- Fresenius Medical Center (Zion, IL)
- …8 years' related experience or an equivalent combination of education and experience . + 3+ years' supervisory or project/ program management experience ... values and customer service philosophy. Adheres to the FMCNA Compliance Program , including following all regulatory and FMS policy requirements. Ensure provision… more
- Molina Healthcare (Racine, WI)
- …of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience . **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical… more
- Amphenol CIT (Franklin, WI)
- …with us. **SUMMARY** Under the general direction of the Quality and Compliance Manager , the Quality Engineer III is responsible for utilizing an advanced set of ... of manufactured product with an area of focus involving overall customer experience **ESSENTIAL JOB FUNCTIONS** + Utilize six sigma methodologies to improve the… more
- Molina Healthcare (Racine, WI)
- …Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as ... specialties in: surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience … more
- Molina Healthcare (Racine, WI)
- …**Required Experience ** + 4+ years managed care experience + Experience participating in value-based program & contract design and implementation for ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more
- Actalent (Franklin, WI)
- …business reviews. + Manage data collection plans, including check sheets, data coding techniques, and automated data collection. + Participate in ISO 9001, AS9100, ... all safety standards, procedures, and regulations. Essential Skills + Experience with ISO 9001 + Quality engineering and quality...Under the general direction of the Quality and Compliance Manager , the ability to utilize an advanced set of… more