- CenterWell (Madison, WI)
- …**Required Experience/Skills:** + Bachelor's Degree preferred + A minimum of five years healthcare related authorization experience + At least three years in a ... first** As the **Authorizations Manager** , you will: + Manage medical insurance authorizations and develop strategies to maximize profits and minimize loss. +… more
- Molina Healthcare (Madison, WI)
- …Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to ... services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes… more
- Molina Healthcare (Madison, WI)
- …and others as directed by the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent ... care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency and continuity of care. * Ensures… more
- CenterWell (Madison, WI)
- …us put health first** Reports To: Market Executive - Director, Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 Hours **Position ... and company policy. **This is not a remote or work-from- home position. This position requires you to sit on-site...+ Active and unrestricted Registered Nurse (RN) license with authorization to practice in the state of Georgia. **Required… more
- CenterWell (Madison, WI)
- …Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to shaping how ... customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You will serve as the voice of the customer, working across… more
- Humana (Madison, WI)
- …first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the ... benefits manager (PBM) activities, including the establishment of prior authorization , clinical appropriateness of use; consultations and clinical guidance for… more
- Copeland (Madison, WI)
- …decision makers. + Proficiency in MS Word, Excel and PowerPoint is required + Legal authorization to work in the United States - Sponsorship will not be provided for ... This role is fully remote, working out of regional home office with 60% travel required. A typical week...the right options to meet your individual/family needs: medical insurance plans, dental and vision coverage, 401(k) and more.… more
- Option Care Health (Madison, WI)
- …least 10 years of pharmaceutical or healthcare sales experience + Previous home healthcare experience. + Participation in task forces and/or initiative teams ... every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized… more
- Option Care Health (Madison, WI)
- …every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider, there is no limit to the growth of your career.** Option Care… more
- Copeland (Madison, WI)
- …remote roles are conveniently located in the comfort of your own home . Working remotely offers numerous advantages, including avoiding commuting, having a flexible ... plans offer the right options to meet your individual/family needs: medical insurance plans, dental and vision coverage, 401(k) and more. We provide employees… more
- Option Care Health (Madison, WI)
- …every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider, there is no limit to...hires and retains the best and brightest talent in healthcare . **Job Description Summary:** The Specialist is a key… more
- CenterWell (Madison, WI)
- …Experience with SQL Server administration and query performance tuning + Experience with healthcare and prior authorization data + Experience managing data and ... well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life… more