- 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)
- …data requests and perform valuations that help inform financial strategy related to the Medicare Advantage line of business. **Use your skills to make an ... organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Finance background preferred +… more
- Ensono (Indianapolis, IN)
- …how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with ... Collaborate with IT, security, and compliance teams to support audits and provide evidence of access controls and certifications. + Participate in incident response… more
- Datavant (Indianapolis, IN)
- …+ Keep up to date with current coding policies for ICD-10, Medicare Advantage , HHS (ACA), and other markets. + Provide guidance and make strategic ... or inpatient setting. + Current CCS, CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, Commercial RA, and HEDIS experience.… more
- CenterWell (Indianapolis, IN)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage / Medicare + Current nursing experience in Hospital, ... Please be aware that applicants may be asked to provide their Social Security Number, if it is not...This incentive opportunity is based upon company and/or individual performance . **Description of Benefits** Humana, Inc. and its affiliated… more
- Highmark Health (Indianapolis, IN)
- …prescription drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to ... projects for timely review with the Director, Clinical Pharmacy. + Participate in Medicare Stars performance measures to drive contribution to excellence (5… more
- CenterWell (Indianapolis, IN)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage / Medicare /Medicaid Experience a plus + Current nursing ... plan. This incentive opportunity is based upon company and/or individual performance . **Description of Benefits** Humana, Inc. and its affiliated subsidiaries… 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 ... to identify and mitigate legal and business risks and provide practical solutions to complex issues to support our...compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required… more
- CNO Financial Group (Carmel, IN)
- …apart:** + Master's degree in business related field. + 3 years of Medicare Advantage experience. + Certifications/Licenses: Jira, Miro, and SAFe Agile ... project/team including business and training queries, reporting on product performance and issue resolution. + Act as product expert...for ambitious people who want to do more. We'll provide you with opportunities to grow your skills through… more