• VP Government Programs - Medicare & Managed…

    Prime Therapeutics (Madison, WI)
    …drives 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, administration, and execution of strategic plans that advance Prime's… more
    Prime Therapeutics (10/08/25)
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  • Behavioral Health Medical Director…

    Humana (Madison, WI)
    …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an approved… more
    Humana (11/11/25)
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  • Medical Director - Medicaid N. Central

    Humana (Madison, WI)
    …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
    Humana (10/25/25)
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  • Wisconsin Medicaid Market CFO

    Humana (Madison, WI)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Wisconsin Medicaid Market CFO provides strategic financial leadership for Humana's Medicaid operations… more
    Humana (11/19/25)
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  • Medicaid State Technology Lead

    Humana (Madison, WI)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice changes within their… more
    Humana (11/20/25)
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  • Medical Director, Nat'l OP Medicare

    Humana (Madison, WI)
    …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid . + Utilization management experience ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines… more
    Humana (11/07/25)
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  • Sr. Medicare (PPS) Provider Hospital…

    Humana (Madison, WI)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer… more
    Humana (10/18/25)
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  • Specialist, Community Engagement Medicare

    Molina Healthcare (Oshkosh, WI)
    …Responsible for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare - Medicaid recipients within ... School Diploma/GED/AA Degree **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2+ years Medicare , Medicaid , managed care or other health/insurance related… more
    Molina Healthcare (10/12/25)
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  • Associate Director, Medicaid Procurement

    Humana (Madison, WI)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... + Understands and explains procurement and supplier oversight processes to Medicaid markets and business areas contacts + Improve and document processes… more
    Humana (11/21/25)
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  • Medicare Sales Field Agent

    Humana (Appleton, WI)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of… more
    Humana (10/22/25)
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