• Senior Systems Engineer - IAM

    Ensono (Madison, WI)
    …US Citizenship and pass related background checks including but not limited to Medicare and Medicaid and VA ** Preferred Skills:** + Experience with secure ... policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary certifications… more
    Ensono (08/07/25)
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  • CIRV Technologist -or- CIRV Radiology Technologist…

    Marshfield Clinic (Eau Claire, WI)
    …Accreditation._ **Minimum Required:** High school diploma or equivalent. ** Preferred /Optional:** Associate degree in related field. **EXPERIENCE** **Minimum ... able to take call for the department upon completion of orientation. ** Preferred /Optional:** Experience as a Technologist in a Cardiac Cath Lab, Electrophysiology… more
    Marshfield Clinic (08/13/25)
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  • Senior Coding Data Quality Auditor, Regulatory…

    CVS Health (Madison, WI)
    …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Experience with International Classification of Disease (ICD)… more
    CVS Health (08/21/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Kenosha, WI)
    …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
    Molina Healthcare (08/20/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Green Bay, WI)
    …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more
    Molina Healthcare (08/14/25)
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  • Billing Representative

    Adecco US, Inc. (Wausau, WI)
    …tasks in a fast-paced environment. + Detail-oriented with strong organizational skills. Preferred Qualifications: + Medicare and billing experience. + Healthcare ... and death claims. + Provide accurate cost estimates and Medicare eligibility information. + Collaborate with team members and...Wausau, WI 54401 + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy… more
    Adecco US, Inc. (08/23/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Milwaukee, WI)
    …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
    Molina Healthcare (08/14/25)
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  • Field Medical Director, Interventional Cardiology…

    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 ... (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (07/30/25)
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  • Nurse Practitioner (NP)

    St Croix Hospice (Eau Claire, WI)
    …body for advanced practice nursing as required by State. + Certification in a specialist area preferred ; (eg Hospice and Palliative Nursing (CHPN), Pediatrics or ... Additional Duties + Maintains knowledge of and compliance with current Medicare /Medicaid, state/federal rules and regulations for hospice services + Ensures… more
    St Croix Hospice (06/25/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (WI)
    …EM coding (clearly reflected in your attached resume);** + **Specialty experience preferred ;** + **Must be currently certified through AAPC or Ahima, as defined ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
    Banner Health (07/30/25)
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