- Molina Healthcare (Madison, WI)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- Humana (Madison, WI)
- …develop engagement best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various ... our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager ...time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. Application… more
- Molina Healthcare (Green Bay, WI)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- Humana (Madison, WI)
- …team. **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... of our caring community and help us put health first** The Field Marketing Manager is responsible for leading and managing a high-performing team focused on driving… more
- Humana (Madison, WI)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The… more
- Molina Healthcare (Milwaukee, WI)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- Marshfield Clinic (Beaver Dam, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... the most exciting missions in the world!** **Job Title:** Manager CBRF/RCAC **Cost Center:** 351011460 Beaver Dam-CBRF-Remembrance **Scheduled Weekly Hours:**… more
- Avera (Madison, WI)
- …This role involves assessing risk, developing rate methodologies, and ensuring compliance with regulatory requirements. The Underwriting Manager will work ... our patients. Work where you matter.** **A Brief Overview** The Underwriting Manager is responsible for overseeing and executing underwriting functions to support… more
- Humana (Rice Lake, WI)
- …improving consumer experiences **Preferred Qualifications** **Prior experience with Medicare & Medicaid recipients** + Previous experience with electronic ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About Us** About… more
- Humana (Madison, WI)
- …help us put health first** Humana's Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the ... to deliver simple, personalized, and empathetic health experiences. As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech… more