- Humana (Madison, WI)
- …support across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager ... review and documentation. The Lead Actuary will be responsible for Medicaid -specific functions such as capitation rate review, drafting rate advocacy communications,… more
- Molina Healthcare (Milwaukee, WI)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina...- 5 years supervisory experience + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans +… more
- Humana (Madison, WI)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...experiences **Preferred Qualifications** + Proven knowledge in Medicare and Medicaid regulations + Certifications (BA, MBA, JD, MSN, Clinical… more
- Molina Healthcare (WI)
- …monitor, and troubleshoot Hadoop-based infrastructure using tools such as Cloudera Manager , Ambari, and Zookeeper. * Enforce data quality, security, and compliance ... in deploying and monitoring big data infrastructure with Ambari, Cloudera Manager , and Zookeeper. * Solid understanding of data warehousing, data validation,… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative ... teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate...state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each… more
- Molina Healthcare (Milwaukee, WI)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...experience. + At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning operational projects… more
- Humana (Madison, WI)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- J&J Family of Companies (Milwaukee, WI)
- …States, Milwaukee, Wisconsin, United States **Job Description:** **Field Reimbursement Manager (Immunology Dermatology)- Milwaukee, North - Johnson & Johnson HCS, ... Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Milwaukee,… more
- Marshfield Clinic (Phillips, WI)
- …the most exciting missions in the world!** **Job Title:** Assistant Manager -Patient Connection Center (Park Falls) **Cost Center:** 501521550 Registration-Amb-PF Reg ... America) **Job Description:** **JOB SUMMARY** The Patient Connection Center Assistant Manager supports leadership with the management of Patient Access Specialists… more
- Humana (Madison, WI)
- …through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management). The ... delivering successful products in an agile framework. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design, data… more