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Humana
Director, Risk Management
Humana Madison, WI, USA
Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Dec 27, 2025
Humana
Encounter Data Management Professional
Humana Madison, WI, USA
Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Dec 24, 2025
Humana
Care Management Support Assistant
Humana Madison, WI, USA
Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Dec 21, 2025
Humana
Workforce Management Professional 1
Humana Madison, WI, USA
Become a part of our caring community and help us put health first The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of moderate complexity. The Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented...

Dec 16, 2025
Humana
Associate / Product Owner - Marketing Resource Management (MRM)
Humana Madison, WI, USA
Become a part of our caring community and help us put health first Humana is evolving its marketing operations to enable smarter planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/Product Manager - Marketing Resource Management (MRM) Capabilities, you'll own the roadmap for tools and workflows that support campaign intake, planning, approvals, and performance tracking. This role is central to enabling scalable, compliant, and insight-driven marketing operations. You'll help guide the transition to a modern resource management platform and evaluate opportunities to integrate with enterprise workflow systems to support intelligent orchestration. This role supports the day-to-day configuration and optimization of marketing resource management tools and workflows. You'll work closely with cross-functional teams-including Marketing, Creative, Legal, and IT-to ensure campaign planning and...

Dec 14, 2025
Humana
Lead Product Owner - Product Management
Humana Madison, WI, USA
Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The Lead Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Lead Product Owner works on problems of diverse scope and complexity ranging from moderate to substantial. This role will be aligned to Humana sales technology platforms, helping further advance capabilities that provide a seamless...

Dec 13, 2025
Humana
Senior Workforce Management Professional
Humana Madison, WI, USA
Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

Dec 12, 2025
Humana
Staff Utilization Management Clinical Pharmacist
Humana Madison, WI, USA
Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

Dec 07, 2025
Humana
Lead Product & Strategy Manager - Provider Practice Management
Humana Madison, WI, USA
Become a part of our caring community and help us put health first We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into actionable workflows for clinical practices. The Lead Product & Strategy Manager will work across clinical initiatives focused on reducing 30-day Plan All-Cause Readmissions (PCR). They will partner closely with high-performing and low-performing provider groups to identify clinical best practices, understand operational gaps, and design and...

Dec 07, 2025
Humana
Senior Product Manager
Humana Madison, WI, USA
Become a part of our caring community and help us put health first The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. As a Senior Product Manager, you will plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology solutions. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and enterprise architecture. The Senior Product Manager will...

Dec 21, 2025
So
Full time
 
Graphic & Digital Communications Manager
State of Wisconsin Madison, WI, USA
Introduction Assembly Democratic Leader Greta Neubauer (D-Racine) is currently accepting applications for the full-time Graphic & Digital Communications Manager position in her Capitol office in Madison to start as soon as possible. The ideal candidate is a highly motivated, detail-oriented, and energetic person with strong graphic design/content production experience and verbal and written communication skills. Salary Information The position is classified as a Graphic Designer/Artist with an annual salary range of $53,183 - $81,071 per year. Starting salary is dependent on experience and education. This position receives the same benefits available to other State of Wisconsin employees, including health insurance and retirement. For more information related to benefits, please see: https://legis.wisconsin.gov/lhro/benefits. Job Details Plan, design, and produce artwork and digital content for visual communications, including print and video media. Examples include:...

Dec 06, 2025
MD
Shift Manager
McDonald's Lancaster, WI, USA
Starting pay 15.00 hour Benefits: Along with competitive pay, a Shift Manager at a McDonald's owner operator restaurant is eligible for incredible benefits including: Performance Based Bonus Program. Paid vacation Education through Archways to Opportunity including opportunities to earn a High School degree, college tuition assistance and English classes as a second language Medical, dental and vision coverage Short- and Long-Term Disability, life and accident insurance Service awards Requirements: Managers lead shifts every week, making sure customers get a fast, accurate, friendly experience every visit. A Shift Manager provides leadership to crew and other managers during a shift to ensure great Quality, Service and Cleanliness to customers. Shift Managers perform a variety of tasks, which may include planning for each shift, monitoring performance during the shift, taking action to ensure the team is meeting McDonald's...

Dec 30, 2025
AC
Human Resources Manager
Aston Carter Racine, WI, USA
Position Summary We are seeking an experienced HR Manager to lead and manage all human resources functions within our manufacturing facility. This role is responsible for developing and implementing HR strategies that support business objectives, ensure compliance, and foster a positive workplace culture. Candidates must have prior experience in a manufacturing environment. Key Responsibilities Oversee all HR operations including recruitment, onboarding, employee relations, performance management, and compliance. Develop and implement HR policies and procedures aligned with company goals and regulatory requirements. Partner with plant leadership to address workforce planning, talent development, and succession planning. Manage employee relations issues, investigations, and conflict resolution in a fair and consistent manner. Ensure compliance with federal, state, and local labor laws, including OSHA and safety regulations. Administer...

Dec 29, 2025
Humana
Case Manager- Spooner, WI
Humana Spooner, WI, USA
Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities. Key responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP). Coordinate services that address members' health and...

Dec 27, 2025
Humana
Manager, Fraud and Waste, Special Investigation Unit-Triage
Humana Madison, WI, USA
Become a part of our caring community and help us put health first The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Where You Come In The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and...

Dec 27, 2025
Humana
Case Manager- Baldwin, WI
Humana River Falls, WI, USA
Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities. Key responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP). Coordinate services that address members' health and...

Dec 26, 2025
Humana
Case Manager- Spooner, WI
Humana Siren, WI, USA
Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities. Key responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP). Coordinate services that address members' health and...

Dec 26, 2025
SB
Full time
 
National Trade Association Manager - MN & WI
Stanley Black & Decker Madison, WI, USA
National Trade Association Manager – In the field Minneapolis/St. Paul, MN, Milwaukee, WI or Maddison, WI. United States 50% Travel Expected Come build something that matters. It takes great people to achieve greatness. People with a sense of purpose and integrity. People with a relentless pursuit of excellence. People who care about making things better For Those Who Make The World™. Sound like you? Join our top-notch team of approximately 48,000 diverse and high-performing professionals globally who are making their mark on some of the world’s most beloved brands, including DEWALT®, BLACK+DECKER®, CRAFTSMAN®, STANLEY®, CUB CADET®, and HUSTLER®. The Job: As a National Trade Association Manager, you’ll be part of our Commercial Construction team working as a remote employee in the field. You’ll get to: Achieve top-line sales targets based on assigned user base and goals & objectives through selling DEWALT brands to our end-user customer base. Establish,...

Dec 26, 2025
Uo
Full time
 
CLARiTI Program Supervisor
University of WisconsinMadison Madison, WI, USA
Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff Employment Type: Regular Job Profile: Clin Res Project Supv Job Summary: The Department of Medicine offers a unique opportunity for a Program Supervisor to support the ADRC Consortium for Clarity in Alzheimer’s and Related Dementia Research Through Imaging (CLARiTI) study. This NIH-funded multi-site study, headquartered at UW–Madison, brings resources at an unprecedented scale to the network of Alzheimer’s Disease Research Centers (ADRCs) across the country. The consortium’s mission is to advance understanding of Alzheimer’s and related dementias by using advanced brain imaging and fluid biomarkers to identify multiple disease causes and their associated timelines. By developing tools for more accurate diagnosis and staging, CLARiTI will illuminate the additional disease...

Dec 26, 2025
Humana
Case Manager- Spooner, WI
Humana Webster, WI, USA
Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities. Key responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP). Coordinate services that address members' health and...

Dec 26, 2025
Humana
Case Manager- Baldwin, WI
Humana Baldwin, WI, USA
Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin's FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities. Key responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP). Coordinate services that address members' health and...

Dec 26, 2025
Humana
Full time
 
Case Manager- Baldwin, WI
Humana Hudson, WI, USA
Become a part of our caring community and help us put health first Join Humana as a Case Manager and make a real difference within the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their daily lives. As a Case Manager, you will provide comprehensive social service care management to frail elders and adults with intellectual, developmental, or physical disabilities who qualify for Wisconsin’s FC program. Bring your compassion and expertise to help members access vital resources, promote independence, and enhance their quality of life within their communities. Key responsibilities: Assess members to identify their strengths, interests, and preferences, focusing on health and safety needs to develop a comprehensive Member Care Plan (MCP). Coordinate services that address members’ health and safety...

Dec 25, 2025
BB
Full time
 
Bilingual Match Maker/Case Manager (Spanish & English)
Big Brothers Big Sisters of Metro Milwaukee Milwaukee, WI, USA
Looking for a job that makes a life-changing impact? Join Big Brothers Big Sisters’ growing and dynamic team! This position (internally referred to as Enrollment & Match Support Specialist, or EMSS) functions as an interviewer and match maker for volunteers and families, as well as a case manager to support new and existing matches based on needs. Guide volunteers and families through the enrollment process including interviews, training, and making matches, while also providing case management and support to a caseload of matches, developing meaningful relationships that last throughout their time in the program…and even beyond! Position Summary This position is responsible for providing high-level customer service in the volunteer and parent/child enrollment and matching process while executing a high degree of independent judgment in accordance with the Big Brothers Big Sisters of America (BBBSA) national standards of service to meet annual new match goals. The EMSS...

Dec 24, 2025
Cl
Part time
 
Supervisor/Manager Part-Time
Claire's La Crosse, WI, USA
Part-Time Manager Opportunity Join the team. Drive Sales. Be the Most You! At Claire’s, we’re all about self-expression, creativity, and bringing the latest trends to life for our customers. If you thrive in a fast-paced retail environment, love engaging with customers, and have a passion for driving sales, this is the perfect opportunity for you! Responsibilities Own the Sales Game: Crush sales goals by delivering next-level customer experiences, upselling must-have accessories, and hyping up promos to drive revenue. Piercing Excellence : Join the ranks of our piercing experts through comprehensive training. Become a trusted guide for customers - conducting piercings, educating on aftercare, maintaining a sterile environment, addressing questions and concerns throughout the process. Keep It Fresh: Maintain an Insta-worthy store with perfect displays, organized inventory, and easy-to-shop layouts that make browsing fun and effortless. Team...

Dec 24, 2025
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