• Medicaid Provider Hospital Reimbursement…

    Humana (Madison, WI)
    …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
    Humana (07/29/25)
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  • Sr. Manager, Medicaid Contract…

    Sumitomo Pharma (Madison, WI)
    …highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the ... Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies. This position requires a… more
    Sumitomo Pharma (07/09/25)
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  • Strategy Advancement Director (Market Development…

    Molina Healthcare (Milwaukee, WI)
    …advancing Molina's growth strategy and positioning the company for success in Medicaid , CHIP, DSNP, and Marketplace procurements. Reporting to the Vice President, ... the VP, Business Development. This role requires a deep understanding of Medicaid programs, the regulatory environment, and the unique challenges of populations (ie… more
    Molina Healthcare (06/14/25)
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  • Strategy Advancement Advisor ( Medicaid )

    Humana (Madison, WI)
    …Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with Business ... state and local levels. The Strategy Advancement Advisor works closely with Medicaid Business Development and Proposal leaders to identify and determine strategies… more
    Humana (07/25/25)
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  • Associate Actuary - Medicaid Trend

    Humana (Madison, WI)
    …first** We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics team. Evaluates economic, financial, and market trends to forecast ... requires an in-depth evaluation of variable factors. The Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers,… more
    Humana (07/25/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Madison, WI)
    …of our caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT ... strategy. **This State Technology Lead role will cover the Michigan Medicaid /DSNP product lines along with one additional state.** **Responsibilities** **Market… more
    Humana (07/15/25)
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  • Senior Product Owner ( Medicaid )

    Humana (Madison, WI)
    …our caring community and help us put health first** The Senior Product Owner ( Medicaid ) is responsible for conveying product vision and roadmap to an Agile delivery ... in-depth evaluation of variable factors. The Senior Product Owner ( Medicaid ) maximizes the value of products created by Agile...+ Experience in Encounter Data Submissions. + Experience in Medicare/ Medicaid products. + CAS + X12 + SQL **Additional… more
    Humana (07/30/25)
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  • MBA Intern - Illinois Medicaid (Part-time,…

    Humana (Madison, WI)
    …caring community and help us put health first** The MBA Intern - Illinois Medicaid (Part-time, Fall 2025) will contribute as a team member while completing a ... Experience in consulting and healthcare industry, preferably in Medicare and/or Medicaid + Professional experience in finance, clinical quality, innovation, social… more
    Humana (08/02/25)
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  • Associate Actuary - Medicaid Trend

    Humana (Madison, WI)
    …cost, improving member health outcomes, or otherwise producing value within Humana's Medicaid block of business. Important skills include: - ability to critically ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicaid experience + SAS/SQL experience + Databricks experience + Experience… more
    Humana (07/25/25)
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  • Medicaid Member Specialist

    TEKsystems (Menasha, WI)
    …benefits + Claims and billing + Authorizations and prior approvals + Medicare, Medicaid , and Marketplace plans You'll handle calls and emails with empathy and ... service or call center experience + Experience with Medicare, Medicaid , or insurance verification + Ability to multitask in...Menasha + We are ramping up to support new Medicaid and Dental lines of business launching in 2026… more
    TEKsystems (07/22/25)
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