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LA
Full time
 
VP of Data & Financial Policy
LeadingAge Wisconsin Madison, WI, USA
As a leader in senior advocacy, education, and formulation of collaborative strategies, LeadingAge Wisconsin is committed to advancing the fields of long-term care, assisted living and retirement living. We serve as a resource for our members, assisting them in problem resolution and providing services and programs to meet their needs. OVERVIEW: This position works closely with the President/CEO, Finance Network, Finance, and Public Policy committees in developing payment policy positions that are data-driven and grounded in research, best practices, and support member growth. This individual must develop and build relationships with key members of regulatory departments, other long term care policy stakeholders, Managed Care Organizations and work closely with contracted lobbyists. This individual will work closely with the LeadingAge WI team, along with contract lobbyist in coordinating advocacy strategy and activities. Additionally, this position will work closely...

Jan 16, 2026
Mo
Digital Release Specialist
Moxe Madison, WI, USA
Job Summary : The Digital Release Specialist is accountable for the timely, accurate, and efficient processing of all Release of Information requests while upholding superior service standards. The associate is expected to rigorously protect patient privacy, ensuring that access to medical information is granted only to authorized parties and that all disclosures strictly adhere to the request, supporting documentation, organizational policy, and HIPAA regulations. Duties/Responsibilities : Completes release-of-information requests by retrieving patient medical charts, accurately scanning and transmitting records, and returning charts in accordance with established procedures, quality standards, and daily productivity requirements. Interact with requestors to identify medical records needed for patient care, review, billing or release of information Validates requests and authorizations for release of medical information according to established procedures....

Jan 15, 2026
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...

Jan 13, 2026
EG
Full Stack .NET Developer
Eliassen Group Madison, WI, USA
Full Stack .NET Developer Anywhere Type: Contract Category: Development Industry: Technology Workplace Type: Remote Reference ID: JN -012026-104901 Date Posted: 01/05/2026 Shortcut: http://careers.eliassen.com/Ty83CV Description Recommended Jobs Description: 100% Remote As a Full Stack Engineer, you have a proven track record of success delivering projects of critical importance. You are comfortable with both greenfield development (including deployment pipelines) and working in existing microservices and monoliths. You write code that follows best practices, is maintainable, and is tested. You break down product requirements into units of work that can begin delivering value quickly and can easily be iterated upon. If you are someone who is a continuous learner, a problem solver, passionate about code quality and loves working with the latest and greatest technologies in a team environment - then this is the job for...

Jan 13, 2026
Highmark Health
Strategy Consultant - Risk Adjustment
Highmark Health Madison, WI, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job supports executive leadership of the Organization with a range of strategic initiatives, specifically focusing on the evolution of Risk Adjustment Accuracy Management (RAAM) and Highmark's clinical data strategy. Providing analytical/strategic-thinking and leading project teams, particularly those bridging business and technical functions, to: 1) isolate complex business issues related to RAAM and interoperability; 2) design and execute analytics for studying these issues (market research, scenario planning, forecasting, etc.); 3) develop technical content and serve as a subject matter expert on clinical data exchange, interoperability standards, and related technologies; 4) support development of formal recommendations to senior levels of Highmark leadership, ensuring solutions maximize business value and adhere to technical standards; 5) create documents (go-to-market or operational strategies,...

Jan 12, 2026
Otsuka Pharmaceutical Companies (U.S.)
Director, Publications Lead
Otsuka Pharmaceutical Companies (U.S.) Madison, WI, USA
The Director, CNS Publications Lead is responsible for leading the planning, development, and execution of the global medical publication strategy and publication deliverables for the CNS therapeutic area. This role ensures the timely, accurate, and compliant communication of scientific and clinical data through congress abstracts, posters, manuscripts, and other peer-reviewed outputs. Serving as the functional lead for publication operations within the CNS Medical Communications team, the Director partners closely with cross-functional stakeholders, including Clinical Development, Global Integrated Evidence & Innovation (GIE&I), Medical Strategy, Core Content, and external vendors, ensuring excellence and consistency in scientific communication across the portfolio. The position reports to the Senior Director, CNS Medical Communications Lead and plays a key leadership role in advancing Otsuka's mission to deliver impactful, evidence-based science that improves...

Jan 12, 2026
Fu
Sr Project Team Support Engineer
Fujifilm Madison, WI, USA
Position Overview The Senior Projects Support Engineer provides highly visible remote technical, applications and system admin support for HCUS customers. Primarily supports TAC and MI Service with the management, execution, and administration of operational, billable, and more in-depth projects and support. Works on complex issues where analysis of situations or data requires an in-depth evaluation of variable factors which may include customer impact, HCUS business priorities, and regulatory requirements. Normally receives little instruction on day-to-day work, and general instructions on new assignments. Offers mentorship to new incumbents on technical and product knowledge and department operating procedures. To meet customers' needs, working outside of normal business hours and holidays is required. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to...

Jan 12, 2026
Or
Principal Applied Scientist - LLM Agents
Oracle Madison, WI, USA
Job Description Oracle Health Data Intelligence (HDI) is at the forefront of leveraging data and AI to transform the healthcare and life sciences industries. We're developing cutting-edge generative AI, NLP, and large language model (LLM) solutions that address some of the most complex challenges in healthcare. As a Principal Applied Scientist (IC4) , you'll play a critical leadership role in designing, building, and scaling AI systems that power clinical decision support, operational optimization, and population health transformation. This role is ideal for an experienced applied scientist who combines hands-on technical depth with strategic vision. You'll drive the development of novel modeling techniques, lead complex research and development initiatives, and influence the direction of Oracle's AI strategy in healthcare. You will collaborate closely with engineering, product, and science leadership to translate real-world clinical and life sciences problems into...

Jan 12, 2026
Or
Federal Senior Integration Architect - Oracle Health
Oracle Madison, WI, USA
Job Description Come and join us! We're on a journey to advance how health happens with technologies that empower patients, support clinicians, encourage innovation, and save lives. Our mission? To build a human-centric healthcare experience powered by unified global data. We want people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human, you've come to the right place. We're looking for a Senior Integration Architect to help us oversee the business and implementation process while building relationships with our clients. Your Role In this role, the Senior Integration Architect is the technical project manager that will oversee the technology and implementation process as well as relationships within large projects for designated Federal Oracle Health clients, while serving as the primary technical contact for implementation-based activities. The Senior...

Jan 12, 2026
EH
Full time
 
LTSS Family Care-Service Coordinator
Elevance Health Darlington, WI, USA
LTSS Service Coordinator (Case Manager) $5,000 Sign-on Bonus Hiring near Southwestern Wisconsin in counties: Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green. Location : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the Family Care Program. Family Care is a Wisconsin long-term...

Jan 11, 2026
EG
Level?4 Avature Consultant (Subject Matter Expert)
Eliassen Group Madison, WI, USA
Level?4 Avature Consultant (Subject Matter Expert) Anywhere Type: Contract Category: Product Management Industry: Technology Workplace Type: Remote Reference ID: JN -122025-104572 Date Posted: 12/30/2025 Shortcut: http://careers.eliassen.com/9qxTtz Description Recommended Jobs Description: 100% Remote The Level?4 Avature Consultant serves as a strategic technical expert responsible for designing, configuring, and optimizing complex Avature solutions. This role ensures seamless platform functionality, compliance, and scalability to support enterprise talent acquisition and HR processes. Due to client requirement, applicants must be willing and able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance. Rate: $80 - $90 / hr. w2 Responsibilities: Advanced Configuration &...

Jan 11, 2026
PT
Business Analyst Senior - Remote
Prime Therapeutics Madison, WI, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Business Analyst Senior - Remote Job Description The Business Analyst (BA) Senior will execute on medium projects as a liaison among business operations, technology groups, clients, business partners, vendors, and project/program team to understand, analyze, and facilitate business needs, requirements, and impacts of business changes as a result of strategic initiatives, operational changes, compliance requirements, client needs, and technology or operational improvements. Additionally, this role will participate with leadership and/or the Center of Excellence to define and implement the best practice activities for Business Analysis. Responsibilities Execute independently on medium sized projects or as part of a...

Jan 10, 2026
EH
Full time
 
LTSS Family Care-Service Coordinator
Elevance Health Viroqua, WI, USA
LTSS Service Coordinator (Case Manager) $5,000 Sign-on Bonus Hiring near Southwestern Wisconsin in counties: Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green. Location : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the Family Care Program. Family Care is a Wisconsin long-term...

Jan 10, 2026
EH
Full time
 
LTSS Family Care-Service Coordinator
Elevance Health Black River Falls, WI, USA
LTSS Service Coordinator (Case Manager) $5,000 Sign-on Bonus Hiring near Southwestern Wisconsin in counties: Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, Juneau, Vernon, Sauk, Richland, Crawford, Grant, Iowa, Lafayette, Green. Location : This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the Family Care Program. Family Care is a Wisconsin long-term...

Jan 10, 2026
Or
Lead Adoption Manager
Oracle Madison, WI, USA
Job Description As a recognized authority and leading contributor, this project management professional, provides consistent innovative and high-quality solution leadership. Responsible for guiding the successful implementation of non-routine and complex business solutions ensuring high quality and timely delivery within budget to the customer's satisfaction. Basic Qualifications At least 8-10 years of experience relevant to this position. Prior project team leadership or management experience. Demonstrated ability to follow solid project management principles. Comfortable working in a matrix management environment. Strong communication skills to deal with internal stakeholders, customers, and vendors. At least 3 years of healthcare information technology (HCIT) consulting, HCIT support, project/program management, client relationship management and/or other client-facing or HCIT solution work experience At least 7 years additional work experience directly related...

Jan 09, 2026
Uo
Full time
 
Pediatrics Division Administrative Assistant
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: University Staff Employment type: Regular Job profile: Medical Program Assistant Job summary: The Department of Pediatrics is seeking a Medical Program Assistant to provide direct support to divisional faculty and staff. This position will be responsible for the coordination of complex daily clinical, academic, and administrative activities, as well as the coordination and organization of the faculty's communications, meeting planning, and both domestic and international travel. This position may require some work to be performed in-person, onsite, at a designated campus work location. Some work may be performed remotely, at an offsite, non-campus work location. The work schedule is flexible and will be determined at the time of hire. Candidates who demonstrate the following...

Jan 07, 2026
Eliassen Group
AWS Security Manager
Eliassen Group Madison, WI, USA
AWS Security Manager Anywhere Type: Contract-to-Hire Category: Development Industry: Government Workplace Type: Remote Reference ID: JN -122025-104656 Date Posted: 12/07/2025 Shortcut: http://careers.eliassen.com/QXypQE Description Recommended Jobs Description: The AWS Security Manager is responsible for ensuring the security, compliance and protection of our cloud-based infrastructure. The ideal candidate will have hands-on experience with AWS security services, cloud risk assessments, incident response and continuous security monitoring. This role partners with Cloud Engineering, DevOps and Application teams to maintain a secure and resilient cloud environment. The manager partners with Security, Cloud Engineering, DevOps, GRC, Audit and Application teams to embed security into all stages of the cloud lifecycle. ?Location: Remote Rate: $70-75hr Eastern, Central and Mountain time zones. US Citizenship is Required...

Jan 02, 2026
VA
Lead Clinical Laboratory Scientist
Veterans Affairs, Veterans Health Administration Milwaukee, WI, USA
Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit the EDRP application within 4 months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (1 to 5 years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Lead Clinical Laboratory Scientist position is located at the Clement J Zablocki Veterans Hospital, Milwaukee, WI. The Lead Clinical Laboratory Scientist (CLS) communicates the organization's strategic plan, mission, vision, and values. This position identifies, distributes, balances work, coaches, and facilitates with problem solving methods. The Lead CLS prepares reports and maintains records of work status; resolves simple, informal complaints; reports...

Jan 02, 2026
Eliassen Group
Senior Data Scientist
Eliassen Group Madison, WI, USA
Senior Data Scientist Anywhere Type: Contract-to-Hire Category: Data Industry: Government Workplace Type: Remote Reference ID: JN -112025-104364 Date Posted: 12/10/2025 Shortcut: http://careers.eliassen.com/FNuQcd Description Recommended Jobs Description: We are looking for a hands-on data scientist is sought to develop prototypes of emerging technologies such as large language models (LLMs) and generative AI that solve complex business challenges. The ideal candidate will have at least seven years of experience in AI/ML/NLP and data modeling, along with strong cloud engineering expertise to ensure seamless integration of solutions within cloud-native environments. This role is part of a dynamic team focused on applying advanced technologies to drive digital modernization and innovation. Rate: $60-70/hr. W2 Location: Remote This is a contract-to-hire opportunity. Applicants must be willing and able to work on a W2...

Jan 02, 2026
Highmark Health
Medical Director, Medical Policy
Highmark Health Madison, WI, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding based off policy criteria falls within their scope. In addition to developing new policies, the incumbent ensures all existing medical policies, in their scope, are in accordance with NCQA and/or CMS requirements. The incumbent may be required to address escalated inquiries brought forward by internal/external partners. Conducts peer reviews as part of the quality review process. In addition to policy ownership, the...

Dec 27, 2025
SP
Manager, Enterprise Apps, Tech Ops
Sumitomo Pharma Madison, WI, USA
Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Key Responsibilities Strategic & Solution Leadership Serve as the Solution Owner and functional expert for integrated systems, including SAP S/4HANA, SAP CGTO, Salesforce ATM, and Enterprise MDM. Define the architecture, solution design, and technical roadmap for critical GxP systems supporting Clinical Supply Chain, Commercial Operations, Quality Management, and Manufacturing. Lead the...

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
Sun Life Financial
Full time
 
Appeals Specialist
Sun Life Financial Milwaukee, WI, USA
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job...

Dec 26, 2025
Uo
Full time
 
Data Engineer II
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: Terminal (Fixed Term) Job Profile: Data Engineer II Job Summary: The Office of Informatics and Information Technology (IIT) is seeking an outstanding candidate for a Data Engineer II position to manage and fulfill research data needs for a grant funded project. The responsibilities of the incumbent will include gathering requirements, developing code, retrieving data from Epic’s reporting databases, transforming data, and maintaining documentation. The ideal candidate will demonstrate a strong work ethic and a professional, enthusiastic attitude. This role is contingent upon external grant funding and is expected to last for two years. We are currently seeking to fill two open positions: one with a primary focus on Radiological image analysis and the other...

Dec 25, 2025
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