• VP Government Programs - Medicare & Managed…

    Prime Therapeutics (Madison, WI)
    …every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government ... Programs - Medicare & Managed Medicaid is responsible for the development,...of strategic plans that advance Prime's position in the Medicare space. This position has accountability for the … more
    Prime Therapeutics (10/08/25)
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  • Senior Program Manager, Medicare Stars…

    Molina Healthcare (Milwaukee, WI)
    **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
    Molina Healthcare (10/17/25)
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  • Specialist, Community Engagement Medicare

    Molina Healthcare (Oshkosh, WI)
    …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. + Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
    Molina Healthcare (10/12/25)
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  • Medical Director, Nat'l OP Medicare

    Humana (Madison, WI)
    …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
    Humana (12/13/25)
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  • Medicare Member Engagement Specialist…

    Molina Healthcare (WI)
    …of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, ... database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular… more
    Molina Healthcare (11/13/25)
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  • Medicare Sales Field Agent

    Humana (Appleton, WI)
    …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...**Deliver** : Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental,… more
    Humana (10/22/25)
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  • Sales Manager, Medicare National…

    Molina Healthcare (WI)
    …market leader in the different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a rapidly growing business unit ... that will execute on Molina's Medicare national broker distribution strategy with National Marketing Organizations...strategy that drives significant sales growth of Marketplace and Medicare products with accounts. * Build and maintain strong,… more
    Molina Healthcare (11/21/25)
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  • Medical Director, Medicare Grievances

    Humana (Madison, WI)
    …clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis and interpretation ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (11/19/25)
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  • Pharmacy Product Director - Medicare DSNP

    Highmark Health (Madison, WI)
    …experience in managed care pharmacy + 2 years of clinical account management experience in Medicare as part of the 4 year managed care experience + 2 years of ... experience analyzing pharmaceutical cost of care data **Substitutions** + None **Preferred** + Masters of Pharmacy or Masters of Business Administration + AMCP-ASHP accredited residency in managed care pharmacy + Experience leading or participating in Pharmacy… more
    Highmark Health (11/14/25)
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  • Program Director - Medicare Duals (Remote)

    Molina Healthcare (Racine, WI)
    …**Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of subject matter experts, ... delivering products through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs, and monitors… more
    Molina Healthcare (12/14/25)
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