- Molina Healthcare (Madison, WI)
- …for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of responsibilities) within ... Medicare and Medicaid. Role is predicated on building relationships...needs and satisfaction, financial budgets, and current and future program initiatives. Ability to drive operational excellence and process-oriented… more
- Humana (Baraboo, WI)
- …our caring community and help us put health first** Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the ... Wisconsin Family Care (FC) program . In this dynamic role, you will collaborate closely...to thrive in their daily lives. As a Case Manager , you will provide comprehensive social service care management… more
- Humana (Oshkosh, WI)
- …caring community and help us put health first** Humana is seeking an RN Care Manager (Health & Wellness Coordinator) to join the Inclusa team to serve members in the ... Wisconsin Family Care (FC) program in the Oshkosh area. As a Health &...the member. + Partner with a social services care manager (also referred to as a Community Resource Coordinator)… more
- Marshfield Clinic (Weston, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... individual reviews financial assistance and medication assistance applications to ensure program and financial requirements are met. The individual may calculate… more
- Evolent (Madison, WI)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow,… more
- Somatus (La Crosse, WI)
- …telephonic outreach to members within designated geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload. + ... care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through...assessment to help align patients with the most appropriate program in accordance with program guidelines. +… more
- Marshfield Clinic (Eau Claire, WI)
- …QUALIFICATIONS** **EDUCATION** Minimum Required: High School diploma or equivalent. Enrollment in ICATAP MA Apprenticeship Program Preferred/Optional: Completion ... or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is...a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Marshfield Clinic (Marshfield, WI)
- …confidentiality at all times. **JOB QUALIFICATIONS** **EDUCATION** **Minimum Required:** Enrollment in ICATAP MA Apprenticeship Program **Preferred/Optional:** ... or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is...a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Marshfield Clinic (Marshfield, WI)
- …confidentiality at all times. **JOB QUALIFICATIONS** **EDUCATION:** **Minimum Required:** Enrollment in ICATAP MA Apprenticeship Program **Preferred/Optional:** ... or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is...a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Marshfield Clinic (Minocqua, WI)
- …confidentiality at all times. **JOB QUALIFICATIONS** **EDUCATION** **Minimum Required:** Enrollment in ICATAP MA Apprenticeship Program **Preferred/Optional:** ... or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is...a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more