- Marshfield Clinic (Rice Lake, WI)
- …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- Grifols Shared Services North America, Inc (Madison, WI)
- …access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS) ... Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current Procedural Terminology (CPT) . Support with brand teams to expand key initiatives and strategies to the managed markets customer base, which consists of payers,… more
- Humana (Madison, WI)
- …+ Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience ... 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 (Madison, WI)
- …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 regulations, managed… more
- Sedgwick (Madison, WI)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Secures and disposes of salvage. + Reports claims to the ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- United Therapeutics (WI)
- …+ Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in ... Medicare (Part B and Part D) Job Location This position will require candidates to live within the assigned territory. This includes North Dakota, South Dakota,… more
- Aveanna Healthcare (Verona, 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
- Ascension Health (Brookfield, WI)
- …regulations for long-term care, such as those for certification, licensure and accreditation, Medicare , and state Medicaid. + Participate in all aspects of the CMS ... Preferences** + Specialized knowledge with MDS 3.0, and current Medicare and Medicaid billing regulations preferred. + Resident Assessment Coordinator-Certified… 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
- 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