- Evolent (Madison, WI)
- …and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as "Great Places to Work" in 2021. In 2020 and 2021 Evolent in ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action… more
- Molina Healthcare (Racine, WI)
- …and the site of service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and ... proficient knowledge of MS Suite, organized and analytical thinking. Experience with Medicare /Medicaid, MS 365 and familiarity with claims is highly preferred. The… more
- Sedgwick (Wausau, WI)
- …achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- Aveanna Healthcare (Brookfield, WI)
- …reimbursement What You Bring + Active LPN license (state-specific) + CPR certified + Valid driver's license, insurance, reliable transport, clean driving record + ... Points + Experience in home care + Knowledge of Medicare and accreditation standards + EMR savvy (HCHB preferred)...Willing to travel as needed As an employer accepting Medicare and Medicaid funds, employees must comply with all… 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
- Molina Healthcare (Milwaukee, WI)
- …if providers have sanctions/exclusions. * Reviews and processes monthly daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of ... Medicare . * Reviews and processes assigned daily NPDB Continuous...School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a… more
- Marshfield Clinic (Rice Lake, WI)
- …emergency functions. This individual functions independently while applying the skills of the certified EMT in an ambulance setting. The Critical care level based on ... acceptable to MCHS's insurer. + Emergency Vehicle Operations Certification (EVOC), Certified Emergency Vehicle Operator (CEVO), or Emergency Vehicle Driver Training… more
- Humana (Madison, WI)
- …NIST, BSIMM. * Professional security management certification, such as a Certified Information Systems Security Professional * (CISSP), Certified Information ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Marshfield Clinic (Marshfield, WI)
- …and Accreditation._ **Minimum Required:** Must have or has had a Certified Nursing Assistant (CNA) certification, or Emergency Medical technician (EMT) awarded ... of Wisconsin, or Health Unit Coordinator (HUC) program. **Preferred/Optional:** Certified nursing assistant (CNA) experience. **EXPERIENCE** **Minimum Required:** None… more
- Prime Therapeutics (Madison, WI)
- …or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible ... applications for licensure **Preferred Qualifications** + PBM/health care experience + Certified Compliance and Ethics Professional (CCEP) or Certified … more