- Molina Healthcare (Madison, WI)
- …ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of ... medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred… 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:** Patient Assistance Counselor ... + For positions hired within the FHC dental centers: + Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months… more
- Prime Therapeutics (Madison, WI)
- …related partner/customer relationships including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director, Pharm ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such as… more
- Humana (Madison, WI)
- …interrelate across segments and/or enterprise-wide. **Regional VP of Health Services, Humana Medicare Advantage** As the Regional VP of Health Services, you will ... and relationship builder, ensuring alignment with Humana's mission and Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider… more
- Humana (Madison, WI)
- …offices, Illinois Department of Healthcare and Family Services (HFS) and Centers for Medicare & Medicaid Services (CMS) and Humana's Illinois locations. + This role ... Illinois Department of Healthcare and Family Services (HFS) and Centers for Medicare & Medicaid Services (CMS) and Humana's Illinois locations for team engagement… more
- Humana (Madison, WI)
- …best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various multi-disciplinary ... improved health outcomes for our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in the center of strategy, design,… more
- Molina Healthcare (Green Bay, WI)
- …for all staff to follow + Provides monthly reporting to management in support of functional processes + Oversees maintenance of processes and procedures for ... needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings… more
- Prime Therapeutics (Madison, WI)
- …Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid) + Other duties as assigned **Education & Experience** + ... Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- Highmark Health (Madison, WI)
- …collaborates with various teams within data analytics and infrastructure to support the creation, optimization, and maintenance of self-service resources for ... value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and Markets and Provider… more
- J&J Family of Companies (Green Bay, WI)
- …- shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, ... government payers, etc.) for core and launch products. + Collaborate with field support team members such as sales representatives and key account managers and serve… more