• Lead Analyst, Payment Integrity

    Molina Healthcare (Kenosha, WI)
    **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... 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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  • CIRV Technologist -or- CIRV Radiology Technologist…

    Marshfield Clinic (Eau Claire, WI)
    **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** CIRV Technologist -or- CIRV ... are substantially related to the position._ **Minimum Required:** Basic Life Support (BLS) certification provided by the American Heart Association within three… more
    Marshfield Clinic (08/13/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (WI)
    …for anywhere from 1 - 3 months according to individual needs, with continued support throughout your career here! This is a fully remote position and available if ... have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding… more
    Banner Health (08/30/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Milwaukee, WI)
    …thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with Network to ... + Partner with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets. **Applied Analytical … more
    Molina Healthcare (08/14/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    CVS Health (Madison, WI)
    …day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence… more
    CVS Health (08/24/25)
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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 ... management, and clinical staff to address complex cases and support decision-making. + Act as a key resource for...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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  • Billing Representative

    Adecco US, Inc. (Wausau, WI)
    …returned mail, and death claims. + Provide accurate cost estimates and Medicare eligibility information. + Collaborate with team members and business partners to ... ensure timely and accurate member support . + Maintain accurate records and documentation while meeting productivity and quality standards. **Candidates for Billing… more
    Adecco US, Inc. (08/23/25)
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  • Nurse Practitioner (NP)

    St Croix Hospice (Eau Claire, WI)
    …Additional Duties + Maintains knowledge of and compliance with current Medicare /Medicaid, state/federal rules and regulations for hospice services + Ensures ... compliance with the Medicare conditions of participation and other state regulations govern...vision and life insurance benefits + Customized Mental Health Support Program + Employee Assistance Program + Paid time… more
    St Croix Hospice (06/25/25)
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  • Biomedical Equipment Technician I,II,III

    Marshfield Clinic (Ladysmith, WI)
    **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** Biomedical Equipment ... Technician I,II,III **Cost Center:** 101651034 System Support -Biomed **Scheduled Weekly Hours:** 40 **Employee Type:** Regular **Work Shift:** 40 Normal (United… more
    Marshfield Clinic (09/02/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (WI)
    …have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding ... nationally recognized coding guidelines. Utilize coding knowledge and expertise to support department projects, validation edits and/or revisions. CORE FUNCTIONS 1.… more
    Banner Health (07/30/25)
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