- Adecco US, Inc. (Milwaukee, WI)
- …**Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty pharmaceutical product. In ... resolve reimbursement challenges and deliver critical education on payer landscapes and available support services. The FRM acts as a trusted advisor and key liaison… more
- Humana (Rice Lake, WI)
- …Care Coach 1 employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources. Identifies ... continuously improving consumer experiences **Preferred Qualifications** **Prior experience with Medicare & Medicaid recipients** + Previous experience with electronic… more
- Humana (Madison, WI)
- …Responsibilities:** + Develop models to measure performance, identify trends to support critical business decisions. + Maintain PowerBI reporting and dashboards that ... leadership. + Work closely with cross-functional teams to develop analyses in support of new initiatives. + Maintain strong relationships with key stakeholders… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... + Extract and compile information from various systems to support executive decision-making + Mine and manage information from...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job… more
- Molina Healthcare (Milwaukee, WI)
- **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... + Extract and compile information from various systems to support executive decision-making + Mine and manage information from...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB… more
- Humana (Madison, WI)
- …processes, policies and procedures as well as compliance guidelines. Will support achieving operational and compliance key performance indicators. In addition, the ... associate will participate in cross functional teams and support analyzing business processes, error processing, issues and ticket creations with the product… more
- 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
- 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 ... about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while… more
- 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 ... phone calls for patient follow ups or confirmations + Demonstrate superior customer support talents + Interact with the patient referral sources to process new… more
- Humana (Madison, WI)
- …The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May ... 3 assists members, via phone or face to face, further/ support quality related goals. Investigates and resolves member and...and speak English and Spanish + Prior experience with Medicare + Experience with the Claims Administration System (CAS)… more