• Medical Director - National Medicare

    Humana (Indianapolis, IN)
    …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand ... radiology, and genetics.** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience in… more
    Humana (07/21/25)
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  • Medicare Risk Adjustment Advanced Analytics…

    Elevance Health (Indianapolis, IN)
    …and prospective risk adjustment initiatives, operational effectiveness and efficiencies, provider performance , and population health. **How You Will ... not limited to: + Analyzes and develops SAS and SQL programming to support Medicare Advantage risk adjustment initiatives. + Performs data mining and data-driven… more
    Elevance Health (07/29/25)
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  • Actuary, Risk and Compliance

    Humana (Indianapolis, IN)
    …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 (07/30/25)
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  • Delaware Valley ACO Fellowship

    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 ... grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance -based… more
    Humana (07/30/25)
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  • Medical Director- South Central

    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 and/or Commercial products, or other… more
    Humana (07/11/25)
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  • Medical Director - Mid West Region

    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 and/or Commercial products, or other… more
    Humana (05/14/25)
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  • Insurance Strategy Lead

    Humana (Indianapolis, IN)
    …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 ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, and identifying improvement opportunities for a key… more
    Humana (08/01/25)
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  • Medical Director - OneHome

    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 (07/15/25)
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  • Primary Care Physician

    CenterWell (Indianapolis, IN)
    …Internal Medicine or Geriatric Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding… more
    CenterWell (05/11/25)
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  • Care Coordinator, RN Field Based

    Humana (Goshen, 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...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
    Humana (06/18/25)
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