- Humana (Madison, WI)
- …+ Support the development of multi-channel campaign strategies across Medicare, Medicaid , and Commercial lines of business + Translate business objectives and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Option Care Health (Madison, WI)
- …offices and hospitals (Commercial Insurance, Medicare Part B & D, Fee for Service Medicaid , Managed Medicaid ) Due to state pay transparency laws, the full range ... for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $160,107.21-$266,852.84 **Benefits:** -Medical, Dental, &… more
- Intermountain Health (Madison, WI)
- …payer re-credentialing requests and demographic/roster requests. + Completes out-of-State Medicaid individual and facility enrollments timely and accurately for ... all aspects of provider enrollment with commercial and government (Medicare and Medicaid ) professional fee payer contracts for an entire market. Ensures enrollment… more
- CVS Health (Madison, WI)
- …developing and maintaining complex financial reporting solutions that support Aetna's Medicaid Markets. This role will lead reporting for Value-Based Service ... tables, formulas, and graphs. **Preferred Qualifications** + Experience working with Medicaid and Medicare programs. + Advanced Excel skills (complex formulas,… more
- CVS Health (Madison, WI)
- …at quarterly state meetings. **Required Qualifications** - 1+ years' experience working with Medicaid . - 3+ years' in healthcare field working in fraud, waste and ... arbitrations, depositions, etc. **Preferred Qualifications** - Knowledge of New Jersey Medicaid - Credentials such as a certification from the Association of… more
- Humana (Madison, WI)
- …Home, and Quality Recognition programs across multiple lines of business (Medicare and Medicaid ). + Utilizes complex SQL, SAS, and other technical skills to drive ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Conduent (WI)
- …is noticed and valued every day. **Remote - Call Center Customer Service Representative** ** Medicaid Member Support - Tier 1** **For The State of Iowa** **You Need ... initial point of contact for inquiries from potential and existing Iowa Medicaid Program recipients and affiliates. + Provide one-to-one telephone contact with… more
- CVS Health (Madison, WI)
- …day. **About the Role** We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. In ... Leads and ensures the delivery of high-quality internal and external Medicaid provider audit results, regulatory compliance activities, and proactive risk mitigation… more
- Humana (Madison, WI)
- …and abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience in data analysis + Must be passionate about contributing ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Madison, WI)
- …of or the ability to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more