- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** Provides leadership to the Medicare Duals team and plays a critical role in advancing the Medicare Integrated Duals segment ... strategic priorities. Develops and executes Medicare strategies, including state-specific and product-specific growth initiatives. Leads high-priority projects… more
- Good Samaritan (WI)
- …Summary** This role provides critical analytical and reimbursement related guidance and support to all operating segments across Sanford. Responsible to review ... Medicare /Medicaid documentation to assist nursing centers in completing minimum...data set (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement. Works with executive leadership, administrators,… 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...Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP participation… more
- Humana (Madison, WI)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana… more
- Humana (Madison, WI)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid/ Medicare . Looking for long-term improvements of encounter submission processes. Begins to… more
- Marshfield Clinic (Minocqua, WI)
- **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** RN Oncology (Medical ... Support ) **Cost Center:** 301451205 Minocqua-Oncology **Scheduled Weekly Hours:** 40...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Humana (Madison, WI)
- …our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality ... Navigator (ASN) by coordinating services and researching necessary resources to support the beneficiary and increase access to services; conduct non-clinical… more
- Cardinal Health (Madison, WI)
- …be added to the database * Conducts outbound correspondence when necessary to help support the needs of the patient and/or program * Provides detailed activity notes ... Benefit Investigation processing * Working alongside teammates to best support the needs of the patient population o Will...hats, without getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers'… more
- Marshfield Clinic (Marshfield, WI)
- **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** Pharmacy Systems Support ... (United States of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design,… more
- Marshfield Clinic (Minocqua, WI)
- **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** Procedure Support ... hours per week, variable days and shifts The Procedure Support Assistant is an integral part of the Radiology...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more