About Group Health Cooperative
Group Health Cooperative is a community-based non-profit health plan that delivers high-quality, personalized service to its members. The Cooperative started as a local coalition more than 40 years ago. While it is still a local plan with a local focus, it is now a nationally recognized HMO serving over 70,000 members in Western Wisconsin.
20 Job openings in Group Health Cooperative
Position PurposeThe Medicare and Medicaid Specialist will be responsible for assisting the Government Programs Manager and Government Programs Director with the administration of various Government Programs and to ensure health plan adherence to both internal and regulatory procedures More...
Position PurposeThe Program and Policy Manager will be responsible for maintaining adherence to contract policy and compliance program requirements for the Cooperative as well as taking ownership of initiatives that support the department.Essential FunctionsCoordinate and monitor adhe More...
Position PurposeWith minimal supervision; assists members to support educate and advocate for the member as the member moves within the health care system. Relates effectively with others for continuity of care; maintains satisfactory relations with others maintains accurate and compl More...
Position PurposeWith minimal supervision assists to coordinate resources and educate the members that are enrolled in a disease management program. Relates effectively with others for continuity of care; maintains satisfactory relations with others maintains accurate and complete reco More...
Position PurposeThe Senior IT Helpdesk employee plays a crucial role assisting in the support troubleshooting and maintenance of IT systems. This position actively participates in daily Scrum standups collaborates with crossfunctional team members. Senior IT Helpdesk staff leads in di More...
Member And Provider Services Support Coordinator
Position PurposeThe Member and Provider Services Support Coordinator is responsible for providing support to the Member and Provider Services Representatives.Essential Position FunctionsAccept inbound calls and route them to the appropriate call queue.Retrieve fax correspondence and r More...
Position PurposeThe Compliance Project Manager is responsible for the daytoday management of specific goals and work assignments with defined outcomes time limits and budgets. The Compliance Project Manager position will be responsible for communicating with one or more staff to deter More...
Position PurposeThe Provider Relations and Contracting Specialist is responsible for the overall maintenance and administration of provider contracts and associated documents including education materials. The Provider Relations and Contracting Specialist will also assist the Director More...
Position PurposeTo assist the Provider Relations department in conducting annual and periodic audits to assure accuracy in Credentialing and Network Management as defined by management of the department.Essential Position FunctionsTo create and maintain a systematic approach to the va More...
Position PurposeThe Government Programs Analyst will be responsible for assisting the Government Programs Manager and Government Programs Director with the administration of various Government Programs and to ensure health plan adherence to both internal and regulatory procedures docu More...
Position PurposeThe IT Helpdesk employee plays a crucial role assisting in the support troubleshooting and maintenance of IT systems. This position actively participates in daily Scrum standups collaborates with crossfunctional team members and follows Agile principles to contribute t More...
Position PurposeWork with members that are enrolled in health promotion and wellness programs by providing health and wellness education resources and support through health coaching sessions.Essential Position FunctionsMeet oneonone with members enrolled in the wellness program and c More...
Position PurposeAs a Business Intelligence Analyst you will be accountable for designing developing and maintaining business intelligence solutions using Microsoft Fabric and Power BI . You will work closely with various departments to gather requirements create data models and delive More...
Position PurposeThe Software Developer plays a pivotal role in creating innovative solutions by developing implementing and maintaining webbased applications and reports to optimize internal business processes. This role actively participates in Scrum events collaborates with crossfun More...
Position PurposeThe purpose of the Member and Provider Services Manager is to provide overall management of the Service Department. Manage policies procedures and operating structure and establish department standards and guidelines.Essential Position FunctionsEnsure that member and p More...
Position PurposeThe Provider Relations Data Coordinators role is to support the Director of Member and Provider Relations and the Contracting Specialists in maintaining the Cooperatives Provider Maintenance Database. Additional responsibilities include providing administrative and cle More...
Position PurposeWith minimal supervision; plans directs and evaluates total managed care options for members and functions as part of an interdisciplinary team in accordance with established philosophy. The population of membership includes those with chronic medical conditions as wel More...
Position PurposeThis position is responsible for promoting appropriate effective and efficient use of health care resources via prior authorization review. The scope of this position includes using criteria sets and policy and procedures to review clinical care and treatment plans and More...
Position PurposeThe Member and Provider Service Representative provides exceptional customer service and accurate information to Cooperative members and providers.Essential Position FunctionsAnswer telephone calls in a pleasant professional and efficient manner assuring exceptional cu More...
Position PurposeThe Data Scientist will be accountable for the Cooperatives data and data technologies. They are also accountable for the securing planning designing data architecture development deployment and maintenance of data intelligence deliverables for complex business operati More...
