• Clinical Reviewer, Nurse-Surgery

    Evolent (Madison, WI)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
    Evolent (08/19/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (Milwaukee, WI)
    …issues. * Ensure compliance with insurance and government regulations, including Medicare and Medicaid requirements. * Communicate effectively with clinical and ... deadlines. * Knowledge of insurance regulations and compliance requirements, including Medicare and Medicaid. * Effective communication and organizational skills to… more
    Robert Half Accountemps (08/19/25)
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  • Clinical Reviewer, Nurse

    Evolent (Madison, WI)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
    Evolent (08/19/25)
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  • Home Health Registered Nurse RN Full Time

    Aveanna Healthcare (Waupaca, 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
    Aveanna Healthcare (08/18/25)
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  • Home Health Weekend Registered Nurse Full Time 30…

    Aveanna Healthcare (Onalaska, 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
    Aveanna Healthcare (08/16/25)
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  • Hospice RN Administrator

    Gentiva (Milwaukee, WI)
    …operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure ... operations leadership + Strong understanding of hospice regulations, compliance, and Medicare conditions of participation + Proven ability to manage teams, budgets,… more
    Gentiva (08/16/25)
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  • Encounter Data Management Professional

    Humana (Madison, WI)
    …regulations or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare , Medicaid, and DSNP encounter processes and policies. + Working ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/16/25)
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  • Field Medical Director, Cardiology

    Evolent (Madison, WI)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
    Evolent (08/15/25)
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  • Formulary Strategy Pharmacist Lead

    Humana (Madison, WI)
    …data driven methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/15/25)
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  • Bilingual Case Manager

    Cardinal Health (Madison, WI)
    …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
    Cardinal Health (08/14/25)
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