- 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
- McLaren Health Care (Indianapolis, IN)
- …considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our ... We are looking for a Manager, Medicaid Compliance to join us in leading our...of Minorities/Females/Disabled/Veterans** **\#LI-AK1** **Qualifications:** **Required:** + Bachelor's degree in health , management or related field or Associate's… 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
- Humana (Indianapolis, IN)
- …to identify, structure and solve business problems. + Experience working with Medicaid health plans. + Excellent interpersonal, organizational, written, and oral ... Provider Strategy & Operations, to assist with driving efficient management of end-to-end provider-related functions in new Medicaid...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- State of Indiana (Indianapolis, IN)
- Medicaid Business & Comms Mgr Date Posted: May 14,...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)
- …experience leading teams focusing on quality management , utilization management , discharge planning and/or home health or rehab. + Strategic thinking ... a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Advisor, Medicaid Provider & Network Strategy will be accountable for leading the ... 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… 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)
- …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 (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
- Mathematica (Indianapolis, IN)
- …health policy projects. Our current work includes a wide range of topics in health care service delivery and financing, quality measures, and health ... innovation initiatives aimed at expanding access to care, improving health care quality , promoting health ...health care in publicly sponsored insurance programs like Medicaid and Medicare. * Designing efficient and effective payment… more
- Elevance Health (Indianapolis, IN)
- Wellpoint, formerly Amerigroup, is a proud member of Elevance Health 's family of brands, offering Medicaid and Medicare plans in several states. We also provide ... who will be responsible for appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health ...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies… 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
- Humana (Indianapolis, IN)
- …experience leading teams focusing on quality management , utilization management , discharge planning and/or home health or rehab. + Strategic thinking ... physical and behavioral health services, including utilization management (UM), quality improvement, and value-based payment...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- BrightSpring Health Services (Indianapolis, IN)
- …Director. + Provides recommendations to leadership about needed actions to improve quality + Communicates effectively with management and staff, using good ... Our Company ResCare Community Living Overview The Quality Assurance Manager (QAM) position is focused on maintaining local compliance with State, Federal and… more
- McLaren Health Care (Indianapolis, IN)
- …considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our ... McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture...change techniques. Works with the PCP, the member and management to promote the delivery of quality … more
- Prime Therapeutics (Indianapolis, IN)
- …strategy. This role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/ Health Insurance Marketplace ... initiatives for assigned clients on behalf of the quality management area. This position works with...quality strategy for all lines of business (Medicare, Medicaid , Commercial/HIM); serve as primary point of contact and… 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