• Lead Investigator, Special Investigative…

    Molina Healthcare (Racine, WI)
    …+ At least five (5) years' experience working in a Managed Care Organization or health insurance company + Minimum of two (2) years' experience working on ... according to the SIU's standards. Position must have thorough knowledge of Medicaid/ Medicare /Marketplace health coverage audit policies and be able to apply… more
    Molina Healthcare (11/21/25)
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  • Special Needs Plan- Support Social Services

    Humana (Madison, WI)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently… more
    Humana (11/06/25)
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  • Patient Assistance Counselor

    Marshfield Clinic (Wisconsin Rapids, 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 ... center. The Patient Assistance Counselor is responsible for interviewing, verifying insurance benefits, and following up with uninsured and underinsured patient… more
    Marshfield Clinic (11/04/25)
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  • Utilization Management RN

    CenterWell (Madison, WI)
    …Home Health preferred + Previous experience in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
    CenterWell (11/26/25)
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  • Quality Professional, Growth and Retention…

    CenterWell (Madison, WI)
    …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** The Care Delivery Call Quality Professional works...the Tele Sales Agents who are responsible for converting Medicare eligible callers to patients. The Care Delivery Call… more
    CenterWell (11/25/25)
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  • Hospice RN Executive Director

    Gentiva (Milwaukee, WI)
    …licensed Registered Nurse (RN) with strong leadership experience in hospice care, home health , or clinical operations management. If you're a natural leader who is ... operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure… more
    Gentiva (11/25/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Green Bay, WI)
    …with the chief medical officer for administrative law judge pre-hearings, state insurance commission, and meet and confers. * Represents Molina and presents cases ... program experience as needed (such as specialties in: surgical, ob/gyn, home health , pharmacy, etc.), or equivalent combination of relevant education and experience.… more
    Molina Healthcare (11/14/25)
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  • VP, Finance Leader Primary Care Organization

    Humana (Madison, WI)
    …senior-focused primary care, Centerwell is one of the largest providers of home health services, and fourth largest pharmacy benefit manager . CenterWell is ... **Become a part of our caring community and help us put health first** Provides executive and financial leadership to Human's Primary Care Organization. The VP… more
    Humana (11/26/25)
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  • SHP Pharmacy Benefits Specialist (Remote in WI))

    Marshfield Clinic (Marshfield, WI)
    …customer service skills. **Preferred/Optional:** One year experience in a Health Maintenance Organization (HMO) or insurance industry. ... 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… more
    Marshfield Clinic (11/11/25)
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  • Anesthetist/CRNA- Casual

    Marshfield Clinic (Neillsville, WI)
    …of vacation and 2 weeks CME to start + CME annual allowance + Health , Dental, Life, Disability, and Occurrence-Based Malpractice insurance + Relocation support ... 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… more
    Marshfield Clinic (11/21/25)
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