• Lead Medicaid Actuary ( Manager )

    Humana (Madison, WI)
    …needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in addition to working on problems of diverse scope and ... Qualifications** + 5 years of experience within the managed Medicaid industry + 3 years of project management experience + In depth knowledge of capitation rate… more
    Humana (08/27/25)
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  • Medicaid Drug Strategy Pharmacist Lead

    CenterWell (Madison, WI)
    …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
    CenterWell (08/20/25)
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  • IT Business Systems Analyst Sr - Medicaid…

    Prime Therapeutics (Madison, WI)
    …additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within project + Educate and ... we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT Business Systems Analyst… more
    Prime Therapeutics (08/27/25)
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  • Senior Project Manager

    Humana (Madison, WI)
    …future of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team (known internally as a Senior IT ... Project Manager ). The ideal candidate will have...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (08/27/25)
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  • Senior Client Coding Project Manager

    Datavant (Madison, WI)
    …experiences to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. ... phase of client projects and ensure all parties remain on track with project requirements, deadlines, and schedules. **You will:** + Partner with Customer Success… more
    Datavant (06/28/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Milwaukee, WI)
    …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience. + Familiarity with Medicaid -specific Scorable ... **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable… more
    Molina Healthcare (08/14/25)
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  • Manager of Clinical Operations

    Prime Therapeutics (Madison, WI)
    …**Job Posting Title** Manager of Clinical Operations **Job Description** The Manager Operations is responsible for operations and project support capacity ... teams. **Responsibilities** + Manage operations (via capacity and workload planning, project support planning, or project leadership) for immediate client… more
    Prime Therapeutics (08/31/25)
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  • Manager - Reimbursement & Payor Analysis

    Marshfield Clinic (Marshfield, WI)
    …to support the most exciting missions in the world!** **Job Title:** Manager - Reimbursement & Payor Analysis **Cost Center:** 101651010 System Support-Finance ... - 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Manager -Reimbursement & Payor Analysis is responsible for overseeing a team of analysts… more
    Marshfield Clinic (08/29/25)
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  • Medicare Product Development Manager…

    Molina Healthcare (Madison, WI)
    …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
    Molina Healthcare (07/25/25)
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  • Product Manager , Risk Adjustment Coding…

    Datavant (Madison, WI)
    …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the data strategy and ... data. You will also support scalable, reliable, and performant project data ingestion pipelines and maintain databases that support...and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard… more
    Datavant (08/20/25)
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