- Molina Healthcare (Milwaukee, WI)
- **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **Knowledge/Skills/Abilities**… more
- Molina Healthcare (Madison, WI)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... vendor performance involving onshore and offshore resources, monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality… more
- Molina Healthcare (WI)
- …business areas and owners to ensure processes and reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with ... assess, oversee, and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Analyst develops and… more
- Molina Healthcare (WI)
- …integration, and a strong understanding of data governance and compliance in healthcare environments. **Knowledge/Skills/Abilities:** * Architect and implement ... Deploy, monitor, and troubleshoot Hadoop-based infrastructure using tools such as Cloudera Manager , Ambari, and Zookeeper. * Enforce data quality, security, and … more
- Humana (Madison, WI)
- …team. **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional ... of our caring community and help us put health first** The Field Marketing Manager is responsible for leading and managing a high-performing team focused on driving… more
- Molina Healthcare (Green Bay, WI)
- …as needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates ... including goal setting and score card development + Monitors and enforces compliance with enterprise-wide processes and develops workflows for all staff to follow… more
- Molina Healthcare (Milwaukee, WI)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Walgreens (Madison, WI)
- …growing the business at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures that store personnel provide ... eligibility and all required reporting and documentation. + Responsible for ensuring compliance of team members with regard to the documentation of patient… more
- Humana (Kenosha, WI)
- …+ Case Manager Certification. + General knowledge of Medicaid and Medicare benefits. **Additional Information** + **Workstyle** : This is a field position where ... put health first** Humana/iCare is seeking an RN Care Manager to join the team in the Family Care...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Aveanna Healthcare (Tomah, WI)
- Home Health Clinical Manager La Crosse ApplyRefer a FriendBack Job Details Requisition #: 205899 Location: Tomah, WI 54660 Category: Clinical Care and Support ... year Position Details Participates in a 10% Incentive Bonus Position Overview: TheClinical Manager - Home Healthworks under the direction and guidance of the Branch… more
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