- Mathematica (Indianapolis, IN)
- …and emerging work across any number of areas related to monitoring and improving Medicaid programs such as: eligibility and enrollment, health equity, health ... able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength....cycles) is also desirable. * Knowledge and experience with Medicaid or Health Insurance Marketplace managed through… more
- Humana (Indianapolis, IN)
- …Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other ... a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines… more
- State of Indiana (Indianapolis, IN)
- …with other Medicaid departments and agency divisions to provide effective fiscal management for the Medicaid program. The Director of Medicaid Finance ... payment programs in support of OMPP strategic objectives including promoting Medicaid program sustainability, advancing health outcomes and improving efficiency.… more
- Public Consulting Group (Indianapolis, IN)
- …for scope, schedule, , quality , , communications, risk, and , stakeholder management activities, all while adding deep Medicaid and Medicaid Enterprise ... public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in… more
- State of Indiana (Indianapolis, IN)
- Medicaid Business & Comms Mgr Date Posted: Jun 12,...18 percent of the state's budget to ensure vital health care coverage to approximately 1 in 4 Hoosiers. OMPP ... the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within...ideal candidate will have a bachelor's degree in public health , communication, education, business, or similar plus four plus… more
- Humana (Indianapolis, IN)
- …**Preferred Qualifications** + Bachelor's Degree. + Aprimo experience. + Experience with Medicaid policies and/or Medicaid health plan operations, such ... years of payer contracting experience. + 1+ year of Medicaid and health plan operations experience. +...as provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute… more
- Mathematica (Indianapolis, IN)
- …experience successfully improving state Home- and community-based services within the state's Medicaid or HCBS administrative agencies such as health , human ... and quality monitoring is also preferred. Understanding of dual Medicare- Medicaid eligibility and coordination is preferred, but not required. * Duties of… more
- Mathematica (Indianapolis, IN)
- …responsible for coordinating and advancing a variety of tasks, including: project management ; technical assistance for Medicaid program monitoring oversight; and ... actionable information to guide decisions in wide-ranging policy areas, from health , education, early childhood, and family support to nutrition, employment,… more
- Humana (Indianapolis, IN)
- …working in Medicaid . + Familiarly with LTSS/HCBS providers and/or DSNP/ Medicaid -Medicare integration. + Strong understanding of health plan operations. + ... part of our caring community and help us put health first** Humana Healthy Horizons in Indiana is seeking...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Mathematica (Indianapolis, IN)
- …actionable information to guide decisions in wide-ranging policy areas, from health , education, early childhood, and family support to nutrition, employment, ... firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our… more
- Humana (Lafayette, IN)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... part of our caring community and help us put health first** The Nutritionist (Senior Dietician) is dedicated to...Nutritionist (Senior Dietician) is dedicated to the Contractor's Indiana Medicaid lines. He/she designs meal plans that alter and… more
- Humana (Indianapolis, IN)
- …seeking a Manager, Care Coordination to lead teams of nurses and behavior health professionals responsible for care management . The Manager, Care Coordination ... care for elderly or special needs populations, or in Medicaid and/or Medicare. + 2+ years of management...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- State of Indiana (Indianapolis, IN)
- …energized staff that is fully engaged with this mission. Role Overview: Indiana Medicaid currently provides health coverage for over 2-million Hoosiers. Assuring ... Healthcare Effectiveness Data and Information Set (HEDIS), and other quality measures in our Medicaid programs, this...three to five years of previous HEDIS or healthcare quality experience with a clinic, hospital, or health… more
- Elevance Health (Indianapolis, IN)
- …coordination, communication, and strategic execution of top-tier clinical quality management programs for multi-state Medicare and Medicaid markets within ... improvement activities across Carelon Health . + Assume a key role in Quality Management Scorecards, HEDIS, HOS and CAHPS operations. + Develop strategic… more
- Cardinal Health (Indianapolis, IN)
- …+ Collaborates with cross functional stakeholders including Pricing, Marketing, Legal, Quality , Regulatory, Planning, Inventory Management , Finance, Sales and ... **_What Category Management contributes to Cardinal Health_** Category Management...+ Experience in DME reimbursement space + Understanding of Medicaid **_What is expected of you and others at… more
- State of Indiana (Evansville, IN)
- … Health ; Audiology; Business Administration; Counseling; Dietetics; Education; Geriatrics; Health Care Management ; Medical Records; Nursing; related area. ... Psychiatric Hospital as well as Centers for Medicare & Medicaid Services certification as a Psychiatric Medicare/ Medicaid ...and changing laws. + Organizational ability and knowledge of management techniques as they relate to quality … more
- Trinity Health (South Bend, IN)
- …increase access to health care and support services. Examples include: health coverage via the marketplace, Medicaid , Medicare, social security benefits, ... time **Shift:** Day Shift **Description:** **JOB SUMMARY** A Community Health Worker (CHW) is a frontline public health...community to facilitate access to services and improve the quality and cultural competence of service delivery. A CHW… more
- Humana (Indianapolis, IN)
- …choose to age at home, do so, and to achieve better access to services, and better health and quality outcomes. You will be part of a caring community at Humana. ... management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a geriatric population...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Highmark Health (Indianapolis, IN)
- …as well as code sets, fee schedule and pricing changes made by health plans, CMS and/or the states' Medicaid programs. **ESSENTIAL RESPONSIBILITIES** + ... Management + 3 - 5 years in the Health Insurance Industry + 3 - 5 years in...in a SaaS model + Knowledge of Medicare & Medicaid programs and their benefits + Health … more
- Intermountain Health (Indianapolis, IN)
- …and Quality . _Minimum Qualifications_ Professional coding certificate through American Health Information Management Association (AHIMA). AND Six years work ... ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), US… more