- Molina Healthcare (Racine, WI)
- …cases, business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business ... needs and translate them into application and operational requirements + Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate… more
- Walworth County (Elkhorn, WI)
- …Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part ... Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 Hourly… more
- Molina Healthcare (Racine, WI)
- …management experience of 5 years or more + 5 years of experience in Medicare , DSNP and CSNP population, Enrollment , A&G, Claims, Compliance, or other Operations ... experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity… more
- Molina Healthcare (Green Bay, WI)
- …equivalent combination of education and experience **Required Experience** 5-7 years Enrollment -related experience in Managed care or Medicare setting ... or equivalent combination of education and experience **Preferred Experience** 7-9 years Enrollment -related experience in Managed care or Medicare setting To all… more
- Molina Healthcare (Racine, WI)
- …Summary** Responsible for leading, organizing and directing the activities of the Medicare Duals Grievance and Appeals Unit that is responsible for reviewing and ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid. This position will provide direct support to the implementation… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote, Pennsylvania **Job Description** Manages the ... coordination of benefits in the pharmacy program with Medicare Part D plans. Provides the technical and leadership...include but are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims. + Ensures… more
- Molina Healthcare (Milwaukee, WI)
- …follow, and you keep complaint data synchronized across appeals & grievances, enrollment , claims, pharmacy, and quality functions. You surface systemic issues, steer ... Compliance Mastery * Track record coordinating cross-functional action plans with Enrollment , Claims, Pharmacy, Network, and Member Services * Hands-on experience… more
- Molina Healthcare (Madison, WI)
- …for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of responsibilities) within ... Medicare and Medicaid. Role is predicated on building relationships...+ Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms +… more
- Marshfield Clinic (Weston, WI)
- …pharmaceutical programs and Foundation grants, and assists with outreach and enrollment to bridge patients with these resources. **JOB QUALIFICATIONS** **EDUCATION** ... months of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training… more
- Walgreens (Madison, WI)
- …Enrolls and follows patients through clinical management programs. + Oversees the enrollment of patients with assistance programs, such as Chronic Disease Fund, ... billing and submission of claims to government-sponsored health care programs, including Medicare , Medicaid, and all other third-party payers, as well as the… more