- Humana (Richland Center, WI)
- …+ Case Manager Certification. + General knowledge of Medicaid and Medicare benefits. **Additional Information** + **Workstyle:** Field. Field workstyle is defined ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Aveanna Healthcare (Germantown, WI)
- …active RN License in the state of application' + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN experience in ... a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions,… more
- Prime Therapeutics (Madison, WI)
- …on the lookout for a Principal Solution Strategist to help lead the Medicare and Medicaid migrations for the JUDI program.** **Job Description** The Principal ... collaborative or independent problem solving **Preferred Qualifications** + PBM/health experience + Medicare , Medicaid, CMS background + Desire to be a SME + Work… more
- J&J Family of Companies (Milwaukee, WI)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance with the ... to payer approval processes and business acumen. + Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and… more
- Molina Healthcare (WI)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research ... benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory… more
- Humana (Madison, WI)
- …2+ years of actuarial experience in healthcare + SAS or other coding skills + Medicare experience + Familiarity with CMS Star Ratings Travel: While this is a remote ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- ABBTECH Professional Resources, Inc. (Madison, WI)
- …requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business Analyst ... SAFe Product Owner or SAFe Agilist. Experience working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance/heath care experience * *… more
- St Croix Hospice (Delavan, WI)
- …Additional Duties + Maintains knowledge of and compliance with current Medicare /Medicaid, state/federal rules and regulations for hospice services + Ensures ... compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. + Complies with all Health Insurance… more
- Humana (Madison, WI)
- …English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Molina Healthcare (Green Bay, WI)
- …timely and accurate processing of payment received.* Marketplace, Commercial, or Medicare healthcare experience with premium billing and reconciliation. * Must have ... Billing /R **Required License, Certification, Association** Marketplace, Commercial or Medicare Industry preferred Required Licensure/Certification: None **Preferred Education** Associates… more