- 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
- 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)
- …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
- 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
- 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
- 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 (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
- 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 (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
- 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