- Elevance Health (Indianapolis, IN)
- ** Medicaid Quality Management Health Plan Director Sr.** **Location:** This position will work a hybrid model (remote and office) out of the ... relocate or currently reside within 50 miles of the Indianapolis office. The ** Medicaid ** ** Quality Management Health Plan Director Sr.** will be… 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
- 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
- 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)
- …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 ... **Become a part of our caring community and help us put health first** The Lead, Technology Solutions devises an effective strategy for executing and delivering on… more
- Humana (Indianapolis, 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** Humana Healthy Horizons in Indiana is seeking...who are responsible for the day-to-day front line relationship management of network providers for Humana's Healthy Horizons in… 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
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Quality Auditor Service Coordinator"/ Quality Improvement Professional 2 implements ... or process improvement experience + Prior experiences in health care and/or case management . + Intermediate...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… 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
- CVS Health (Indianapolis, IN)
- …knowledgably participate with their provider in healthcare decision-making. * Utilizes case management and quality management processes in compliance with ... Bring your heart to CVS Health . Every one of us at CVS ...Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex… 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
- 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
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Care Management Support Assistant (CMSA) is an important support position in the ... administration of care management . This is a REMOTE work opportunity, but you...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… 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)
- **Become a part of our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization management ... + BSN + 2 years of experience in utilization management using MCG guidelines + Behavioral Health ...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Trinity Health (South Bend, IN)
- …for insurance sales and enrollment. + Adheres to all Federal Center for Medicaid and Medicare Services (CMS) regulations governing health insurance sales and ... capabilities that allow us to set the standard for quality care. **About the Job:** + The Insurance Agent...Science or related degree highly preferred. + 5-6 years Health insurance, Medicaid and Social Security Eligibility… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …Pennsylvania, Indiana, West Virginia, Virginia, and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management services ... and management of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for...disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer… more
- Option Care Health (Indianapolis, IN)
- …mitigate potential compliance risks, including but not limited to Legal, Human Resources, Quality & Risk Management , Finance and Operations. Consults with Legal ... to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high- quality infusion services for nearly all… more