• Senior Manager , Medicare Sales…

    Humana (Madison, WI)
    …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of Medicare ... mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales must have a solid understanding of the market they serve, how… more
    Humana (08/29/25)
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  • Medicare Compliance Manager

    Molina Healthcare (Milwaukee, WI)
    …experience in health plan setting in government programs management (Contract Manager ) **Preferred Experience** 7-9 years To all current Molina employees: If ... you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 -… more
    Molina Healthcare (07/25/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Madison, WI)
    …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
    Molina Healthcare (07/25/25)
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  • Medicare Customer Service Specialist…

    Molina Healthcare (Madison, WI)
    …members, and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EXPERIENCE:** Experience with Medicare and Medicare ... Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual...8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound welcome calls… more
    Molina Healthcare (08/31/25)
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  • Specialist, Medicare Member Engagement…

    Molina Healthcare (Green Bay, WI)
    …and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social Work, Human ... of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP,… more
    Molina Healthcare (08/29/25)
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  • Senior Analyst, Operational Regulatory Oversight-…

    Molina Healthcare (Kenosha, WI)
    …provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
    Molina Healthcare (08/22/25)
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  • Supervisor, Medicare Pharmacy…

    Molina Healthcare (Kenosha, WI)
    …speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is ... leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. + Responsible for key… more
    Molina Healthcare (08/13/25)
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  • Big Data Engineer - Medicare /Medicaid

    Molina Healthcare (WI)
    …monitor, and troubleshoot Hadoop-based infrastructure using tools such as Cloudera Manager , Ambari, and Zookeeper. * Enforce data quality, security, and compliance ... in deploying and monitoring big data infrastructure with Ambari, Cloudera Manager , and Zookeeper. * Solid understanding of data warehousing, data validation,… more
    Molina Healthcare (08/26/25)
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  • Senior Process Consultant ( Medicare )…

    Molina Healthcare (Racine, WI)
    …process improvement efforts. Will lead re-engineering team and act as project manager in some cases. + Develops training curriculum to educate leaders and ... staff on process improvement and problem-solving methodologies + Conducts educational sessions with staff and leaders and coaches them on process improvement projects. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree required in a related field… more
    Molina Healthcare (07/19/25)
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  • Lead Product Manager - Dual Population

    Humana (Madison, WI)
    …develop engagement best practices, and design clinical solutions for members who have Medicare and Medicaid. The Lead Product Manager partners across various ... our dual members - members that qualify for both Medicare and Medicaid. The Lead Product Manager sits in the center of strategy, design, technology, clinical,… more
    Humana (08/23/25)
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