• FCP RN Care Manager- Baraboo

    Humana (Richland Center, WI)
    …health care setting. + Case Manager Certification. + General knowledge of Medicaid and Medicare benefits. **Additional Information** + **Workstyle:** Field. ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (11/11/25)
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  • Principal Solution Strategist - JUDI - Remote

    Prime Therapeutics (Madison, WI)
    …currently on the lookout for a Principal Solution Strategist to help lead the Medicare and Medicaid migrations for the JUDI program.** **Job Description** The ... collaborative or independent problem solving **Preferred Qualifications** + PBM/health experience + Medicare , Medicaid , CMS background + Desire to be a SME… more
    Prime Therapeutics (11/08/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Milwaukee, WI)
    …on access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance ... relates to payer approval processes and business acumen. + Understanding of Medicare , Medicaid , and private payer initiatives affecting reimbursement of… more
    J&J Family of Companies (11/08/25)
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  • Salesforce Business Analyst

    ABBTECH Professional Resources, Inc. (Madison, WI)
    …Client requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business ... Owner or SAFe Agilist. Experience working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance/heath care experience * * Experience… more
    ABBTECH Professional Resources, Inc. (11/06/25)
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  • Special Needs Plan- Support Social Services

    Humana (Madison, WI)
    …Bilingual English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (11/06/25)
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  • Regulatory Specialist (S)

    SSM Health (Waupun, WI)
    …+ Possesses a working knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital ... readiness related to The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Conditions of Participations (CoPs) and State specific… more
    SSM Health (10/29/25)
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  • Compliance Analyst Principal (Performance…

    Prime Therapeutics (Madison, WI)
    …Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical Demands** +… more
    Prime Therapeutics (10/24/25)
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  • Senior Clinical Programs Pharmacist

    Humana (Madison, WI)
    …Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (10/18/25)
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  • Summer 2026 MBA Internship - Insurance

    Humana (Madison, WI)
    …the following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (09/24/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Madison, WI)
    …non-compact states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare / Medicaid Experience a plus + Call center or triage experience ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (09/12/25)
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