- Humana (Madison, WI)
- …to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create actionable and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Gentiva (Madison, WI)
- …+ Certify and recertify hospice eligibility, ensuring timely compliance with Medicare and other regulations. + Conduct and supervise face-to-face patient visits, ... and/or Hospice Medical Director Certification Board certification preferred. + Current Medicare Provider Enrollment (PECOS) and Medicaid certification if required. +… more
- Aston Carter (Menasha, WI)
- …Entry Specialist to support the Family Saving Plan (FSP) open enrollment and Medicare data entry operations. This temporary position plays a critical role in ... cross-functional support. + Enter data from paper applications and change forms for Medicare members. + Maintain Primary Care Provider (PCP) data to reduce member… more
- 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
- Humana (Madison, WI)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Strong Communication Skills + Ability to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Travelers Insurance Company (Brookfield, WI)
- …to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. + ... to an optimal outcome, including resolution of benefits. Understand and apply Medicare Set Asides and allocations. + Negotiate settlement of claims within designated… 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
- Cognizant (Madison, WI)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). * Strong understanding of CMS, ACA, and other… more
- Cognizant (Madison, WI)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). . Strong understanding of CMS, ACA, and other… more
- 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