- CVS Health (WI)
- …processes, procedures, and systems to ensure consistent results and organizational compliance with regulations related to the organization's Medicare Part ... with heart, each and every day. As the Senior Manager , Aetna Medical Pharmacy, you will be accountable for...business projects and programs and managing operations within the Medicare Part B Pharmacy Team. You will act as… more
- 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
- Molina Healthcare (Madison, WI)
- …business areas and owners to ensure processes and reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with ... to assess, oversee, and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and… more
- Cardinal Health (Madison, WI)
- …of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is ... **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & ...facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines;… 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
- Elevance Health (Waukesha, WI)
- …of managerial experience is strongly preferred + Experience with IRE/Maximus and Medicare compliance , programs, guidelines, and processes are strongly preferred. ... ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:**...and operational and plan risk, ensures quality, and regulatory compliance . This role specifically oversees the IRE Team. **How… more
- Humana (Madison, WI)
- …community and help us put health first** The Special Investigations Unit Manager leads and monitors 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 (Madison, WI)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs ... resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work assignments are varied and frequently require interpretation… more
- Humana (Madison, WI)
- …caring community and help us put health first** Humana/iCare is seeking a Case Manager /Care Coach to join the growing Milwaukee County team in the Family Care ... Partnership (FCP) program. The FCP Case Manager /Care Coach provides care management services through the FCP program including assessment, service plan development,… more