- CVS Health (Madison, WI)
- …years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of… more
- Walworth County (Elkhorn, WI)
- …for the Comprehensive Community Services (CCS), Case Management (CM) and Wisconsin Medicaid Cost Reporting (WIMCR) program services that are consistent with ... HS/LHCC Manager - Administrative Services (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5028505) Apply HS/LHCC Manager -… more
- Molina Healthcare (Racine, WI)
- …of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Serves as ... management, case management, care transition and/or disease management. + Minimum 2 years of healthcare or health plan supervisory or managerial experience,… more
- Humana (Kenosha, WI)
- …disabilities, or older adults in a health care setting. + Case Manager Certification. + General knowledge of Medicaid and Medicare benefits. ... put health first** Humana/iCare is seeking an RN Care Manager to join the team in the Family Care...join the team in the Family Care Partnership (FCP) program to provide services to members in Racine/Kenosha counties.… more
- Centers for Independence (Milwaukee, WI)
- ** Manager -Clinical PSN** **Job Details** **Job Location** MCFI Main Campus - Milwaukee, WI **Position Type** Full Time **Travel Percentage** Minimal; Less than 10% ... **Job Shift** Day **Description** **Job Purpose:** The clinical manager is responsible for organizing and directing the daily operations of the Pediatric Skilled… more
- Marshfield Clinic (Weston, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... most exciting missions in the world!** **Job Title:** Nurse Manager - Hospital, Labor & Delivery **Cost Center:** 301691326...of hire. " _*Nurse managers hired prior to May 2 , 2022 may be grandfathered from meeting the new… more
- CVS Health (Madison, WI)
- …it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct… more
- Amgen (Milwaukee, WI)
- …sales, and performing total territory account management. The Specialty Account Manager , Nephrology (NSAM) is responsible for representing Amgen products to ... verification, prior-authorization, billing, coding, claims, and appeals/denials), Medicare and Medicaid rules and regulations, and OSHA and HIPAA compliance as… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Manager , Provider Engagement establishes strategies and operational directions for risk adjustment and quality improvement. ... key performance indicators. + Ensures each Tier 1, Tier 2 and Tier 3 provider has quality & risk...challenges/barriers in the practice environment impeding successful attainment of program goals and understands solutions required to improve health… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more