- Fujifilm (Madison, WI)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Molina Healthcare (Racine, WI)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (Madison, WI)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Travelers Insurance Company (Brookfield, WI)
- …to Risk Control Consultants and Underwriters and as a mentor to others. As a Senior Risk Control Specialist , has the ability to handle the most complex ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Highmark Health (Madison, WI)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- United Therapeutics (Madison, WI)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Madison, WI)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Ascension Health (Glendale, WI)
- …hours a week | Full-Time | Days + **Location:** Glendale, WI / REMOTE ** Benefits ** Paid time off (PTO) Various health insurance options & wellness plans Retirement ... benefits including employer match plans Long-term & short-term disability...health records for purposes of document retrieval, analysis and claim processing. + Abstract pertinent information from patient records.… more
- Ascension Health (Glendale, WI)
- …Must be flexible to accommodate physician's schedule + **Location:** Fully remote ** Benefits ** Paid time off (PTO) Various health insurance options & wellness plans ... Retirement benefits including employer match plans Long-term & short-term disability...the offer._ **Responsibilities** Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and… more