• Behavioral Health Community Case Manager

    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 ... resource development, marketing and outreach. Work closely with the division manager and direct supervisor on personal development, program development,… more
    Walworth County (08/12/25)
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  • Manager Rebate Pharmacy Operations

    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
    Prime Therapeutics (08/08/25)
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  • HS/Lhcc Manager - Administrative Services…

    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
    Walworth County (08/01/25)
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  • RN Case Manager

    Humana (Viroqua, WI)
    …seeking a RN Case Manager to serve members in the Wisconsin Family Care (FC) program . As an RN Case Manager , you will be responsible for partnering with your ... **Preferred Qualifications** + Bachelor degree in nursing. + One ( 1 )+ years of experience with Family Care target group:...**Driving** This role is part of Humana's driver safety program and therefore requires an individual to have a… more
    Humana (06/27/25)
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  • Operations Manager - East Market

    Marshfield Clinic (Wausau, WI)
    …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... the most exciting missions in the world!** **Job Title:** Operations Manager - East Market **Cost Center:** 301671005 WC-Administration **Scheduled Weekly Hours:**… more
    Marshfield Clinic (07/03/25)
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  • Tele Behavioral Health Care Manager

    Humana (Madison, WI)
    …community and help us put health first** The Behavioral Health Care Manager , in a telephonic environment, assesses and evaluates members' needs and requirements ... and well being of members. The Behavioral Health Care Manager 's work assignments are varied and frequently require interpretation...+ Generous PTO package + Health benefits effective day 1 + 401K - Immediate company match + Well-being… more
    Humana (08/14/25)
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  • Case Manager

    Humana (Baraboo, WI)
    …our caring community and help us put health first** Humana is seeking Case Manager , aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve ... members in the Wisconsin Family Care (FC) program . In this role, you will be responsible for...in the Human Services or related field with one ( 1 ) year of experience working with at least one… more
    Humana (07/31/25)
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  • RN Case Manager LTSS (Nursing Facilities)

    Molina Healthcare (Racine, WI)
    …be licensed for the state of OHIO. This position will support our MMP ( Medicaid Medicare Population) with members in Nursing Facilities. This position will have a ... case load and manage members enrolled in this program . We are looking for Registered Nurses who have...Accredited School of Nursing **Required Experience** + At least 1 year of experience working with persons with disabilities/chronic… more
    Molina Healthcare (08/10/25)
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  • Manager , Provider Engagement (Remote…

    Molina Healthcare (Madison, WI)
    **Job Description** **Job Summary** The Manager , Provider Engagement establishes strategies and operational directions for risk adjustment and quality improvement. ... performance goals and manages progress for key performance indicators. + Ensures each Tier 1 , Tier 2 and Tier 3 provider has quality & risk adjustment performance… more
    Molina Healthcare (06/22/25)
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  • Marketing Automation Manager (Adobe…

    Humana (Madison, WI)
    …put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in Adobe Experience Platform (AEP) and Next Best Action ... execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist...in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and… more
    Humana (08/14/25)
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