- Humana (Frankfort, KY)
- … and Medicaid's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Manager, you will deconstruct issues ... Humana's businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the… more
- Humana (Frankfort, KY)
- …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 (Frankfort, KY)
- …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 (Frankfort, KY)
- …care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid provider numbers or ability to obtain DEA license and/or Medicaid and ... minimal call responsibilities, and CME time. **Your Role & Responsibilities** + Provide comprehensive care to seniors in accordance with clinical standards. +… more
- CenterWell (Frankfort, KY)
- …be required to be screened for TB **Preferred:** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two ... to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- Humana (Frankfort, KY)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... filing, reporting & analysis, reserving or trending) **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience working… more
- Humana (Frankfort, KY)
- …the CFO team, which drives aggregate financial results and insights across primarily Individual Medicare Advantage (MA). This team serves as a central hub for ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage pricing and forecasting experience + Experience… more
- Humana (Frankfort, KY)
- …caring community and help us put health first** Our brokerage business is transforming how Medicare Advantage is sold, and design is at the heart of that change. ... **What You'll Do** + Design best-in-class mobile-first experiences that simplify how Medicare Advantage shoppers navigate their options + Translate insights into… more
- CenterWell (Frankfort, KY)
- …+ 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
- ChenMed (Louisville, KY)
- …and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to ... be America's leading primary care provider , transforming care of the neediest population. Our mission...goals, and when leading their care teams towards their performance goals. We are an outcomes-focused, value-based organization and… more
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