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Medicaid Program Manager Jobs in Wisconsin (NOW HIRING)

Working knowledge of Medicare, Medicaid, managed care, and insurance authorization processes is a ... Employee Assistance Program * Professional growth and advancement opportunities * Supportive team ...

Working knowledge of Medicare, Medicaid, managed care, and insurance authorization processes is a ... Employee Assistance Program * Professional growth and advancement opportunities * Supportive team ...

... care programs, claims processing (preferably Medicaid and Medicare claims), and knowledge of ... of managed health care systems and general operational business practices. 5. Ability to ...

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Medicaid Program Manager information

What are the main challenges Medicaid Program Managers face in coordinating between state agencies and healthcare providers?

Medicaid Program Managers often navigate the complexities of aligning policies and procedures between state agencies and a diverse range of healthcare providers. Challenges can include managing frequent regulatory changes, ensuring compliance with both federal and state guidelines, and facilitating clear communication among stakeholders. Additionally, they must address provider concerns, resolve billing or service disputes, and adapt program initiatives to meet evolving healthcare needs. Strong organizational and relationship-building skills are essential to succeed in this collaborative and dynamic environment.

What does a Medicaid Program Manager do?

A Medicaid Program Manager oversees the administration and implementation of Medicaid programs at the state or organizational level. Their responsibilities include ensuring compliance with federal and state regulations, managing budgets, coordinating with stakeholders, and improving service delivery for Medicaid recipients. They often analyze data, develop policies, and work to enhance program efficiency and effectiveness. This role requires strong leadership, organizational, and policy analysis skills to ensure that eligible populations receive proper healthcare services.

What are the key skills and qualifications needed to thrive as a Medicaid Program Manager, and why are they important?

To thrive as a Medicaid Program Manager, you need expertise in healthcare administration, knowledge of Medicaid regulations, and a relevant degree such as public health or healthcare management. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and compliance software is typically expected. Strong leadership, problem-solving, and communication skills enable effective team management and stakeholder engagement. These skills ensure efficient program operation, regulatory compliance, and the delivery of quality services to beneficiaries.
What are popular job titles related to Medicaid Program Manager jobs in Wisconsin? For Medicaid Program Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Wisconsin look for? The top searched job categories for Medicaid Program Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Medicaid Program Manager jobs? Cities in Wisconsin with the most Medicaid Program Manager job openings:
Infographic showing various Medicaid Program Manager job openings in Wisconsin as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 92% In-person, and 8% Remote job distribution.

Case Manager - Skilled Nursing

Champion Care

Milwaukee, WI • On-site

$20 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


Job description

Case Manager – Skilled Nursing

Pay: $20.00 to $24.00 per hour

Champion Care is seeking a compassionate, organized, and detail-oriented Case Manager to support our skilled nursing community. In this role, you will coordinate resident care, collaborate with the interdisciplinary team, and help ensure each resident receives the services and support needed to achieve the best possible outcomes.

If you enjoy building relationships, solving problems, and advocating for residents, we'd love to meet you.

Responsibilities

  • Coordinate resident care plans with nursing, therapy, social services, physicians, and other healthcare professionals.

  • Complete initial and ongoing resident assessments to identify needs and support appropriate care planning.

  • Monitor resident progress and communicate changes to the interdisciplinary team.

  • Help ensure smooth admissions, discharges, and transitions of care.

  • Work with residents and families to provide education, support, and resources.

  • Maintain accurate and timely documentation.

  • Assist with insurance authorizations, Medicare and Medicaid requirements, and payer communication as needed.

  • Participate in care conferences and interdisciplinary team meetings.

  • Support quality improvement initiatives and promote positive resident outcomes.

Qualifications

  • Previous experience in case management, care coordination, admissions, social services, nursing, therapy, or another healthcare-related role preferred.

  • Experience in a skilled nursing, rehabilitation, long term care, hospital, or healthcare setting is strongly preferred.

  • Working knowledge of Medicare, Medicaid, managed care, and insurance authorization processes is a plus.

  • Excellent communication, organization, and problem-solving skills.

  • Ability to manage multiple priorities in a fast-paced environment.

  • Strong computer and documentation skills.

  • A passion for providing outstanding resident care and customer service.

Why Join Champion Care?

  • Competitive hourly pay of $20.00 to $24.00, based on experience

  • Paid time off

  • Health, dental, and vision insurance

  • 401(k)

  • Life insurance

  • Employee Assistance Program

  • Professional growth and advancement opportunities

  • Supportive team environment where your work truly makes a difference

If you're ready to help improve the lives of residents while working alongside a dedicated healthcare team, we encourage you to apply today.

Champion Care is an Equal Opportunity Employer.

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