• RN Care Manager - Remote, nationwide

    Humana (Madison, WI)
    …flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group Account members and create actionable and measurable ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Senior Strategy Advancement Professional

    Humana (Madison, WI)
    …in interviews and working sessions with leaders within Medicare and Medicaid and across the broader organization + Conducting industry, market, competitor, ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Waukesha, WI)
    …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
    Elevance Health (09/06/25)
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  • Senior Research Scientist

    Humana (Madison, WI)
    …to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, delivering ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Strategic HEDIS Data Analysis Manager

    CVS Health (Madison, WI)
    …insights, and enhance the delivery of healthcare services * Support Medicaid markets on analysis of key improvement activities and interventions, including ... external stakeholders **Preferred Qualifications** * Master's degree preferred * Medicaid managed care experience **Education** Bachelor's degree or equivalent work… more
    CVS Health (09/06/25)
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  • IRIS Self-Directed Personal Care (RN) (Milwaukee,…

    Molina Healthcare (Milwaukee, WI)
    …in your community who are enrolled in the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. People in the ... Degree in Nursing **PREFERRED EXPERIENCE:** Experience providing care through the Wisconsin Medicaid Personal Care Program or one year of home care experience To… more
    Molina Healthcare (09/06/25)
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  • Senior Data Scientist

    Humana (Madison, WI)
    …to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, delivering ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Research Scientist 2

    Humana (Madison, WI)
    …to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, delivering ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Stars Operations Strategy Lead

    Humana (Madison, WI)
    …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (09/06/25)
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  • Senior Analyst, Business Analytics

    CVS Health (Madison, WI)
    …each and every day. **Position Summary** The Sr. Business Analyst supports Medicaid Enrollment Operations by making data accessible and actionable for teams and ... report on vendor performance data. + Familiarity with Medicare and Medicaid regulations. **Education** + Associates degree or equivalent experience. **Anticipated… more
    CVS Health (09/05/25)
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