- Evolent (Madison, WI)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow,… more
- Elevance Health (Waukesha, WI)
- …AI solutions that uncover early signals in cost trends across Medicaid, Medicare , Local Group, and Individual markets. You'll collaborate with actuaries, finance ... business problems under the direction of team lead or manager . + Work with data-sets of moderate size and...publish results under the direction of team lead or manager . + Support the evolution of early-warning systems and… more
- Molina Healthcare (WI)
- …mailings. The Specialist will work closely with the Print Production Manager and cross-functionally with Marketing Operations, Content Development, Compliance, Brand ... **Job Duties** * Work strategically, under the guidance of the Print Production manager , to understand prospect and member mailing initiatives and build mail plans… more
- Molina Healthcare (Kenosha, WI)
- …cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the staff use ... and/or participates in Interdisciplinary Care Team meetings. + Works with the Manager to ensure adequate staffing and service levels and maintains customer… more
- Molina Healthcare (WI)
- …we are seeking a (RN) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote setting supporting our Medicare /Medicaid population ... who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent… more
- Molina Healthcare (Kenosha, WI)
- …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL… more
- Somatus (La Crosse, WI)
- …extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. The individual ... Responsibilities + Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals. + Establish positive,… more
- Banner Health (WI)
- …initial training by both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This position is for ... documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code assignment. 3. Provides… more
- Fresenius Medical Center (Fitchburg, WI)
- …ensure ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving FMS quality standards through education ... School diploma or GED Bachelor's degree preferred. + Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification or must meet… more
- Marshfield Clinic (Beaver Dam, WI)
- …of concern to the Director of Nursing, RN Lead or RN Manager . Documentation: 15. Documents completely, accurately and timely according to department guidelines ... 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