• Medicare Grievances and Appeals…

    Humana (Madison, WI)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (06/18/25)
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  • Behavioral Health Medical Director

    Humana (Madison, WI)
    …Information** Typically reports to an Associate Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare more
    Humana (08/09/25)
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  • Medical Director - National…

    Humana (Madison, WI)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (07/21/25)
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  • Medical Director - Medicare

    Humana (Madison, WI)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (08/08/25)
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  • Medical Director - South Central

    Humana (Madison, WI)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
    Humana (07/11/25)
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  • Medical Director - NorthEast Region

    Humana (Madison, WI)
    …adapt and the courage to innovate **Additional Information** Typically reports to a Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare more
    Humana (07/25/25)
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  • Nurse Practitioner Palliative Care

    Gentiva (Amherst, WI)
    …Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse ... Practitioner, you will:** + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by… more
    Gentiva (05/13/25)
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  • Nurse Practitioner Palliative Care

    Gentiva (Fond Du Lac, WI)
    …Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse ... Practitioner, you will:** + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by… more
    Gentiva (06/30/25)
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  • HS/Lhcc Manager - Administrative Services (HHS)

    Walworth County (Elkhorn, WI)
    …Health Care Center administrative services. Specific areas of responsibility include: corporate compliance and business office practices for LHCC and billing, ... contracts, medical records, main desk reception, compliance and continuous quality...a member of the management team and advise the Director / Superintendent on issues throughout the department. Take a… more
    Walworth County (08/01/25)
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  • Manager, Special Investigation

    CVS Health (Madison, WI)
    …every day. **Position Summary** Job Description **A Brief Overview** Oversees corporate activities related to the prevention, investigation, and prosecution of ... for compliance with state and federal regulations mandating the reporting of corporate fraud-related activities and the preparation of the Corporate Anti-Fraud… more
    CVS Health (08/01/25)
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