• Medical Director - Medicare…

    Humana (Indianapolis, IN)
    …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
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  • Medicare Grievances and Appeals…

    Humana (Indianapolis, IN)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (06/18/25)
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  • Nurse Appeals - Medicare

    Elevance Health (Indianapolis, IN)
    …records of denied services for medical necessity. + Extrapolates and summarizes medical information for medical director , consultants and other external ... Medicare ** is responsible for investigating and processing and medical necessity appeals requests from members and providers. **How...to either uphold or deny appeal and forwards to Medical Director for approval. + Ensures that… more
    Elevance Health (07/23/25)
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  • Business Analytics, Senior Analyst - Remote

    CVS Health (Indianapolis, IN)
    …creative initiatives that will drive efficiencies. This position will report to the Lead Director of Medicare Grievances . This position has high visibility ... analytics and strategic thinking to help incorporate solutions within the Medicare Grievance department operations. This is an opportunity to partner across… more
    CVS Health (07/22/25)
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