- Humana (Indianapolis, IN)
- …and other vendors. + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails request for services the ... necessary. + Participate in special projects as assigned by your Supervisor or Manager . **Use your skills to make an impact** **Required Qualifications** + Bilingual… more
- CenterWell (Indianapolis, IN)
- …the care team through daily huddles. + Helps Regional Medical Director and Clinic Manager in setting a tone of cooperation in practice by displaying a professional ... primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your… more
- CenterWell (Indianapolis, IN)
- …for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... care environment in a value-based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. Scheduled… more
- Elevance Health (Indianapolis, IN)
- …specific understanding in end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare / Medicaid regulatory policies regarding FFS and ... background. + Requires experience using RADV protocols and following Center for Medicare and Medicaid Services (CMS) and Affordable Care Act (ACA) rules. **Preferred… more
- CenterWell (Indianapolis, IN)
- …delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D. + Experience with contact center platforms and CRM… more
- CenterWell (Indianapolis, IN)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. Application Deadline:… more
- CenterWell (Indianapolis, IN)
- …quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value of each opportunity ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- Humana (Indianapolis, IN)
- …comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions + ... researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience… more
- Humana (Indianapolis, IN)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... for future budget forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where necessary. + Research and… more
- Humana (Indianapolis, IN)
- …with our Security Automation Product Owner, Product Security Product Manager , Product Security Governance, DevOps, Enterprise Information Protection and Enterprise ... Information Systems Security Professional * (CISSP), Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or other similar… more