- CVS Health (Indianapolis, IN)
- …Summary** Leads the strategy, design, development and life cycle management of Aetna Medicare products that serve Medicare Advantage populations, including ... Direct product enhancements **Required Qualifications** 7+ years of experience with Medicare Advantage plans, including C- SNP plans. **Preferred… more
- Humana (Indianapolis, IN)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... and genetics.** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience in a medical… more
- Humana (Indianapolis, IN)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical management organizations,… more
- State of Indiana (Indianapolis, IN)
- …Health Insurance-Assistance Program (SHIP). The ideal candidate will have experience with Medicare D-SNP or other Advantage Program and Managed Medicaid Long ... Medicaid/ Medicare Coordination Manager Date Posted: Sep 5, 2025...engaged with this mission. Role Overview: In this role, Medicaid/ Medicare Coordination Manager, you will establish priorities, targets, and… more
- Humana (Indianapolis, IN)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... Preferred Qualifications + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid, or other Medical management organizations,… more
- Humana (Indianapolis, IN)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare… more
- Humana (Indianapolis, IN)
- …Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare … more
- Humana (Indianapolis, IN)
- …Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among ... areas including HR. DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and approximately 70,000 … more
- Humana (East Chicago, IN)
- …other care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers ... and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a… more
- Humana (Indianapolis, IN)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... + Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails...help people with Medicare , or both Medicare and Medicaid, achieve… more