- Humana (Indianapolis, IN)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical… more
- 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 (Indianapolis, IN)
- … performance , operational improvements and other areas as they relate to provider performance , member experience, market growth, provider experience and ... Medicare policies, processes and procedures + DSNP experience inclusive of Medicare Advantage + Long-term support services; experience working with or… more
- Humana (Indianapolis, IN)
- …Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D and Medicare Advantage requirements and will ... Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care in...experience in a medical management review organization such as Medicare Advantage , managed Medicaid, or Commercial health… 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 ... grouping, with more than 2,000 physicians and approximately 70,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds performance -based… more
- Highmark Health (Indianapolis, IN)
- …gain share and risk share models and will be implemented for the Organization's Medicare Advantage , Medicaid, ACA, and commercial populations with the goal of ... DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high-quality,… more
- 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 (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
- CenterWell (Indianapolis, IN)
- … Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated ... our team-based care environment. We are a value-based care provider focused on quality of care for the patients...Coordinator and more. + Our approach allows us to provide an unmatched experience for seniors. + Our model… more
- 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