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Medicaid Program Manager Jobs in Milwaukee, WI (NOW HIRING)

Mercer

Government Consultant - Pharmacy

Milwaukee, WI · On-site

$68K - $137K/yr

Medicaid program experience * SAS (Statistical Analysis System) software experience, including data management, advanced analytics, and modeling * PBM experience or knowledge and experience using ...

NRG MGMT LLC

Program Supervisor

Germantown, WI · On-site

$50K - $80K/yr

Ensure compliance with Wisconsin Department of Health Services (DHS), licensing standards, Medicaid ... Ability to effectively manage multiple priorities in a fast-paced healthcare environment.

mkecounty

ADRC Professional

Milwaukee, WI · On-site

$26.25 - $28/hr

... Medicaid programs could impact their specific situation, including financial and personal impact. * Accurately and thoroughly document each interaction with customers in the case management system ...

mkecounty

ADRC Professional

Milwaukee, WI · On-site

$26.25 - $28/hr

... Medicaid programs could impact their specific situation, including financial and personal impact. * Accurately and thoroughly document each interaction with customers in the case management system ...

Champion Care

Case Manager - Skilled Nursing

Milwaukee, WI · On-site

$20 - $24/hr

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

Actalent

Care Manager

Milwaukee, WI

Understanding of Medicare, Medicaid, BadgerCare, and managed care programs within the healthcare industry. * Familiarity with healthcare management systems and processes related to care management ...

Milliman

Actuarial Analyst (CMH Health)

Brookfield, WI · On-site

$60K - $136K/yr

Experience with Medicare Advantage and Part D programs, Medicaid programs, commercial individual ... Strong time management skills * Ability to work independently andin a team environment * Client ...

Radiant Info Systems Ltd

Claims Manager

Milwaukee, WI · On-site

... 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 ...

Ra

Health Care Analyst (Medicare)

Milwaukee, WI · Remote

Who is currently in Medicare/ Medicaid! Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience! Who holds 2 years experience with Medicare systems and ...

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All JobsMedicaid Program JobsMedicaid Program Manager JobsMedicaid Program Manager Jobs in Milwaukee, WI

Medicaid Program Manager information

See Milwaukee, WI salary details

$37.9K

$105.9K

$154.7K

How much do medicaid program manager jobs pay per year?

As of Aug 22, 2026, the average yearly pay for medicaid program manager in Milwaukee, WI is $105,875.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,300.00 and $130,500.00 per year, depending on experience, location, and employer.

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 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 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 Milwaukee, WI?

For Medicaid Program Manager jobs in Milwaukee, WI, the most frequently searched job titles are:

What job categories do people searching Medicaid Program Manager jobs in Milwaukee, WI look for?

The top searched job categories for Medicaid Program Manager jobs in Milwaukee, WI are:

Medicaid Program Manager jobs near you
Infographic showing various Medicaid Program Manager job openings in Milwaukee, WI as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 19% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $105,875 per year, or $50.9 per hour.

Site Inspector - Remote Wisconsin

Gainwell Technologies LLC

Milwaukee, WI • On-site

$54K - $77K/yr

Other

Medical, Life, Retirement, PTO

Re-posted 12 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

139th of 246 rated software companies

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.
Summary
The Site Inspector is responsible for conducting provider site visits and program integrity reviews in support of Wisconsin Medicaid provider enrollment and revalidation requirements. This role works closely with the Wisconsin Department of Health Services (DHS) Office of Inspector General (OIG) to verify provider operational readiness, validate compliance with CMS requirements, and support efforts to prevent fraud, waste, and abuse within the Medicaid program. Responsibilities include scheduling and conducting site inspections, documenting findings, performing research, and preparing legally defensible documentation related to enrollment actions and compliance reviews.
Your role in our mission
  • Conduct onsite provider inspections to verify operational status, physical location, business signage, and the provider's ability to perform services identified within enrollment applications.
  • Coordinate and schedule site visits with providers, including communication, appointment management, and utilization of virtual meeting technology when appropriate.
  • Capture photographs, complete inspection templates, document findings, and upload supporting documentation into designated systems in accordance with established procedures.
  • Perform enrollment program integrity compliance reviews, including research, analysis, and evaluation of provider information to identify potential compliance concerns.
  • Prepare detailed reports, recommendations, and supporting documentation for enrollment determinations, sanctions, terminations, denials, and administrative review processes.

What we're looking for
  • Two or more years of experience in inspections, auditing, investigations, compliance, healthcare operations, provider relations, program integrity, fraud prevention, or a related field.
  • Experience conducting research, reviewing documentation, gathering information, and preparing detailed written reports while maintaining accuracy and confidentiality.
  • Strong analytical, organizational, problem-solving, and communication skills with the ability to work independently and manage multiple priorities.
  • Experience working with Medicaid, Medicare, healthcare providers, provider enrollment, regulatory compliance, program integrity, or government-sponsored healthcare programs preferred.
  • Proficiency with Microsoft Office applications, documentation systems, databases, virtual meeting platforms, and technology used to support field-based work.

What you should expect in this role
  • Field-based position requiring frequent travel throughout Wisconsin to conduct provider site visits and inspections.
  • Direct interaction with healthcare providers, clinics, agencies, suppliers, and other Medicaid-enrolled organizations.
  • Collaboration with Wisconsin DHS Office of Inspector General (OIG) and Gainwell program integrity and provider enrollment teams.
  • Independent work environment requiring strong time management, scheduling, documentation, and case management skills.
  • Opportunity to make a direct impact on Medicaid program integrity while supporting compliance initiatives that help prevent fraud, waste, and abuse within the healthcare system.

Pipeline Notice: This is a pipeline requisition. Gainwell will be screening and interviewing qualified candidates on an ongoing basis in anticipation of future hiring needs through the month of August.
Candidates who meet the qualifications may be contacted by a member of our Talent Acquisition team to discuss current and future opportunities.
#LI-REMOTE
#LI-JT1
The pay range for this position is $54,300 - $77,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

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Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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