- Humana (Indianapolis, IN)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance. +… more
- Humana (Indianapolis, IN)
- …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... Information** + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season + The… more
- Humana (Indianapolis, IN)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... success working through ambiguity **Preferred Qualifications** + Master's Degree + Medicare Stars experience **Additional Information** As part of our hiring process… more
- Humana (Indianapolis, IN)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... + Master's Degree + HEDIS Controlling Blood Pressure measure experience + Medicare Stars experience **Additional Information** As part of our hiring process for… more
- Humana (Indianapolis, IN)
- … and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures ... insights **Preferred Qualifications** + Master's Degree + HEDIS experience/knowledge + Medicare Stars experience **Additional Information** As part of our hiring… more
- CenterWell (Indianapolis, IN)
- …(EMR, email, etc.). **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid ... provider numbers or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and Medicare guidelines.… more
- Humana (Indianapolis, IN)
- …budgeting and financial management of a health plan + DSNP Experience inclusive of Medicare Advantage + Proven track record of collaborating with Medicare ... Plans (DSNP), which serve members who qualify for both Medicare and Medicaid. They will lead the state Medicaid...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Datavant (Indianapolis, IN)
- …work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage , HHS (ACA), and other markets. + Provide guidance and make ... inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience. +… more
- NASCO (Indianapolis, IN)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and ... counsel on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification… more
- Humana (Indianapolis, IN)
- …team and plays a critical part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful candidate will lead efforts to ... FSA or plus relevant advanced degree + Experience with Medicare Part D + Familiarity with Risk Score Data...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more