- Prime Therapeutics (Madison, WI)
- …Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible ... Advanced degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge and experience **Physical Demands**… more
- Sanford Health (WI)
- …for regulated reporting and audit readiness of the Government Program products, including Medicare Advantage, ACA, and Medicaid, to ensure we are meeting all State ... Manages reporting, auditing, and data exchange of the government programs - Medicare Advantage, ACA, and Medicaid, in support of business objectives. Works… more
- Molina Healthcare (WI)
- …Opportunity for a Texas licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area; candidates should reside in Bexar ... will be given to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as… more
- CenterWell (Madison, WI)
- …quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value of each opportunity ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- Molina Healthcare (Green Bay, WI)
- …Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the CDPS model… more
- Molina Healthcare (Madison, WI)
- …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required ... of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience within the… more
- Aveanna Healthcare (Sauk City, WI)
- …client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency policies, ... at least one year medical social work experience As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Datavant (Madison, WI)
- …work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic ... or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. +… more
- Aveanna Healthcare (Tomah, WI)
- …a healthcare setting (home health or hospice) + Bachelor's degree preferred + Medicare Skilled Nursing experience and a basic understanding of OASIS As an employer ... accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and… more
- Aveanna Healthcare (Madison, WI)
- …in the state of application + Valid CPR and Drivers license Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN experience in ... a healthcare setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions,… more