- Intermountain Health (Madison, WI)
- …+ Coordinates all aspects of provider enrollment with commercial and government ( Medicare and Medicaid) professional fee payer contracts for an entire market. ... aspects of provider enrollment with Intermountain Health's commercial and government ( Medicare and Medicaid) professional fee payer contracts for an entire market.… more
- Molina Healthcare (Kenosha, WI)
- …campaigns + Technically capable, excellent communicator, and a desire to improve processes ** Preferred :** + Medicaid or Medicare Health Plan experience + Strong ... Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist . The Sr. Specialist , Digital Marketing will be responsible for analyzing and… more
- Intermountain Health (Madison, WI)
- …with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), US ... skills. AND Demonstrated knowledge of government benefits and regulations related to Medicare , Medicaid or the ACA. AND Demonstrated knowledge of queries. _Preferred… more
- Mayo Clinic (La Crosse, WI)
- …customer service. Must be able to work independently as needed. Knowledge of Medicare , Medicaid and/or private insurance billed preferred with attention to ... Competitive retirement package to secure your future. **Responsibilities** The HME Specialist I position is the first of multiple career opportunities within… more
- Cardinal Health (Madison, WI)
- …and procedures commonly used in a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies ... coverage, preferred + Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical,… more
- Highmark Health (Madison, WI)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Cardinal Health (Madison, WI)
- …and appeals, preferred + Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer ... and efficiency for the program **_Qualifications_** + Previous customer service experience, preferred + High School diploma or equivalent, preferred +… more
- Molina Healthcare (Madison, WI)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... codes, etc. + Access and Excel - intermediate skill level (or higher) ** Preferred Education** Bachelor's Degree ** Preferred Experience** + 5+ years managed care… more
- Cardinal Health (Madison, WI)
- …scheduled training. **_Qualifications_** + Bachelors degree or equivalent experience in Managed Care preferred + 2-4 years experience in health care preferred + ... Pharmacy Technician experience a plus, not required + Familiarity with Medicare and Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong written and… more
- Humana (Madison, WI)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health… more