- 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
- J&J Family of Companies (Green Bay, WI)
- …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Rochester, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… 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