• Regional Manager , Value-Based Programs…

    Molina Healthcare (Madison, WI)
    **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... and LOBs. **KNOWLEDGE/SKILLS/ABILITIES** + Works directly with assigned market network leaders to identify providers for value-based contracting, support local… more
    Molina Healthcare (11/09/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (WI)
    …Partners with Network to communicate recovery projects so that provider relations can be informed and respond to questions from providers. **Strategic Business ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
    Molina Healthcare (11/20/25)
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  • Chief Psychiatrist - Behavioral Health Medical…

    Humana (Madison, WI)
    …also lead the development of new products and services in Humana's Medicaid BH delivery model. **Position Responsibilities:** + Leads clinical and quality management ... and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, clinical… more
    Humana (10/23/25)
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  • Advisor, Managed Care Market Managment

    Cardinal Health (Madison, WI)
    **_What Network and Payor Relations contributes to Cardinal Health_** Marketing is responsible for assessing customer needs, market conditions and competition to ... strategy through developing, commercializing and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development… more
    Cardinal Health (11/06/25)
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