• Home Health Licensed Practical Nurse LPN Full Time

    Aveanna Healthcare (Milwaukee, WI)
    …and Milwaukee areas Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. * ... application + Valid CPR and Drivers License Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (10/16/25)
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  • Senior Manager, Medical Economics

    CVS Health (Madison, WI)
    …for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements ... partners + Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Influence and/or assist workflow development… more
    CVS Health (10/15/25)
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  • Therapy Access Manager…

    United Therapeutics (WI)
    …and UT's patient support program. Advise on patient level reimbursement issues in compliance with policies and well-defined Rules of Engagement. Abide in a compliant ... of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with...Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B and Part D) Job Location This… more
    United Therapeutics (10/11/25)
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  • Nurse Auditor - Revenue Integrity (Remote…

    Marshfield Clinic (Marshfield, WI)
    …allied providers, managers, and staff in regard to various coding and/or Medicare /Medicaid policy issues. The Nurse Auditor - Revenue Integrity is responsible for ... 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
    Marshfield Clinic (10/11/25)
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  • Senior Strategy Advancement Professional

    Humana (Madison, WI)
    …fast-paced, dynamic environment and manage multiple priorities effectively. + Medicare experience and or license credentials **Additional Information** **Humana ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (10/11/25)
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  • Clinical Reviewer, Physical Therapy

    Evolent (Madison, WI)
    …+ Participates in on-going training programs to ensure quality performance in compliance with applicable standards and regulations. **The Experience You'll Need:** + ... 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
    Evolent (10/10/25)
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  • Care Coordinator

    Humana (Beloit, WI)
    …management. + One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (10/10/25)
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  • Home Health Licensed Practical Nurse LPN Full Time

    Aveanna Healthcare (Verona, WI)
    …on call rotation Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. + ... + Valid CPR + Valid Drivers License Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (10/09/25)
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  • Pharmacist - Clinical Advisor

    CVS Health (Madison, WI)
    …at least 2 and up to 4 market segments for any particular client ( Medicare , Medicaid, Exchange, or Commercial). The Health Plan Clinical Advisor is responsible for ... Plan Clinical Advisor will collaborate with CVSH internal partners to ensure compliance to any federal, state or local regulatory requirements that impact formulary,… more
    CVS Health (10/08/25)
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  • National Medical Director, Home-Based Care…

    CenterWell (Madison, WI)
    …innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director ... with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare regulations, value-based care principles, and best practices for complex care… more
    CenterWell (10/02/25)
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