- Humana (Madison, WI)
- …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about contributing to an ... 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)
- …utilization management with ASAM knowledge + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote work ... 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)
- …for all Humana Insurance lines of business, with a primary focus on Medicaid . The Associate Actuary, Valuation will also assist with the development of premium ... 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)
- …necessity and appropriateness of care + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote work ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Prime Therapeutics (Madison, WI)
- …member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding ... experience + Knowledge of the applicable line of business (eg, Medicare, Medicaid , Exchange, Commercial, Employer Group) Every employee must understand, comply with… more
- Humana (Madison, WI)
- …leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Public Consulting Group (Madison, WI)
- …communications, and training activities related to MEMS Modules, MMIS Core Solutions, Medicaid DSS/DW and SI. * Prepare change impact assessments, identify risks, ... equivalent experience required. * 5 years of previous OCM experience preferred. * Medicaid experience a plus. * Ability to understand both the service delivery… more
- Cardinal Health (Madison, WI)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning ... diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred + Strong people… more
- Humana (Madison, WI)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage 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
- Humana (Madison, WI)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage 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