- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Humana (Madison, WI)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- Humana (Madison, WI)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- Gentiva (Madison, WI)
- …to be an EEO employer + We maintain a drug-free workplace Keywords: hospice RN manager , patient care manager senior , hospice leadership jobs, RN leadership, ... Inspire Excellence. Elevate Hospice Care.** We are seeking a Senior Patient Care RN Manager to join...play a vital role in maintaining a high-performing hospice program by managing patient care activities, supervising clinical staff,… more
- Cardinal Health (Madison, WI)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Humana (Madison, WI)
- …interventions and/or care management operations. + Prior experience or exposure to Medicare Stars Program . + Experience leading cross-functional group of ... help us put health first** Join Humana as a Senior Strategy Advancement Professional and play a pivotal role...pivotal role in shaping innovative strategies for our high-needs Medicare Advantage and SNP populations. In this impactful position,… more
- Marshfield Clinic (Beaver Dam, 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. ... missions in the world!** **Job Title:** Nursing Home and Senior Services Administrator **Cost Center:** 351011551 Beaver Dam- Senior...Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
- Humana (Madison, WI)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to...* Annual Incentive Plan * 401K - * Well-being program * Paid Volunteer Time Off * Student Loan… more
- Marshfield Clinic (Beaver Dam, 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. ... the most exciting missions in the world!** **Job Title:** Maintenance Senior HVAC **Cost Center:** 351021035 BDHos-Maintenance **Scheduled Weekly Hours:** 40… more
- Humana (Madison, WI)
- …on complex and variable issues with minimal supervision. + Advise senior leadership on strategic, segment-specific approaches to program management. ... caring community and help us put health first** The Lead Project Manager -Clinical Operations is essential for ensuring the successful execution of complex… more
- CenterWell (Madison, WI)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. +… more
- CenterWell (Madison, WI)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Madison, WI)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Humana (Madison, WI)
- …and operationalize opportunities to improve member health outcomes, member and care manager experience, clinical quality, Stars program performance and savings ... and interventions and/or care management. + Prior experience or exposure to Medicare Stars Program . **Additional Information** + **Workstyle:** remote, work from… more
- CenterWell (Madison, WI)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- CenterWell (Madison, WI)
- …the delivery of home health services preferred + Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred + Demonstrated ... eligible dependents + Caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more