- 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
- Humana (Frankfort, KY)
- …manage multiple or competing priorities + Strong attention to detail + Experience in Medicaid , Medicaid managed care and/or DSNP + Experience with multiple ... Places to Work-as a Value Based Programs Business Intelligence Lead . In this impactful position, you will play a...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- CVS Health (Nicholasville, 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