- Oracle (Madison, WI)
- …enable our clients' to track compliance with the requirements of the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC). The ... compliance rate of the CMS and TJC measures by clients identified with these dashboards helps in tracking that the provider patients are receiving highest quality of care. In addition to improving patient care, the successful regulatory submission of the… more
- Gentiva (Milwaukee, WI)
- …Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid , JCAHO, ACHC) + Knowledge and compassion for ... terminally ill patients and their families + Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds + Strong interpersonal, organizational, and leadership skills + Competency in clinical… more
- Mayo Clinic (La Crosse, WI)
- …hospitals in Southwest Wisconsin again received a 5-star rating from the Centers for Medicare & Medicaid Services for Overall Hospital Quality. Five stars is the ... highest score possible, and the national average is 3 out of 5 stars. Hospitals that receive 5-star ratings are among the top 13.6% of hospitals in the United States. Mayo Clinic Health System sites in Southwest Wisconsin also earned an "A" grade for patient… more
- Humana (Wisconsin Rapids, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- Evolent (Madison, WI)
- …future of oncology care delivery** . + Not under sanction or exclusion from Medicare / Medicaid programs. To ensure a secure hiring process we have implemented ... several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check,… more
- GE HealthCare (Waukesha, WI)
- …previous exposure to medical industry regulations (health authority/regulatory, Medicare / Medicaid Anti-Kickback, Anti-Bribery, Privacy) 6. Previous experience ... in identifying and resolving legal issues quickly and effectively and ability to make on-the-spot risk calls 7. Proven global team leadership experience and ability to function as a senior member of a management team 8. Strong executive presence with… more
- Molina Healthcare (Racine, WI)
- …with clinical leadership and quality improvement teams. * Facilitates conformance to Medicare , Medicaid , NCQA and other regulatory requirements. * Reviews ... quality referred issues, focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as credentialing,… more