Managed Care Jobs in Wisconsin
1 - 15 of 21
Search Results - Managed Care Jobs in Wisconsin
America's Best-Greendale (WI)
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
Essentia Health-Superior (WI)
experience.
Experience with managed care, formulary management, medication therapy management, geriatrics, are preferred.
Graduation from a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) or a program outside the U.S...
America's Best-Madison
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
Genentech-Milwaukee
Qualifications & ExperienceAdvanced Clinical/Science Degree (e.g., MD, PharmD, PhD, MSN, NP, PA etc.). BSN with extensive field medical experience with a pharmaceutical companyMinimum of 5 years related work experience (clinical, managed care, or industry...
Milwaukee
trends and opportunities in the marketplace
• Demonstrates complete knowledge of the Insurance and Managed Care marketplaces, reimbursement processes and procedures
• Develops Sports Medicine relationships in concert with corporate objectives...
icims.com -
SSM Health-Fond Du Lac
with IDT and therapies to determine resident’s potential for improvement and updates care plan.
• Communicates with managed care/insurance providers as required.
• Conducts care plan conferences with IDT members, residents, and families.
• Monitors...
Janesville (WI)
and procedures within the Revenue Cycle area.
• Coordinates with Managed Care Contracting for various third party payers to maintain and enhance appropriate claims processing procedures and ensures managed care contract terms are operationalized in the process...
mercyhealthsystem.org -
Conduent Business Services, LLC-Green Bay
or Managed Care industry is preferred.
• Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.
• Must possess strong skills in the following areas: organizational...
Madison
support for the development and implementation of fee for service or capitated rate setting methods for contracted Managed Care Organizations and for monitoring and analyzing the accuracy and sufficiency of rates generated by the rate:setting models...
tiptopjob.com -
2 similar jobs: Milwaukee, Green Bay
Advocate Health-Wauwatosa
with families providing information and education services as needed. […]
Obtains pre-authorization from managed care company. Performs ongoing concurrent reviews with payor source, maintaining written records of contacts. Investigates and negotiates different...
milwaukeejobs.com -
Madison
or RN required.
• Three or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care assessments...
icims.com -
Janesville (WI)
Responsible for reviewing and analyzing new government billing regulations/guidelines, new managed care contracts, and industry publications to advise Director, partners, and other department heads of potential issues that could impact billing, reimbursement...
mercyhealthsystem.org -
Milwaukee
liaison between NNI and key external customers to further scientific exchange. S/he provides advanced product and scientific and medical field support to Medical, Sales and Marketing, as well as Managed Care and Government by using academic/professional...
tiptopjob.com -
Madison
or RN required.
• Three or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care assessments...
icims.com -
Janesville (WI)
Recover expended funds for managed care plans
• System documentation of investigation results
• Training of Coordination of Benefits claim processing for new claims examiners
• Respond to questions from claim processors and examiners
• Training...
mercyhealthsystem.org -
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