- Aveanna Healthcare (Verona, 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
- St Croix Hospice (Eau Claire, 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
- Sanford Health (WI)
- …across all core product lines, including Individual ACA, Employer Group, Medicare Advantage, and TPA/Self-Funded plans. Builds strategic and long-term relationships ... in health insurance industry, with multi-line product knowledge (ACA, Group, Medicare , TPA). Demonstrated success in both new business growth and member/broker… more
- Aveanna Healthcare (Madison, WI)
- …3+ years RN experience in a healthcare setting (home health or hospice) + 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
- Molina Healthcare (Janesville, WI)
- …products to coordinate a medical plan of care and capture diagnoses for Medicare risk adjustment. The NP/PA will utilize advanced assessment skills to diagnose and ... examination. + Capture and document annual diagnoses accurately consistent with Medicare risk adjustment. + Conduct comprehensive annual medication reviews and… more
- Molina Healthcare (Milwaukee, WI)
- …improving provider Quality performance through provider engagement for Medicaid, Medicare , and/or ACA Marketplace programs To all current Molina employees: ... If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $73,102 -… more
- Molina Healthcare (Madison, WI)
- …etc. **PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is ... generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.… more
- Cardinal Health (Madison, WI)
- …regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email ... inbox requests up to date at all times; checks for new messages on an hourly basis. + Mentors new hires; assists + Assists management and team lead with motivating and coaching employees to succeed as needed. + Maintains accurate and detailed notes in the… more
- CVS Health (Madison, WI)
- …Care and/or MCO's. + Knowledge of Enrollment. + Knowledge Medicaid and/or Medicare . + Knowledge and comfortability with learning different systems and using Excel ... (VLOOKUP). **Education** + High School Diploma or equivalent. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $17.00 - $34.15 This pay range represents the base hourly rate or base annual full-time… more
- Molina Healthcare (Milwaukee, WI)
- …various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for ... service, capitation and various forms of risk, ASO, etc. **PREFERRED EXPERIENCE** : * 5+ years experience in managed healthcare administration and/or Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more