- Humana (Sacramento, CA)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance . + Experience with ... internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand… more
- Humana (Sacramento, CA)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance . + Experience with ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand… more
- Humana (Sacramento, CA)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance . + Experience with ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand… more
- Humana (Sacramento, CA)
- …experience in a medical management review organization, such as Medicare Advantage , managed Medicaid, or Commercial health insurance . + Experience with ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- CenterWell (Sacramento, CA)
- …+ Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage / Medicare /Medicaid ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-30-2025 **About us**… more
- Humana (Sacramento, CA)
- …benefits providers in the US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage , Medicaid, and other health ... plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving...initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, and identifying improvement… more
- Humana (Sacramento, CA)
- …and allows you to see the overall end to end bid process at a leading Medicare Advantage organization. This is a great role for a collaborative individual who is ... may include monitoring and researching laws and regulations applicable to Medicare Advantage and actuarial science. Advises certifying actuaries, executives… more
- Humana (Sacramento, CA)
- …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 (Sacramento, CA)
- …Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare Advantage value based programs. DVACO is a joint venture among ... HR. DVACO's MSSP participation accounts for the region's largest Medicare ACO grouping, with more than 2,000 physicians and...Health Savings Accounts + Flex Spending Accounts + Life Insurance + 401(k) + PTO including 9 paid holidays,… more
- LA Care Health Plan (Los Angeles, CA)
- …experience. Preferred: Experience in sales of Managed Care products including Medicare Advantage , Medi-Cal and Covered California. Skills Required: Excellent ... License - Active, current and unrestricted California License America's Health Insurance Plan (AHIP) Medicare Designation and Covered CA Certification (Or… more