- Somatus (Oak Creek, WI)
- …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Wipfli LLP (Milwaukee, WI)
- …budgets and forecasts + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems + Familiarity with coding accuracy for cost ... will oversee and manage multiple client teams engaged with our healthcare clients, provide training to and promote development of staff, have direct client contact… more
- Wipfli LLP (Milwaukee, WI)
- …budgets and forecasts + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems + Collaborate with internal and client external ... will oversee and manage multiple client teams engaged with our healthcare clients, provide training to and promote development of staff, have direct client contact… more
- Humana (Madison, WI)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Madison, WI)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Molina Healthcare (Milwaukee, WI)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
- Humana (Madison, WI)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... years of experience servicing or negotiating managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- Humana (Madison, WI)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... + 2+ years of network management experience including but not limited to: provider and hospital contracting, network administration in a healthcare company or… more
- Molina Healthcare (WI)
- …experience in Managed Care + 5 or more years hospital reimbursement methodologies + Background in provider contracts, pricing configuration, claim ... The Lead Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. Supports existing lines… more
- Mayo Clinic (Eau Claire, WI)
- **Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to US News & World Report. As we work together to put the ... Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan with national… more
- Gentiva (Eau Claire, WI)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... offer a supportive team, flexible schedule, competitive per visit rate, mileage reimbursement and great work life balance. **Key Responsibilities:** + Perform and… more
- Humana (Madison, WI)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Mayo Clinic (La Crosse, WI)
- …Southwest Wisconsin again received a 5-star rating from the Centers for Medicare & Medicaid Services for Overall Hospital Quality. Five stars is the highest ... is top-ranked in more specialties than any other care provider according to US News & World Report. As...Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan… more
- Molina Healthcare (Kenosha, WI)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Banner Health (WI)
- **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $27.72 - $46.20 / hour, based on ... Ahima, as defined in minimum qualifications below. **(Please upload a copy or provide certification number in your questionnaire.)** Please note, this is a COMPLEX… more
