- 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
- Elevance Health (Indianapolis, IN)
- ** Medicaid Whole Health Domain Director** **Location:** This position will work a hybrid model (remote and office). Must live within 50 miles of one of our ... Elevance Health PulsePoint locations. The ** Medicaid Whole ...Growth Partner areas (including but not limited to Enterprise Quality , Health Equity Network, Marketing, and Clinical… 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)
- …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)
- …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 Manager, Fraud and Waste conducts investigations...insurance claims experience + Demonstrated formal or informal people management + Excellent PC skills (including MS, Excel and… more
- Highmark Health (Indianapolis, IN)
- …and testing of analytic delivery systems and collaborates with engineering and quality teams on cross-functional efforts, in this role the incumbent should also ... educate staff knowledge and growth. Responsible for customer relationship management . **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities… 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
- State of Indiana (Indianapolis, IN)
- …across all Indiana Medicaid programs. Your role is responsible for monitoring quality of care offered to Medicaid members through direct work with providers, ... care entities (MCEs) and members. You serves as a quality expert for Medicaid programs related to...to provider relations staff and others within OMPP in quality improvement. You will interact with health … more
- State of Indiana (Indianapolis, IN)
- …may be commensurate with education and job experience. Role Overview : Indiana Medicaid currently provides health coverage for over 2-million Hoosiers. Included ... 13 percent of the state's budget to ensure vital health care coverage to approximately 1 in 5 Hoosiers....management . Care managers provide a personal connection to Medicaid members helping them get needed services. Indiana … 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
- CVS Health (Indianapolis, IN)
- …decision-making. + Monitoring, Evaluation and Documentation of Care: - 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
- 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
- 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