• Lead- Medicaid Customer Success

    CenterWell (Madison, WI)
    …of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This ... contracts, as well as to identify opportunities and implement program improvements to enhance our member and customer experience....affairs teams, sales teams define overall strategy for each Medicaid state + Work with market partners to perform… more
    CenterWell (08/08/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Madison, WI)
    …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
    Prime Therapeutics (08/08/25)
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  • Product Manager

    Cayuse Holdings (Madison, WI)
    …The Product Manager ensures the product aligns with the HCMACS program objectives, satisfies the functional and operational needs of target users (eg, healthcare ... **Overview** **_JOB TITLE:_** Product Manager **_CAYUSE COMPANY:_** Cayuse Civil Services **_LOCATION_** Remote **_SALARY:_** $120,000-$160,000… more
    Cayuse Holdings (08/13/25)
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  • HS/Lhcc Manager - Administrative Services…

    Walworth County (Elkhorn, WI)
    …for the Comprehensive Community Services (CCS), Case Management (CM) and Wisconsin Medicaid Cost Reporting (WIMCR) program services that are consistent with ... HS/LHCC Manager - Administrative Services (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5028505) Apply  HS/LHCC Manager -… more
    Walworth County (08/01/25)
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  • Senior Manager , Network Management,…

    CVS Health (Madison, WI)
    …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... You will manage contract performance and support the development and implementation of strategic, traditional contracts and value-based relationships. Role is for… more
    CVS Health (07/19/25)
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  • Manager Cbrf/Rcac

    Marshfield Clinic (Beaver Dam, WI)
    …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... the most exciting missions in the world!** **Job Title:** Manager CBRF/RCAC **Cost Center:** 351011460 Beaver Dam-CBRF-Remembrance **Scheduled Weekly Hours:**… more
    Marshfield Clinic (06/04/25)
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  • Manager - Quality

    Marshfield Clinic (Marshfield, WI)
    …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... support the most exciting missions in the world!** **Job Title:** Manager - Quality **Cost Center:** 301351016 MfdHos-Quality Improvement **Scheduled Weekly Hours:**… more
    Marshfield Clinic (08/09/25)
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  • Clinical Account Manager - Georgia PDL…

    Prime Therapeutics (Madison, WI)
    …passion and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
    Prime Therapeutics (07/24/25)
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  • Risk Adjustment Revenue Director (Remote/Hybrid)

    Marshfield Clinic (Marshfield, WI)
    …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... revenue management for Sanford Health Plan's Medicare, Affordable Care Act and Medicaid business and reports to the Senior Director, Chief Actuary. This individual… more
    Marshfield Clinic (07/29/25)
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  • Regulatory Specialist Senior

    SSM Health (Fond Du Lac, WI)
    implementation of an integrated regulatory compliance and accreditation program . **Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Possesses a ... collaboratively with leaders, clinicians and other staff in the development and implementation of regulatory requirements to identify and reduce risks, and meet… more
    SSM Health (07/29/25)
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