• Formulary Strategy Pharmacist Lead

    Humana (Madison, WI)
    …data driven methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care, ... 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 (08/15/25)
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  • Bilingual Case Manager

    Cardinal Health (Madison, WI)
    …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
    Cardinal Health (08/14/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Milwaukee, WI)
    …and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and Marketplace lines of business. + PMP, Certified… more
    Molina Healthcare (08/14/25)
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  • Home Health Registered Nurse RN Full Time 10K Sign…

    Aveanna Healthcare (Mayville, WI)
    …active RN License in the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN experience in ... a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions,… more
    Aveanna Healthcare (08/14/25)
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  • Reimbursement Specialist

    Cardinal Health (Madison, WI)
    …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
    Cardinal Health (08/14/25)
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  • Salaried Registered Nurse Weekend Baylor FT 10K…

    Aveanna Healthcare (Germantown, WI)
    …active RN License in the state of application' + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN experience in ... a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions,… more
    Aveanna Healthcare (08/13/25)
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  • Home Health RN Clinical Manager 10K Sign On Bonus

    Aveanna Healthcare (Brookfield, WI)
    …maintain active CPR per agency policy. Preferred: * Bachelor's degree preferred * Medicare Skilled Nursing experience and a basic understanding of OASIS * 3+ years ... in a healthcare setting (home health preferred) As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
    Aveanna Healthcare (08/13/25)
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  • Home Health Licensed Practical Nurse LPN Full Time

    Aveanna Healthcare (Germantown, WI)
    …in the state of application + Valid CPR and Drivers License Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year LPN experience ... setting + Home Care Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
    Aveanna Healthcare (08/13/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Madison, WI)
    …or Bachelor's degree in a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual is a ... 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 (08/09/25)
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  • RN Care Manager Remote with field travel in WA…

    Molina Healthcare (Racine, WI)
    …and the site of service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management experience and ... proficient knowledge of MS Suite, organized and analytical thinking. Experience with Medicare /Medicaid, MS 365 and familiarity with claims is highly preferred. The… more
    Molina Healthcare (08/08/25)
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