- 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
- CVS Health (Madison, WI)
- …Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize member ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… 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
- CVS Health (Madison, WI)
- …and every day. **Position Summary** We are seeking a highly skilled and experienced Senior Data Engineering Manager to lead and mentor our data engineering team ... team that is responsible for processing Claims, Revenue, and Medicare Specific files and data from 30+ payors into...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Madison, WI)
- …for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements ... with others to meet/exceed expectations **Preferred Qualifications** + Experience in Medicare Advantage and/or Value Based Contracting + Ability to remain flexible… 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
- 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
- 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
- Humana (Madison, WI)
- …Experience Platform (AEP) and Next Best Action (NBA) execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Our… more
- CVS Health (Madison, WI)
- …Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes ... A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ...Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and… more
- CenterWell (Madison, WI)
- …of our caring community and help us put health first** The Program leader, Provider Education builds strategies for development, engagement, best clinical practices ... and processes for clinical community within the enterprise. The Program leader, Provider Education requires a solid understanding of how organization capabilities… 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)
- …responsible for the medical direction, clinical oversight, and advancement of CenterWell Senior Primary Care's (and Conviva Senior Primary Care's) Home-Based ... Care portfolio, serving the highest-need and most complex senior patients. This role will lead clinical strategy, quality improvement, and care delivery innovation… more
- CVS Health (Madison, WI)
- …the delivery of high quality care to the Medicare population. As a Senior Product Manager , you will be responsible for driving the strategic direction of ... a core part of our platform. Through partnership with senior business and engineering leaders, you will oversee the...experience **Preferred Qualifications** 4+ years operating in a Product Manager role (or similar) MA / MBA in any… more