- Cardinal Health (Madison, WI)
- Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... drug distribution to site-of-care with non-commercial pharmacy services, patient access support , and financial programs, Sonexus Health, a subsidiary of Cardinal… more
- Humana (Madison, WI)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... Medicare Advantage and Prescription Drug Plans using approximately 40...other business partners to understand goals and how initiatives support long-term strategy + Lead initiatives through ideation, working… more
- Humana (Madison, WI)
- …consulting experience or professional experience leveraging core consulting skills, to support delivering some of the Insurance segment's highest priority projects ... and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you will deconstruct issues and… more
- Marshfield Clinic (Weston, WI)
- **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** Support Functions Float ... Mon-Fri; day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Support Functions Float performs a variety of duties based on current need… more
- Humana (Madison, WI)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... Medicare Advantage and Prescription Drug Plans using approximately 40...+ Identify gaps and new opportunities to improve performance Support key functions with strategic and analytical thinking: +… more
- Essentia Health (Superior, WI)
- …pharmacy benefits, facilitate authorization of patient prescription refill requests, assist in Medicare Part B billing and processing, and support patient ... for medications ordered by Essentia providers requiring prior authorization + Understand Medicare Part B DME billing for Essentia retail pharmacies to help ensure… more
- Humana (Madison, WI)
- …includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical… more
- 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
- Humana (Madison, WI)
- …Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends ... the work is built from the ground up to support our evolving goals. + Contribute to an area...coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills… more
- Sanford Health (WI)
- …provides critical analytical and reimbursement related direction, guidance and support to operating segments across the Sanford Health enterprise. Strategically ... Directs the implementation and monitoring of reimbursement functions, which includes Medicare , Medicaid or other third party cost reports, related audits, appeals,… more