- Humana (Frankfort, KY)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Compliance Lead ( Medicaid State Reporting) to ensure compliance with ... objectives to determine approach, resources, schedules, and goals. The Compliance Lead role will be responsible for...be responsible for the submission of reports for new Medicaid Integrated plans for the Medicaid State… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within ... (HQRI). This support includes submission of encounter data to Medicaid , Medicare, and DSNP states and will...analyze new regulatory requirements, and support the development of compliance and operational processes. The Lead , Encounter… more
- CVS Health (Lexington, KY)
- …heart, each and every day. **Program Overview** Join our Aetna team as we lead the way in providing exceptional care to dual eligible populations! This role involves ... life-changing impact on our Dual Eligible Special Needs Plan ( DSNP ) members, who are enrolled in both Medicare and...) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and… more
- Humana (Frankfort, KY)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... how to operationalize this knowledge in their daily work specifically for DSNP . The Medical Director's work includes computer-based review of moderately complex to… more