external collection agency.
ID
2020-1285
Category
Billing
Type
Regular Full-Time
Job Locations US-WI-Waukesha
- Acquire new business through a consultative sales approach. Proactively reaching out to prospective employer groups, brokers and consultants to initiate new business conversations - Develop effective business relationships with the organization’s current brokers, agents and consultants – train and inform brokers of the Quartz value proposition and corporate communications - Fully understand and articulate Quartz’s value proposition as a provider sponsored plan. - Have a “hunter” mindset and proven sales results. - Manage and coordinate the service needs of new accounts including but not limited to: resolving general benefit issues, contract provision or underwriting questions, renewal process coordination and implementation and managing service requests. - Represent the company at client meetings, professional networking and marketing events
ID
2020-1272
Category
Sales
Type
Regular Full-Time
Job Locations US-WI-Madison
Internship Objectives: - Gain an understanding of different sales workflows - Review sales communications and write / edit content - Update Sales Customer Relationship Management (CRM) system - Manage project plans, including new group implementation - Support the Sales Team with operational duties to meet sales deadlines - Support agent licensing - Communicate results to leadership through a final presentation The successful candidate will be responsible for adhering to company policies, work hours, and rules governing professional staff behavior.
ID
2020-1269
Category
Sales
Type
Intern
Job Locations US-WI-Onalaska
- Conduct outreach efforts to facilitate or improve access to healthcare services for Quartz BadgerCare Plus / Medicaid members throughout the La Crosse provider network and service area - Build strong relationships and serve as an effective liaison between members, network providers, city and/or county health departments and community service organizations - Help members navigate and communicate behavioral health needs - Perform hospital and/or home visits with high-risk or high-need BadgerCare Plus members, as needed; assist members with getting resources to attend relevant appointments, as needed - Promote educational programs and activities within the community for identified members with high risk health issues related to pregnancy, prenatal care, immunizations and other chronic illness treatment and prevention - Work with providers to improve services for BadgerCare Plus members, and provide suggestions on programs, as necessary - Meet with clinic managers, coordinators and other providers regularly to educate and promote targeted healthcare measures and programs, establishing office hours at assigned clinics, as needed - Monitor healthcare services provided to BadgerCare Plus members and report any concerns related to quality of care to leadership - Work with providers and clinic staff to promote culturally appropriate care and services, as needed - Develop a strong working knowledge of healthcare measures and initiatives set by the Department of Health Services for the Medicaid population throughout the service area(s)
ID
2019-1252
Category
Clinical Services
Type
Regular Full-Time
Job Locations US-WI-Madison
- Complete full life cycle of moderate to complex data development to address business needs or resolve issues: - Review Business Requirements - Write Source to Target documentation - Test ETL processes - Complete moderate to complex analyses and resolve issues as assigned - Suggest root causes of issues and review with senior analysts - Define and implement remediation under tight deadlines - Work with vendors and moderate complex feeds, as necessary, to establish new or maintain existing feeds and relationships. - Meet expectations of governmental vendors for delivery of data within established deadlines - Serve as a steward of the data warehouse - Understand the business processes and rules that create the data including claims, enrollment, billing, etc. and work with the subject matter experts in those areas to ensure they understand and can leverage their data as needed. - Always strive for the highest quality of data in all work products.
ID
2019-1181
Category
Data Warehouse
Type
Regular Full-Time

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