- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Arrhythmia Nurse Specialist **Cost Center:** 301351038 Mfld-Cardiology **Scheduled Weekly Hours:** 40 **Employee ... basic history taking. **Preferred/Optional:** None **CERTIFICATIONS/LICENSES** _The following licensure(s), certification (s), registration(s), etc., are required for this position. Licenses… more
- Molina Healthcare (Green Bay, WI)
- …**Required Experience** 3+ years of Member Billing /R **Required License, Certification , Association** Marketplace, Commercial or Medicare Industry preferred ... timely and accurate processing of payment received.* Marketplace, Commercial, or Medicare healthcare experience with premium billing and reconciliation. * Must have… more
- Molina Healthcare (Madison, WI)
- …Public Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid. **Preferred License, Certification , Association** + ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or… more
- Molina Healthcare (Milwaukee, WI)
- …oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School ... documents) and Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification , Association** Licensed registered nurse (RN), Licensed practical nurse… more
- Marshfield Clinic (Eau Claire, WI)
- …Cardiovascular Specialist (RCIS) or Registered Cardiac Electrophysiology Specialist (RCES) certification . **CIRV Radiology Technologist** **JOB SUMMARY** ... Lab, or Interventional Radiology environment. **CERTIFICATIONS/LICENSES** _The following licensure(s), certification (s), registration(s), etc., are required for this position. Licenses… more
- St Croix Hospice (Delavan, WI)
- …approved certifying body for advanced practice nursing as required by State. + Certification in a specialist area preferred; (eg Hospice and Palliative Nursing ... the hospice medical director for interpretation for eligibility for hospice re- certification . + Makes recommendations to the hospice medical director regarding… more
- Humana (Madison, WI)
- …approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging therapeutics, ... + PharmD + Health Plan experience + Knowledge of Medicare as it relates to pharmacy + Six Sigma...to pharmacy + Six Sigma and/or Project Management Professional certification + Pharmacy practice residency or similar pharmacy practice… more
- Banner Health (WI)
- …highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition reflects our investment in workplace excellence and ... as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire.** **Please note, this is a COMPLEX role,… more
- Evolent (Madison, WI)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... state licensure required per business needs + Active Board Certification in Interventional Cardiology **or** may be substituted for...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- CVS Health (Madison, WI)
- …include support of the appeal process, clinical claim review process, pre- certification , and predetermination of covered benefits in the commercial, Medicare ... and correct application of Aetna policies and practices for commercial, Medicare , and Medicaid environments. ◾Proactively use data analysis to identify opportunities… more