- Molina Healthcare (Racine, WI)
- …programs. + Serves as the subject matter expert of capabilities in the functional area and leads programs to meet critical needs. + Manages the vetting of potential ... + 5-7 years of product development experience. + Managed Care (specifically Medicaid ) experience. + Experience working in a cross functional highly matrixed… more
- Marshfield Clinic (Marshfield, WI)
- …missions in the world!** **Job Title:** Risk Adjustment Revenue Manager (Remote) **Cost Center:** 682891390 SHP-Strategic Finance **Scheduled Weekly Hours:** ... pm (United States of America) **Job Description:** The Risk Adjustment Revenue Manager is responsible for risk adjustment strategy and related revenue management for… more
- Humana (Park Falls, WI)
- …you more time for what matters most. Humana is currently seeking an RN Case Manager to join our team, serving members in the Wisconsin Family Care (FC) program. In ... a Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate...homes. + **Work Location:** Price County, Wisconsin and surrounding area . + **Travel:** up to 40% throughout Price County… more
- Humana (Madison, WI)
- …licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare Sales Field ... the field in the Nashville,** **Chattanooga, and Knoxville** **TN area working with your team and meeting members face...and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of… more
- Marshfield Clinic (Eau Claire, WI)
- …the most exciting missions in the world!** **Job Title:** Assistant Manager - Patient Connection Center **Cost Center:** 101201274 Registration-Acute-EC Reg ... America) **Job Description:** **JOB SUMMARY** The Patient Connection Center Assistant Manager supports leadership with the management of Patient Access Specialists… more
- Humana (Madison, WI)
- …group populations. + 4-year bachelor's degree or more advanced degree in the Human Service area and a minimum of one (1) years' experience working with at least one ... 4-year bachelor's degree or more advanced degree in any area other than human services with a minimum of...+ Previous managed care experience. + General knowledge of Medicaid and Medicare benefits. **Additional Information** + **Workstyle:** This… more
- Humana (Madison, WI)
- …community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent and abusive ... practices. The Manager , Fraud and Waste works within specific guidelines and...tactical operations for projects and initiatives involving own departmental area . Requires cross departmental collaboration, and conducts briefings and… more
- Marshfield Clinic (Weston, WI)
- …budgeting, safety, and production of high quality lab information within the area of responsibility. The Lab Operations Manager collaborates with Administration, ... the most exciting missions in the world!** **Job Title:** Lab Operations Manager - East **Cost Center:** 301691161 WesHos-Laboratory **Scheduled Weekly Hours:** 40… more
- Cardinal Health (Madison, WI)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning ... preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems… more
- Marshfield Clinic (Stevens Point, WI)
- …the most exciting missions in the world!** **Job Title:** Nurse Manager - Hospital **Cost Center:** 301621272 SPHos-Administration **Scheduled Weekly Hours:** 40 ... (United States of America) **Job Description:** **JOB SUMMARY** The Nurse Manager -Hospital coordinates, directs and manages the twenty-four hour delivery of optimal… more