- CenterWell (Madison, WI)
- …of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This ... contracts, as well as to identify opportunities and implement program improvements to enhance our member and customer experience....affairs teams, sales teams define overall strategy for each Medicaid state + Work with market partners to perform… more
- Molina Healthcare (Milwaukee, WI)
- …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... should be knowledgeable of and have experience with South Carolina Medicaid **Job Summary** Provides subject matter expertise and responsibility for oversight,… more
- Molina Healthcare (Madison, WI)
- …goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & ... Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements,… 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 ... 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...experience. + At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning operational projects… more
- CVS Health (Madison, WI)
- …years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of… more
- Prime Therapeutics (Madison, WI)
- …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
- Walworth County (Elkhorn, WI)
- …plan and that the documentation is complete in compliance with all Medicaid , state and program requirements. Communicate to division leadership, and ... development, marketing and outreach. Work closely with the division manager and direct supervisor on personal development, program...and ensure that standards are achieved and that all Medicaid guidelines are met. Take a leadership role in… more
- Molina Healthcare (Racine, WI)
- …of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Serves as ... years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3+ years of… more
- Walworth County (Elkhorn, WI)
- …for the Comprehensive Community Services (CCS), Case Management (CM) and Wisconsin Medicaid Cost Reporting (WIMCR) program services that are consistent with ... HS/LHCC Manager - Administrative Services (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5028505) Apply HS/LHCC Manager -… more
- Centers for Independence (Milwaukee, WI)
- ** Manager -Clinical PSN** **Job Details** **Job Location** MCFI Main Campus - Milwaukee, WI **Position Type** Full Time **Travel Percentage** Minimal; Less than 10% ... **Job Shift** Day **Description** **Job Purpose:** The clinical manager is responsible for organizing and directing the daily operations of the Pediatric Skilled… more