- Humana (Milwaukee, WI)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
- CenterWell (Madison, WI)
- …to obtain details necessary for prioritization (eg member experience improvements, compliance impacts, client goals, etc.) + Create project intake and prioritization ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Cardinal Health (Madison, WI)
- …trains employees across the organization, and conducts investigations to resolve ethics and compliance issues. ** Compliance Audit Manager ** Reporting to the ... the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff.… more
- Humana (Madison, WI)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Merck (Madison, WI)
- **Job Description** Field Access Manager The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals ... reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations. The FAM role is a remote/field-based role… more
- Marshfield Clinic (Marshfield, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... missions in the world!** **Job Title:** Risk Adjustment Revenue Manager (Remote) **Cost Center:** 682891390 SHP-Strategic Finance **Scheduled Weekly Hours:**… more
- Molina Healthcare (Milwaukee, WI)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for ... resolving complex business challenges that impact cost-containment and regulatory compliance . **Essential Job Duties** _Business Leadership & Operational Ownership_… more
- Humana (Madison, WI)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...+ Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
- Gentiva (Madison, WI)
- …Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join our hospice team. Reporting directly to the Executive Director or ... by managing patient care activities, supervising clinical staff, and ensuring compliance with all company policies and regulatory standards. Great opportunity to… more
- Humana (Racine, WI)
- …caring community and help us put health first** Humana/iCare is seeking a Case Manager to join the growing Racine/Kenosha County team in the Family Care Partnership ... (FCP) program. The FCP Case Manager provides care management services through the FCP program...managed care experience. + General knowledge of Medicaid and Medicare benefits. **Additional Information** + **Workstyle:** This is a… more