- Marshfield Clinic (Marshfield, WI)
- …clinics within the Health System. This individual will assist with Medicare and Medicaid Cost Report coordination, Wage Index, S10, DSH and other governmental audits ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
- Robert Half Accountemps (Milwaukee, WI)
- …payers to resolve outstanding issues. * Ensure compliance with Medicare, Medicaid , and other government insurance regulations. * Communicate effectively with ... platforms. * Solid knowledge of insurance claims procedures, including Medicare and Medicaid . * Exceptional attention to detail and problem-solving skills. * Ability… more
- Molina Healthcare (Green Bay, WI)
- …and performs oversight over critical Medicare Stars functions occurring in our Medicaid health plans. + Works with senior executives, Vice Presidents and others ... at least 5 years in health plan quality improvement. + 5 years Medicaid / Medicare experience. + Minimum 3 years people management experience + Demonstrated knowledge… more
- Humana (Madison, WI)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... 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)
- …residence + Eligibility to participate in federal prescription programs (eg, Medicare/ Medicaid ) + Self-directed with the ability to work effectively both ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Elevance Health (Waukesha, WI)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Sanford Health (WI)
- …the implementation and monitoring of reimbursement functions, which includes Medicare, Medicaid or other third party cost reports, related audits, appeals, ... the review and impact analysis of payor proposed and final Medicare and Medicaid regulation changes. Reviews and provides expertise in the impact analysis of payor… more
- J&J Family of Companies (Green Bay, WI)
- …and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the ... payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical and… more
- Humana (Madison, WI)
- …Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Molina Healthcare (Green Bay, WI)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... Degree **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2+ years Medicare, Medicaid , managed care or other health/insurance related sales experience To… more
Recent Jobs
-
Senior Staff Veterinarian
- Charles River Laboratories (Reno, NV)
-
Physician - Primary Care - Recruitment/Relocation Incentives
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
-
Bilingual Account Executive (Spanish & English)
- iHeartMedia (Clearwater, FL)
-
Physician (Palliative/Hospice Medical Director)
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)