- 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
- CenterWell (Indianapolis, IN)
- …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage , value-based arrangements or other Medicare programs. ... health and pharmacy. Launched in spring 2021, CenterWell creates experiences that provide patients with ease, comprehensive care and a personal approach. By placing… more
- Humana (Indianapolis, IN)
- …preferably in the health care or insurance industry, and specifically in Medicare Advantage products + Exceptional leadership and management skills, and ... team. **Preferred Qualifications:** + Master's Degree + Knowledge of the Medicare Advantage market, products, regulations, and compliance standards **Additional… 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
- 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