- Humana (Madison, WI)
- …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... are 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 (Madison, WI)
- …and unrestricted State (TX) Medical License, free of sanctions from Medicaid or Medicare. **Preferred Experience** * Peer Review, medical policy/procedure ... development, provider contracting experience. * Experience with NCQA, HEDIS, Medicaid , Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO… more
- Molina Healthcare (Oshkosh, 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
- 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
- Molina Healthcare (Kenosha, WI)
- …configuration works + Medicare fee schedule knowledge is required + Medicaid and Duals experience is highly preferred **JOB QUALIFICATIONS** **Required Education** ... payment method. **Preferred Education** Graduate Degree or equivalent experience Medicaid and Duals expeirence is preferred. **Preferred Experience** 7-9 years… more
- Ascension Health (Brookfield, WI)
- …care, such as those for certification, licensure and accreditation, Medicare, and state Medicaid . + Participate in all aspects of the CMS survey process including ... Specialized knowledge with MDS 3.0, and current Medicare and Medicaid billing regulations preferred. + Resident Assessment Coordinator-Certified (RAC-CT) preferred.… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …preferred. + Working and applied knowledge of coding principles, Medicare, Medicaid , and commercial insurance practices highly recommended. + Excellent written and ... oral communication skills with a high degree of professionalism. + Demonstrates accuracy in record keeping and documentation. + Able to maintain a positive service attitude under the stress of changing conditions/job demands. + Demonstrates ability to organize… more
- Marshfield Clinic (Weston, WI)
- …excluded from participation in any federally funded program, including Medicare and 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 with exclusion or becomes excluded from any federally funded program** **.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All… more
- Humana (Madison, WI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Aspirus Ironwood Hospital (Antigo, WI)
- …degree of professionalism. + Understanding of prospective payment systems, Medicare/ Medicaid contractual agreements and other third-party rules and regulations. + ... General understanding of prospective payment systems. + Ability to work independently, with minimal supervision, under pressure, with time restraints. + Willingly accepts change and proactively offers ideas and suggestions. + Ability to work cooperatively and… more